Towards Healthcare
Medroxyprogesterone Acetate (MPA) Market to Grow at 9.13% CAGR till 2034

Medroxyprogesterone Acetate (MPA) Market Expands Amid 2025 Demand

Based on market forecasts, the medroxyprogesterone acetate (MPA) sector will expand from USD 1.14 billion in 2024 to USD 2.75 billion by 2034, experiencing a CAGR of 9.13%. The rising prevalence of gynecological disorders is estimated to drive the growth of the market. North America led the global market owing to high healthcare expenditure and insurance coverage.

Category: Therapeutic Area Insight Code: 6264 Format: PDF / PPT / Excel

Medroxyprogesterone Acetate (MPA) Market Size, Top Key Players with Insights

The medroxyprogesterone acetate market size was valued at US$ 1.14 billion in 2024 and is projected to grow to 1.24 billion in 2025. Forecasts suggest it will reach approximately US$ 2.75 billion by 2034, registering a CAGR of 9.13% during the period.

Medroxyprogesterone Acetate (MPA) Market Size 2024 to 2034

The medroxyprogesterone acetate market is witnessing steady growth, driven by rising cases of gynaecological disorders, increasing adoption of hormonal contraceptives, and expanding applications in hormone replacement therapy and cancer treatment. Advancements in long-acting injectables and improved drug delivery methods are further supporting market expansion. North America dominates the market due to its advanced healthcare infrastructure, high prevalence of reproductive health issues, strong pharmaceutical presence, and favourable regulatory environment. Growing awareness of women’s health and greater accessibility to treatments continue to strengthen regional demand.

Key Takeaways

  • Medroxyprogesterone acetate (MPA) industry poised to reach USD 1.14 billion by 2024.
  • Forecasted to grow to USD 2.75 billion by 2034.
  • Expected to maintain a CAGR of 9.13% from 2025 to 2034.
  • North America held a major revenue share in the medroxyprogesterone acetate (MPA) market in 2024.
  • Asia-Pacific is expected to witness the fastest growth during the predicted timeframe.
  • By dosage form, the injectable segment registered its dominance over the global market with a share in 2024.
  • By dosage form, the combination injectable formulations segment is expected to grow with the highest CAGR in the market during the studied years.
  • By application/indication, the contraception/family planning segment held the largest revenue share in the market in 2024.
  • By application/indication, the endometriosis & polycystic ovary syndrome (PCOS) segment is expected to show the fastest growth over the forecast period.
  • By route of administration, the intramuscular (IM) injection segment held a dominant presence in the medroxyprogesterone acetate (MPA) market with a share in 2024.
  • By route of administration, the subcutaneous (SC) injection segment is expected to witness the fastest growth in the market over the forecast period.
  • By end-user/patient type, the women of reproductive age segment contributed the biggest revenue share in the market in 2024.
  • By end-user/patient type, the post-menopausal women segment is expected to grow at the fastest CAGR in the market during the forecast period.

What is meant by Medroxyprogesterone Acetate (MPA)?

The two major factors driving the growth of the medroxyprogesterone acetate (MPA) market are the rising prevalence of gynaecological disorders and the growing demand for effective contraceptive solutions. Medroxyprogesterone acetate is a synthetic progestin, a form of the female hormone progesterone, widely prescribed for several medical uses. It is commonly used in treating abnormal uterine bleeding, endometriosis, and menstrual irregularities. Additionally, MPA is a key component in long-acting injectable contraceptives and plays an important role in hormone replacement therapy for menopausal women. It is also prescribed in certain cancer treatments, including endometrial and renal cancers, expanding its therapeutic applications.

Market Outlook

  • Industry Growth Overview:  The medroxyprogesterone acetate (MPA)  market is growing due to rising reproductive health concerns, expanding contraceptive use, and advanced drug delivery. North America dominates with a strong healthcare infrastructure, while Asia-Pacific emerges fastest-growing, driven by increasing awareness, government initiatives, and expanding access to women’s health treatments.
  • Global Expansion: The global expansion of the market is driven by rising demand for contraceptives, growing prevalence of gynecological disorders, and broader therapeutic applications. Increasing healthcare access in emerging economies and advancements in long-acting formulations support wider adoption across regions, strengthening its presence beyond developed markets.
  • Major Investors: The medroxyprogesterone acetate (MPA) market is supported by investments from multinational pharmaceutical companies, regional manufacturers, and non-profit organizations. Leading firms like Pfizer, Teva, and Mylan drive growth through branded and generic products, while PATH, UNFPA, and Concept Foundation improve access in developing regions. By funding research, facilitating distribution, and promoting reproductive health initiatives, these investors enhance product availability, support innovation, and strengthen global adoption of MPA-based contraceptives and therapies.
  • Startup Ecosystem:  The startup ecosystem for the market is emerging, driven by innovation in long-acting injectables, improved drug delivery systems, and affordable generic formulations. Startups focus on expanding access in underserved regions, enhancing patient compliance, and developing sustainable production methods. Collaborations with pharmaceutical firms and non-profits further accelerate product development, commercialization, and market penetration globally.
  • Growing use in emerging markets  Increased awareness, better access to reproductive health services, and government/family planning initiatives are pushing demand in Asia-Pacific, Latin America, etc.
  • Digital health & telemedicine integration  Use of apps, teleconsultations, reminders, and remote monitoring to manage hormone therapies, improve adherence, and reduce clinic visits.
  • Combination therapies and expanded indications  MPA is being more frequently used in conjunction with estrogens and applied in new therapeutic areas (e.g., for managing menopause, preventing endometrial hyperplasia, certain cancers).
  • Adoption of Inorganic Growth Strategies like partnerships, collaborations, and acquisitions can accelerate the expansion of the market by pooling resources, broadening distribution networks, sharing R&D costs, and gaining access to new markets or regulatory approvals. Such alliances enable firms to launch improved formulations faster (e.g., long-acting injectables), reduce development risk, and scale production more efficiently.

For instance,

  • In February 2025, Cosette Pharmaceuticals acquired Mayne Pharma, which strengthens its footprint in women’s health. This acquisition gives Cosette access to Mayne’s commercial infrastructure and product portfolio, enhancing its capability to distribute hormonal medicines, including medroxyprogesterone acetate, more widely.

Advancements in Medroxyprogesterone Acetate Injectables

The ultra-long-acting in-situ forming implant represents a significant advancement in the medroxyprogesterone acetate (MPA) market, combining contraceptive efficacy with improved patient convenience. Developed in 2024, this implant co-formulates MPA with antiretroviral drugs like dolutegravir or cabotegravir, providing dual protection against pregnancy and HIV. Its development aligns with global health priorities, especially in low-resource regions, offering a cost-effective, efficient, and discreet solution for reproductive health management while integrating modern biomedical technology for broader public health impact.

Clinical Trial for Medroxyprogesterone Acetate (MPA)

Study ID Study Title Objective Phase Status Region Key Findings / Outcomes
NCT00064025 Medroxyprogesterone in Advanced Cancer Evaluate MPA's efficacy in advanced cancer Completed Completed Global Demonstrated potential in advanced cancer treatment
NCT06979596 MK-5684 in Solid Tumors Assess MK-5684's efficacy in solid tumors Phase 2 Not yet recruiting Global Aimed at evaluating efficacy in breast, ovarian, and endometrial cancers
ISRCTN62695528 Contraceptive Efficacy Study Evaluate the contraceptive efficacy and safety of DMPA Phase 3 Ongoing Multi-center Focus on depot medroxyprogesterone acetate (150 mg/ml)
TCTR20240628006 Bone Marker Comparison Study Compare the effects of DMPA and desogestrel on bone markers Ongoing Recruiting Thailand Investigating the bone health implications of contraceptive methods
JGOG2051/KGOG2031 High-Dose MPA for Endometrial Cancer Assess high-dose MPA therapy in recurrent endometrial cancer Phase 2 Ongoing Japan Evaluating efficacy and safety in early-stage endometrial cancer
NRG-GY011 MPA and Entinostat in Endometrial Cancer Investigate MPA plus entinostat in endometrial carcinoma Pilot Study Terminated USA Aimed at evaluating the treatment combination in endometrial cancer
NCT00064025 Medroxyprogesterone in Advanced Cancer Evaluate MPA's efficacy in advanced cancer Completed Completed Global Demonstrated potential in advanced cancer treatment

Segmental Insights

Which Dosage Form Segment Dominated the Medroxyprogesterone Acetate (MPA) Market?

The injectable segment dominates the market due to its convenience, long-acting effect, and high patient compliance. It provides reliable, sustained contraception, reduces dosing frequency, and ensures consistent therapeutic levels. Additionally, injectable formulations are widely used in hormone therapy and gynecological treatments, making them the preferred choice among healthcare providers and patients.

The combination injectable formulations segment is estimated to be the fastest-growing in the market due to rising demand for multi-purpose therapies that integrate contraceptives with other hormonal or antiretroviral agents. These formulations enhance convenience, improve patient compliance, and address multiple health needs simultaneously. Ongoing R&D and clinical trials are accelerating the adoption of these innovative combination therapies globally.

Why Did the Contraception/Family Planning Segment Dominate the Medroxyprogesterone Acetate (MPA) Market?

The contraception/family planning segment dominates the market due to widespread use of MPA in injectable contraceptives, high demand for long-acting reversible contraception, and growing awareness of family planning. Its effectiveness, safety, and ease of administration make it the preferred choice for women seeking reliable birth control solutions globally.

The endometriosis & polycystic ovary syndrome (PCOS) segment is anticipated to be the fastest-growing segment in the medroxyprogesterone acetate (MPA) market due to the increasing prevalence of these hormonal and reproductive disorders. Rising awareness among women and healthcare providers, coupled with MPA’s efficacy in regulating menstrual cycles, reducing pain, and managing hormonal imbalances, drives adoption. Ongoing research and development of targeted therapies further expand their clinical applications, accelerating market growth in this segment globally.

What Made Intramuscular (IM) Injection the Dominant Segment in the Medroxyprogesterone Acetate (MPA) Market?

The intramuscular (IM) injection segment dominates the market due to its established efficacy, reliable absorption, and long-acting contraceptive effect. It ensures consistent therapeutic levels, reduces dosing frequency, and is widely preferred by healthcare providers for contraception and hormonal treatments, making it the most commonly used administration route globally.

The subcutaneous (SC) injection segment is estimated to be the fastest-growing segment in the medroxyprogesterone acetate (MPA) market due to its convenience, self-administration capability, and improved patient compliance. Unlike intramuscular injections, SC formulations use smaller needles, reduce pain, and allow at-home use, making them ideal for long-acting contraceptives and hormone therapies. Rising awareness, supportive clinical guidelines, and increased accessibility in developed and emerging markets have steadily driven adoption over the decade.

Which End-User/Patient Type Segment Led the Medroxyprogesterone Acetate (MPA) Market?

The women of reproductive age segment dominates the market due to high demand for effective contraceptives and hormone therapies in this group. MPA’s long-acting injectable formulations offer reliable birth control, menstrual regulation, and management of reproductive disorders. Increased awareness of family planning, accessibility to healthcare services, and government initiatives further reinforce its widespread adoption among women of reproductive age globally.

The post-menopausal women segment is estimated to be the fastest-growing segment in the market due to the rising need for hormone replacement therapy to alleviate menopausal symptoms such as hot flashes, mood swings, and bone density loss. MPA effectively regulates hormonal imbalances, reduces the risk of endometrial hyperplasia, and supports overall reproductive health. Increasing awareness, improved healthcare access, and supportive clinical guidelines are driving higher adoption, making this segment a key growth driver globally.

Regional Analysis

Which Factors Contribute to North America’s Dominance in the Market?

North America dominates the medroxyprogesterone acetate (MPA) market due to its advanced healthcare infrastructure, high awareness of reproductive health, and strong adoption of contraceptive and hormone therapies. The region benefits from well-established pharmaceutical companies, extensive distribution networks, and supportive regulatory frameworks that ensure accessibility of MPA products. Additionally, the prevalence of gynecological disorders, growing demand for long-acting contraceptives, and government initiatives promoting women’s health drive market growth. Continuous research, clinical trials, and innovations in formulations and delivery methods, such as long-acting injectables and combination therapies, further strengthen North America’s leadership and influence in the global market.

U.S. Market Trends

The U.S. leads the medroxyprogesterone acetate (MPA) market due to its advanced healthcare infrastructure, high awareness of reproductive health, and strong adoption of long-acting contraceptives and hormone therapies. Widespread availability of injectable formulations, supported by leading pharmaceutical companies, ensures accessibility across healthcare facilities. Rising prevalence of gynecological disorders, family planning initiatives, and government programs promoting women’s health further drive market growth.

Clinical trials and ongoing R&D for combination therapies and novel formulations strengthen innovation. Regulatory support, robust distribution networks, and patient education programs enhance uptake, making the U.S. the largest and most influential globally.

Canada Market Trends

The Medroxyprogesterone Acetate (MPA) Market in Canada is expanding steadily, driven by increasing awareness of reproductive health and demand for effective contraceptive solutions. The country’s strong healthcare system, government-supported family planning programs, and insurance coverage ensure accessibility to injectable and long-acting MPA formulations.

Adoption is boosted by partnerships between pharmaceutical companies and public health initiatives, facilitating distribution and affordability. Clinical research and development of combination therapies and innovative drug delivery systems further broaden therapeutic options. Although smaller than the U.S., Canada shows consistent growth due to patient education, regulatory frameworks, and healthcare policies focused on improving women’s reproductive health outcomes nationwide.

Which Factors make the Asia Pacific Region the fastest-growing region?

The Asia-Pacific region is the fastest-growing in the medroxyprogesterone acetate (MPA) market due to increasing awareness of reproductive health, rising demand for long-acting contraceptives, and expanding healthcare infrastructure. Growing prevalence of gynecological disorders, government initiatives promoting family planning, and improved access to affordable MPA formulations drive adoption. Additionally, rapid urbanization, rising female workforce participation, and ongoing clinical research in countries like India, China, and Southeast Asia support the development and distribution of injectable and combination therapies, accelerating market growth across the region.

India Market Trend

India’s medroxyprogesterone acetate (MPA) Market is expanding rapidly, driven by increasing demand for contraceptives and hormone therapies. Companies like Montage Laboratories are enhancing production capacities for MPA tablets, catering to both domestic and international markets. Government initiatives, improved healthcare access, and rising awareness of reproductive health further support market growth, making India a key contributor to the region’s MPA adoption.

China Market Trend

China is investing heavily in hormone production, including MPA, to meet growing domestic and international demand. Recent funding rounds for multiple biopharmaceutical companies are enhancing production capabilities, enabling wider availability of MPA formulations. The focus on research, innovation, and efficient distribution networks supports rapid adoption of injectable and combination therapies across the country.

Japan Market Trend

Japan emphasizes the development of hormone therapies, including MPA, through strategic investments in research and development. Regulatory frameworks, such as requirements for Marketing Authorization Holder and Accreditation of Foreign Manufacturer status, ensure high-quality and compliant MPA products. Ongoing innovation, clinical research, and increasing adoption of long-acting injectables and combination therapies strengthen Japan’s position in the regional market.

Value Chain Analysis

Research & Development (R&D)

  • Target identification and hormone mechanism study
  • Formulation development (injectable, subcutaneous, combination therapies)
  • Preclinical testing for safety, efficacy, and pharmacokinetics

Key Organizations:

  • Pharmaceutical companies: Pfizer, Teva, Mylan
  • Research institutes: FHI 360, Concept Foundation
  • Academic research centers focusing on reproductive health

Clinical Trials & Regulatory Approval

  • Phase 1: Safety evaluation in healthy volunteers
  • Phase 2: Efficacy and dosing optimization in target patient groups
  • Phase 3: Large-scale trials for long-term safety and efficacy
  • Submission for regulatory approval (FDA, EMA, PMDA)
  • Post-marketing surveillance and pharmacovigilance

Clinical Research Organizations (CROs): ICON, Parexel, IQVIA

  • Regulatory bodies: U.S. FDA, European Medicines Agency (EMA), Japan PMDA
  • Hospitals and clinical centers conducting trials

Patient Service & Support

  • Product distribution to hospitals, clinics, and pharmacies
  • Patient education on administration (injectable, subcutaneous, or combination therapy)
  • Monitoring therapy compliance and side effects
  • Access programs for affordability and outreach

Key Organizations:

  • Healthcare providers: Gynecologists, Family Planning Clinics
  • Non-profit organizations: PATH, UNFPA
  • Pharmaceutical companies’ patient support programs

Top Vendors in Medroxyprogesterone Acetate (MPA) Market & Their Offerings:

Pfizer

  • Product: Depo-Provera CI (150 mg/mL)
  • Formulation: Intramuscular injectable suspension
  • Details: A long-acting contraceptive administered every 3 months.

Teva Pharmaceuticals

  • Product: Medroxyprogesterone Acetate Tablets, USP
  • Formulation: Oral tablets (2.5 mg, 5 mg, 10 mg)
  • Details: Used for hormone replacement therapy and treatment of menstrual disorders.

Mylan Pharmaceuticals (now part of Viatris)

  • Product: Medroxyprogesterone Acetate Injection 150 mg/mL
  • Formulation: Intramuscular injectable suspension
  • Details: Generic version of Depo-Provera® for contraception.

Montage Laboratories Pvt. Ltd.

  • Products: Medroxyprogesterone Acetate Tablets (10 mg), Medroxyprogesterone Acetate Injection (150 mg/mL)
  • Formulations: Oral tablets and Intramuscular injectable suspension
  • Details: Indian manufacturer offering both oral and injectable MPA formulations.

Remedial Healthcare

  • Product: M-GEST (Medroxyprogesterone Acetate 10 mg)
  • Formulation: Oral tablets
  • Details: PCD pharma franchise company in India providing oral MPA tablets.

Amgen

  • Product: Depo-Provera CI (150 mg/mL)
  • Formulation: Intramuscular injectable suspension
  • Details: Collaborated with Pfizer for the development and distribution of Depo-Provera.

Eugia Pharma

  • Product: Medroxyprogesterone Acetate Injectable Suspension
  • Formulation: Intramuscular injectable suspension
  • Details: Manufacturer of generic injectable MPA formulations.

Top Companies in the Medroxyprogesterone Acetate (MPA) Market

Recent Developments in the Medroxyprogesterone Acetate (MPA) Market

  • On July 24, 2025, a study published by Pfizer reported a 3.5-fold increased risk of developing intracranial meningiomas with prolonged use of Depo-Provera compared to combined birth control pills. This study further underscores the safety concerns associated with MPA use.
  • On July 3, 2025, a study published in Expert Opinion on Drug Safety highlighted a 3.5-fold increased risk of developing intracranial meningiomas with prolonged use of MPA compared to combined birth control pills. This study adds to the growing body of evidence linking MPA use to increased tumor risk.

Segments Covered in the Report

By Dosage Form

  • Injectable
  • Combination Injectable formulations
  • Oral Tablet
  • Other Formulations (Implants, Combination Therapies)

By Application/Indication

  • Contraception / Family Planning
  • Endometriosis & Polycystic Ovary Syndrome (PCOS)
  • Hormone Replacement Therapy (HRT)
  • Gynecological Disorders (Menstrual Disorders, Endometrial Hyperplasia)
  • Oncology (Breast & Endometrial Cancer Management)
  • Other Indications (Fertility Regulation, Menopausal Symptoms)

By Route of Administration

  • Intramuscular (IM) Injection
  • Subcutaneous (SC) Injection
  • Oral Administration
  • Other Routes (Implant, Transdermal, Combination Delivery)

By End-User/Patient Type

  • Women of Reproductive Age
  • Women of Reproductive Age
  • Post-Menopausal Women 
  •  Adolescents & Young Adults
  • Healthcare Institutions & Clinics

By Region 

  • North America
    • U.S.
    • Canada
  • Asia Pacific
    • China
    • Japan
    • India
    • South Korea
    • Thailand
  • Europe
    • Germany
    • UK
    • France
    • Italy
    • Spain
    • Sweden
    • Denmark
    • Norway
  • Latin America
    • Brazil
    • Mexico
    • Argentina
  • Middle East and Africa (MEA)
    • South Africa
    • UAE
    • Saudi Arabia
    • Kuwait

Tags

  • Last Updated: 06 October 2025
  • Report Covered: [Revenue + Volume]
  • Historical Year: 2021-2023
  • Base Year: 2024
  • Estimated Years: 2025-2034

Meet the Team

Kesiya Chacko is an accomplished market research professional with over 4+ years of experience in the healthcare industry, known for delivering actionable insights and strategic analysis that empower healthcare organizations.

Learn more about Kesiya Chacko

Aditi Shivarkar is a seasoned professional with over 14 years of experience in healthcare market research. As a content reviewer, Aditi plays a critical role in ensuring the quality and accuracy of all market insights and data presented by the research team.

Learn more about Aditi Shivarkar
FAQ's

The medroxyprogesterone acetate (MPA) market currently in 2025 records USD 1.24 billion and is anticipated to grow to USD 2.75 billion by 2034, advancing at a CAGR of 9.13% from 2024 to 2034.

North America is leading the medroxyprogesterone acetate (MPA) market due to the growing demand for long-acting contraceptives, the prevalence of gynecological disorders, and government initiatives promoting women health, drive market growth.

Some key players include Pfizer Inc., Bayer AG, Mylan N.V. (Viatris), Cipla Limited, Teva Pharmaceutical Industries Ltd., Hetero Labs Limited, Fresenius Kabi AG, and Sandoz International GmbH etc.

MPA is a synthetic progestin hormone used in contraceptives, hormone replacement therapy, and the treatment of gynecological disorders such as endometriosis and irregular menstruation. It is available in oral tablets, injectable, and subcutaneous formulations.

Personalized Medicine Coalition, The Menopause Society, Government of Canada, Food and Drug Administration, International Menopause Society (IMS), clinicaltrials.gov, North American Menopause Society, WHO, JAMA, GOV.UK