Abstract-Vascular actions of progesterone have been reported, independently of estrogen, affecting both blood pressure and other aspects of the cardiovascular system. To study possible mechanisms underlying these effects, we examined the effects of P in vivo in intact rats and in vitro in isolated artery and vascular smooth muscle cell preparations. In anesthetized Sprague-Dawley rats, bolus intravenous injections of P (100 g/kg) significantly decreased pressor responses to norepinephrine (0.3 g/kg). In vitro, progesterone (10 Ϫ8 to 10 Ϫ5 mmol/L) produced a significant, dose-dependent relaxation of isolated helical strips, both of rat tail artery precontracted with KCl (60 mmol/L) or arginine vasopressin (3 nmol/L), and of rat aorta precontracted with KCl (60 mmol/L) or norepinephrine (0.1 mol/L). In isolated vascular smooth muscle cells, progesterone (5ϫ10 Ϫ7 mol/L) reversibly inhibited KCl (30 mmol/L) -induced elevation of cytosolic-free calcium by 64.1Ϯ5.5% (PϽ0.05), and in whole-cell patch-clamp experiments, progesterone (5ϫ10 Ϫ6 mol/L) reversibly and significantly blunted L-type calcium channel inward current, decreasing peak inward current to 65.7Ϯ4.3% of the control value (PϽ0.05). Our results provide evidence that progesterone is a vasoactive hormone, inhibiting agonist-induced vasoconstriction. The data further suggest that progesterone effects on vascular tissue may, at least in part, be mediated by modulation of the L-type calcium channel current activity and, consequently, of cytosolic-free calcium content. Key Words: progesterone Ⅲ intracellular calcium Ⅲ vascular smooth muscle Ⅲ sex steroid hormones Ⅲ L-type calcium channel Ⅲ hypertension Ⅲ menopause I t is well established that premenopausal women are at lower risk of developing hypertension and coronary heart disease than men of the same age and that the cardiovascular risk increases only after the cessation of ovarian function. 1 Conversely, pregnancy is associated with lower blood pressure (BP), despite elevated circulating angiotensin II (Ang II) levels and sodium retention. 2 Although the mechanism(s) underlying these observations are still poorly understood, a critical role for dramatic changes in the sex steroid environment is widely presumed. Previous mechanistic studies have focused on cardiovascular protective effects attributable to estrogens, but accumulating evidence suggests that progesterone independently of estrogen also exerts a protective influence on the vasculature. 3 Thus progesterone receptors have been localized in the myocardium 4 and in peripheral vascular tissue, 5 and administration of progesterone lowers BP in humans, 3,6 blunts the pressor response to Ang II in human pregnancy, 7 and inhibits Ang II action in rats in some, 8,9 but not all, reports. 10,11 We intended to further define the vascular actions of progesterone and to study potential mechanism(s) underlying these effects. Therefore, we evaluated the short-term effects of progesterone in a variety of circumstances: on BP in anesthetized rats, on vascular contra...