Medroxyprogesterone is a synthetic progestin widely used in hormonal therapies, including contraception, menstrual regulation, and the treatment of various gynecological and endocrine disorders. Structurally derived from progesterone, it mimics natural hormone activity to regulate the menstrual cycle, prevent ovulation, and manage conditions such as endometriosis, abnormal uterine bleeding, and certain forms of cancer. Developed in the 1950s as part of efforts to create more stable and effective progesterone analogs, medroxyprogesterone acetate (MPA) quickly gained clinical importance due to its potency, long duration of action, and versatility in both oral and injectable forms. Its introduction revolutionized long-term contraception, particularly with the launch of depot medroxyprogesterone acetate (DMPA), a widely used injectable birth control method. Over the decades, medroxyprogesterone has remained a cornerstone in reproductive and hormonal medicine, valued for its reliability, broad therapeutic applications, and long-standing clinical use.