The aim of this study was to evaluate the effect of the association of medroxyprogesterone with the Ovsynch protocol on the follicular growth, ovulation, and conception rate of buffaloes in the Eastern Amazon (Tracuateua-PA). Twenty-seven cyclic, non-lactating females (G1 n=14 and G2 n=13) with a 3.5 BCS were synchronized with the Ovsynch. Animals from G2 received a supplementation of 60 mg of medroxyprogesterone from D0 to D7 (D0=starting day of treatment). Ultrasonography evaluation on ovaries was realized on Days 0, 7, 9, and 10. A significant effect of treatment on follicle number was observed on D7 (G1: 4.57±0.60 versus G2: 6.54±0.67; P=0.05). Time and treatment influenced follicular diameter on D7. The growth of the dominant follicular was increased from D7 to D9 on treated females (G1: 2.05±0.49 mm/day versus 3.48±0.41 mm/ day; P<0.05). G1 animals (35.71% versus 30.77%) ovulated comparatively earlier than their G2 counterparts, but this did not affect the conception rates (G1: 50,00% and G2: 30,77%; P>0,05). The findings suggest that medroxyprogesterone: (1) increases follicular recruitment and inhibits the growth of follicles whose diameter was larger than 5.0mm from D0 to D7; (2) the withdrawal of medroxyprogesterone speeds up follicular growth 1.7 fold from D7 to D9; (3) would probably contribute to the ovulation of larger follicles thereby forming more luteal tissue; (4) does not stimulate early ovulation after Ovsynch; and (5) does not elevate the conception rate after the synchronization of cyclic females with good body condition, and should be evaluated for the utilization in acyclic/reduced BCS females.