In vitro experiments carried out with uterus preparations of ovariectomized adult rats indicate the presence in this tissue of a 20\g=b\-hydroxysteroid-oxidoreductase which catalyzes the conversion of 20\g=b\-hydroxy-4\x=req-\ pregnen-3-one to progesterone.Since a hepatic 20\g=b\-hydroxysteroid-oxidoreductase is absent in adult female rats, the myometrial enzyme can be responsible for the biological activity of 20\g=b\-hydroxy-4-pregnen-3-one in these animals.Besides progesterone five metabolites were isolated and identified after incubation of [4-14C]20\g=b\-hydroxy-4-pregnen-3-one with uterine tissue: 20\g=b\-hydroxy-5\g=a\-pregnan-3-one, 20\g=b\-hydroxy-5\g=b\-pregnan-3-one, 5\g=a\-pregnane-3\g=a\,20\g=b\-diol,4-pregnene-3\g=a\,20\g=b\-diol and 4-pregnene-3\g=b\,20\g=b\-diol. The conversion of 20\g=b\-hydroxy-4-pregnen-3-one to progesterone permits This work was supported by the Deutsche Forschungsgemeinschaft, Sonderforschungs¬ bereich -Endokrinologie 34. This paper is abstracted from a thesis submitted by M. Holtermann in partial fulfilment of the requirements for the degree of Doctor of Medicine in the Medical School of the University of Hamburg. Trivial names and abbreviations used in the text Progesterone = 4-pregnene-3,20-dione, 17a-hydroxyprogesterone = 17a-hydroxy-4-pregnene-3,20-dione, cortisol = 11/?,17, 21-trihydroxy-4-pregnene-3,20-dione, cortisone = 17,21-dihydroxy-4-pregnene-3,11,20-trione, tetrahydrocortisone = 3a,17,21-trihydroxy-5/?-pregnane-ll,20-dione, /i-cortolone = 3a, 17a,20/5,21-tetrahydroxy-5/?-pregnan-11-one, tK = relative retention time (to chole¬ stane). RGC = radio gas chromatography, GCC = gel column chromatography. TLC = thin-layer chromatography, TMSi = trimethylsilylether, MoTMSi = methoxime-trimethylsilylether.