Review Article on Artava Kshaya

Background: Artava Kshaya is a frequently encountered menstrual disorder described in Ayurveda, characterised by diminished quantity, delayed onset, or irregular occurrence of menstrual bleeding, often associated with pain. In contemporary medicine, it can be correlated with conditions such as oligomenorrhea and hypomenorrhea. Modern lifestyle patterns, psychological stress, faulty dietary habits, and obesity have contributed significantly to its increasing prevalence. Objective: This review aims to compile and analyse classical Ayurvedic concepts related to Artava Kshaya along with its modern correlations and therapeutic approaches. Methods: Classical Ayurvedic treatises and their commentaries were systematically reviewed alongside contemporary biomedical literature. Available clinical trials and research studies assessing Ayurvedic interventions in the management of Artava Kshaya were also examined. Results: Artava Kshaya develops due to the imbalance of Tridosha, particularly aggravation of Vata and Kapha along with relative depletion of Pitta. Impaired Agni and obstruction within the Artavavaha Srotas further contribute to the condition. Clinically, patients present with delayed or irregular cycles, scanty bleeding, and dysmenorrhea. Ayurvedic formulations such as Shatapushpa–Shatavari Churna and Venuparvadi Kwatha have shown encouraging results in improving menstrual regularity and flow. Conclusion: Early identification and personalised Ayurvedic management, including Shodhana therapies, internal medications, dietary regulation, and Rajaswala Paricharya, offer a safe and holistic non- hormonal approach to restore menstrual health and prevent long-term reproductive complications.