Ashoka (Saraca asoca) has been traditionally used in Ayurveda and other classical systems of Indian medicine for the management of gynecological disorders, including uterine fibroids (referred to as "granthi" or "arbuda" in classical texts). The bark of the Ashoka tree is especially valued for its supposed ability to regulate menstrual cycles, reduce excessive menstrual bleeding (menorrhagia), and promote uterine health. Classical Ayurvedic texts such as the Charaka Samhita and Sushruta Samhita mention Ashoka as a remedy for various female reproductive system disorders, often included in formulations like Ashokarishta.

From a scientific perspective, there is limited clinical evidence directly supporting Ashoka's efficacy in the treatment of uterine fibroids. Some in vitro and animal studies have suggested anti-inflammatory, antioxidant, and mild estrogenic effects of Ashoka bark extracts, which could theoretically contribute to benefits in uterine health and symptom management. However, robust clinical trials in humans are lacking, and its role in treating fibroids specifically is not well established in the biomedical literature.

In summary, the use of Ashoka for uterine fibroids is primarily justified by traditional usage and historical precedent rather than strong scientific validation. Its popularity in herbal and Ayurvedic medicine for gynecological issues persists, but conclusive clinical evidence for its efficacy in fibroid management is currently insufficient.