The use of Saraca asoca (commonly known as Ashoka) for treating amenorrhea is primarily rooted in traditional Ayurvedic medicine. In classical Ayurvedic texts, Ashoka bark has been described as a remedy for various gynecological disorders, including amenorrhea (absence of menstruation), dysmenorrhea, and menorrhagia. The bark is believed to possess properties that help regulate menstrual cycles and support uterine health. Traditional formulations such as Ashokarishta—an herbal decoction containing Ashoka as a key ingredient—are commonly prescribed in Ayurveda for women’s reproductive health issues, particularly those involving irregular or absent menstruation.

Scientific validation for Ashoka’s use in amenorrhea is limited. Most modern studies have focused on its general uterine tonic and anti-inflammatory properties, often in animal models or in vitro systems. Few clinical trials have specifically evaluated its efficacy for amenorrhea in humans. The available research suggests potential estrogenic and uterotonic effects, but robust, large-scale clinical evidence is lacking. As a result, while Ashoka’s use for amenorrhea is well-established in traditional practice, the supporting scientific evidence is weak to moderate (rated 2/5), relying mostly on historical usage and preliminary pharmacological studies rather than definitive clinical trials.