Allopregnanolone (ALLO), a potent neuroactive steroid, is synthesized and active in the peripheral nervous system. Previous studies have shown that ALLO participates in the central regulation of reproduction with effects on ovarian physiology, although there is little evidence for its ability to modulate peripheral tissues. The present study aimed to determine whether ALLO, administered to an ex vivo system that comprises the superior mesenteric ganglion (SMG), the ovarian nervous plexus (ONP) and the ovary (O), or to the denervated ovary (DO), was able to modify ovarian apoptosis, proliferation and angiogenesis. For this purpose, the SMGâONPâO system and DO were incubated during 120 min at 37°C, in the presence of two ALLO doses (0.06 ”m and 6 ”m). The intrinsic and extrinsic pathways of apoptosis were analyzed. Incubation of the SMGâONPâO system with ALLO 0.06 ”m led to an increase in the BAX/BCLâ2 ratio and a reduction of FASâL mRNA levels. ALLO 6 ”m induced a decrease of FASâL levels. Incubation of DO with ALLO 0.06 ”m reduced FASâL, whereas ALLO 6 ”m significantly increased it. Cyclin D1 mRNA was measured to evaluate proliferation. Treatment with ALLO 6 ”m increased proliferation in both SMGâONPâO and DO. ALLO 0.06 ”m produced an increase of Cyclin D1 in DO only. Administration of either ALLO dose led to a higher ovarian expression of vascular endothelial growth factor in the SMGâONPâO system, but a lower one in the DO system. ALLO 6 ”m induced ovarian sensitization to GABA by increasing GABAA receptor expression. In conclusion, ALLO participates in the peripheral neural modulation of ovarian physiology. It can also interact directly with the ovarian tissue, modulating key mechanisms involved in normal and pathological processes in a doseâdependent manner.