Become A Member

Introduction: Menstrual cycle disorders, including dysmenorrhea, oligomenorrhea, menorrhagia, and premenstrual syndrome, are prevalent health concerns that affect quality of life and reproductive health in women. Shatavari (Asparagus racemosus), a renowned Ayurvedic herb, has been traditionally prescribed as a stree-rasayana (rejuvenative for women), particularly for regulating menstrual and reproductive functions. This review aims to critically evaluate its role in menstrual cycle regulation based on Ayurvedic principles and modern scientific evidence. Methods: A comprehensive literature search was conducted across Ayurvedic classics (Charaka Samhita, Sushruta Samhita, Ashtanga Hridaya), modern pharmacognosy texts, and scientific databases including PubMed, Scopus, and Web of Science (2000–2025). Search terms included “Shatavari,” “Asparagus racemosus,” “menstrual regulation,” “Ayurveda,” and “women’s reproductive health.” Clinical trials, animal studies, review articles, and pharmacological investigations were included. Data were synthesized thematically to assess classical indications, phytochemical profile, pharmacodynamics, and clinical outcomes. Results: Classical texts describe Shatavari as cooling, nourishing, galactagogue, and regulator of menstrual disorders. Modern studies reveal its bioactive constituents—steroidal saponins (shatavarins), flavonoids, and phytoestrogens—exert estrogenic, adaptogenic, and anti-inflammatory activities. Preclinical studies support its role in modulating gonadotropin levels, regulating ovarian function, and relieving dysmenorrhea. Clinical studies demonstrate benefits in menstrual irregularities, premenstrual symptoms, and infertility management. However, heterogeneity in dosage forms and limited large-scale randomized trials remain gaps in evidence. Discussion: Shatavari shows promising potential in menstrual regulation by harmonizing endocrine, immune, and psychological factors. Integrating traditional wisdom with pharmacological insights may expand its therapeutic applications, though standardized clinical validation is required. Conclusion: Shatavari represents a bridge between traditional Ayurvedic regimens and modern gynecological care. Its use in regulating menstrual cycles highlights a holistic and evidence-based approach to women’s reproductive health.

KEYWORDS: Adaptogen, Ayurveda, Menstrual regulation, Phytoestrogen, Shatavari