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Introduction: Gynecological disorders such as dysmenorrhea, menorrhagia, leucorrhea, and oligomenorrhea are common conditions affecting reproductive-age women worldwide. Ayurveda recommends various Rasayana and herbal formulations for the management of these disorders, among which Kumari Asava, a fermented preparation of Aloe vera, holds a prominent position. Traditionally, it is indicated for Vata and Kapha disorders, menstrual irregularities, and hormonal imbalance. Modern pharmacology attributes anti-inflammatory, antioxidant, hepatoprotective, and immunomodulatory properties to Aloe vera, suggesting potential efficacy in gynecological disorders. Methods: A comprehensive literature search was conducted using PubMed, Scopus, Web of Science, AYUSH Research Portal, and Google Scholar from 2000 to 2025, using keywords such as “Kumari Asava,” “Aloe vera,” “gynecological disorders,” “menstrual health,” and “Ayurveda.” Classical Ayurvedic texts including Charaka Samhita, Sushruta Samhita, and Ashtanga Hridaya were reviewed. Studies included clinical trials, case reports, preclinical studies, and systematic reviews evaluating Kumari Asava or Aloe vera in gynecological or reproductive health. Exclusion criteria were non-peer-reviewed reports and studies without measurable outcomes. Results: Classical texts highlight Kumari Asava’s role in regulating menstrual cycles, alleviating dysmenorrhea, and strengthening reproductive tissues. Modern studies support its anti-inflammatory, antioxidant, and hormonal modulatory effects, potentially improving menstrual irregularities and reducing pelvic discomfort. Clinical studies report symptomatic improvement in dysmenorrhea, menorrhagia, and leucorrhea with minimal adverse effects. Discussion: The evidence suggests that Kumari Asava provides a holistic approach to gynecological disorders, integrating symptom management with systemic rejuvenation. While traditional knowledge and preliminary modern research are promising, high-quality randomized controlled trials are limited. Standardization of formulations and dosage optimization are needed to validate efficacy and safety. Conclusion: Kumari Asava is a safe and potentially effective Ayurvedic intervention for gynecological disorders. Integration with modern gynecological care may enhance patient outcomes, offering a holistic, evidence-based approach to women’s reproductive health.

KEYWORDS: Aloe vera, Ayurveda, dysmenorrhea, gynecological disorders, Kumari Asava