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Introduction: Recurrent miscarriage (Garbhasrava) is a distressing reproductive disorder affecting nearly 1–2% of women globally, with multifactorial etiologies including genetic, hormonal, anatomical, and immunological causes. Ayurveda, through its unique concepts of Beeja (gametes), Kshetra (uterine environment), Rutu (fertile period), and Ambu (nutritional factors), provides a comprehensive framework for understanding recurrent pregnancy loss. Methods: A systematic review of Ayurvedic classical texts (Charaka Samhita, Sushruta Samhita, Ashtanga Hridaya, Kashyapa Samhita) was undertaken to extract references on Garbhasrava and its management. Modern literature was searched using PubMed, Scopus, and Google Scholar with keywords: “recurrent miscarriage,” “Ayurveda,” “herbal medicine,” and “immunological infertility.” Inclusion criteria involved clinical trials, review articles, and case reports (2000–2024), while studies unrelated to Ayurveda or reproductive health were excluded. Results: Ayurvedic texts identify Garbhasrava as a condition arising from dosha vitiation, uterine abnormalities, weak maternal tissue (dhatu kshaya), and improper lifestyle. Management includes preventive measures (garbhadharana samagri), Rasayana therapy, Shodhana (detoxification), and Shamana (palliative therapy) with formulations like Ashwagandha, Shatavari, Lodhra, and Pushpadhanwa Rasa. Modern studies reveal the efficacy of these herbs in hormonal balance, immunomodulation, and endometrial receptivity. Panchakarma procedures, particularly Basti and Uttarbasti, demonstrate encouraging results in recurrent miscarriage cases. Discussion: Ayurvedic approaches emphasize holistic correction of maternal health, uterine strengthening, and fetal nourishment, which align with modern findings on endocrine and immunological regulation. However, robust clinical trials and mechanistic studies are limited, necessitating integrative research.

KEYWORDS: Ayurveda, Garbhasrava, Miscarriage, Reproductive health, Shodhana