17-Alpha-Hydroxyprogesterone Caproate (17-OHPC)

17-alpha-hydroxyprogesterone caproate (17-OHPC) is a man-made drug built from a natural relative of progesterone, given by shot to lower the risk of early birth. It is a progestin. It is not the progesterone a woman's body makes, and the two words are not the same.

In a 1979 study of 70 high-risk pregnancies, preterm birth happened in 12.8 percent of treated women and 40.9 percent of the rest.1 A later trial of 142 high-risk women found a similar drop with vaginal progesterone.2

Restorative care reaches for the hormone the body already makes. A review of more than 2,000 pregnancies supported with natural progesterone found no rise in birth defects.3

Cited in this entry

  1. Johnson JW, Lee PA, Zachary AS, Calhoun S, Migeon CJ. High-risk prematurity--progestin treatment and steroid studies. Obstetrics and Gynecology. 1979. Obstetrics and Gynecology. https://pubmed.ncbi.nlm.nih.gov/492618/
  2. da Fonseca EB, Bittar RE, Carvalho MH, Zugaib M. Prophylactic administration of progesterone by vaginal suppository to reduce the incidence of spontaneous preterm birth in women at increased risk: a randomized placebo-controlled double-blind study. American Journal of Obstetrics and Gynecology. 2003. American Journal of Obstetrics and Gynecology. https://pubmed.ncbi.nlm.nih.gov/12592250/
  3. Hilgers TW. Chapter 55: Using Progesterone Support During Pregnancy. The Medical and Surgical Practice of NaProTECHNOLOGY. 2004. The Medical and Surgical Practice of NaProTECHNOLOGY. https://rrmacademy.org/library/chapter-55-using-progesterone-support-during-pregnancy/

This content is for educational purposes only and does not constitute medical advice. Consult an RRM clinician or healthcare provider for guidance specific to your situation.