Used primarily in hormonal therapy, this compound serves as a progestin in birth control pills to prevent ovulation and pregnancy. It is also administered as a long-acting injectable contraceptive, providing effective protection for up to three months per dose. In women, it treats menstrual disorders such as irregular or absent periods and abnormal uterine bleeding. It may be prescribed to manage symptoms of endometriosis and certain types of cancer, including endometrial or kidney cancer, by regulating hormone-sensitive tissues. Additionally, it is sometimes used to suppress testosterone in transgender women as part of gender-affirming hormone therapy. In veterinary medicine, it has been used to control estrus in animals.