The purpose of the study was to improve the herd reproduction and implement infertility prevention. High level of reproduction and milk productivity of cows is possible only for healthy animals. With year-round stall housing, prolonged hypodynamia of cows there are signifi cant hemodynamic disorders, morphological and functional changes in the reproductive organs and throughout the body. Specialists of farms and complexes often cull highly productive cows in the fi rst, second lactation due to disruption of reproduction, diseases of the limbs and breast, it causes enormous economic damage. In cows with endometritis a variety of clinical forms and varying degrees of severity of endometritis has been observed. Comparatively high effi ciency has been obtained with intrarectal application of sapropel. Sapropel is the lake silt formed from the remains of plant and animal organisms, colloidal silt greenish, olive, brown or gray color, greasy consistence. It contains organic nitrogen-containing substances up to 50 %, carbohydrates up to 40 % and bitumen compounds up to 10 %, minerals, salts of calcium, magnesium, silicon, phosphorus, sodium, potassium, aluminum, iron; copper, zinc, manganese, cobalt, iodine, nickel, molybdenum, etc., as well as vitamins (D, B1 , B6 , B12), hormone-like bacteriophages, antibiotics, humic acids, etc. Duration of treatment was up to 2 weeks. A signifi cant number of sick cows was an increase in muscle tone of the uterus, the contraction of its walls, active secretion from the uterine exudate. The best results from treatment of endometritis (83,9 %) have been obtained with intrarectal application of sapropel in combination with vibroacoustic massage and infrared irradiation of cows bags. Only reasonable prevention of hypodynamia and the right approach in solving the problems will give the desired results and reduce the number of imported cattle.