Ashwagandha (Withania somnifera) has a longstanding history in traditional Ayurvedic medicine, where it has been used as a general tonic to support reproductive health and vitality. In some Ayurvedic texts, ashwagandha is described as a "rasayana" herb, believed to promote overall strength, resilience, and balance in the body, which can include supporting women's reproductive systems. Traditionally, it was sometimes used for women with a history of recurrent miscarriage, with the idea that its adaptogenic and strengthening properties might help maintain pregnancy by reducing stress and improving hormonal balance. Despite these traditional uses, there is very limited direct scientific evidence to support the use of ashwagandha specifically for miscarriage prevention. Most modern research on ashwagandha focuses on its potential to reduce stress, improve sleep, and modulate hormone levels, but studies specifically investigating its effects on preventing miscarriage in humans are lacking. Animal studies have suggested some positive effects on reproductive health, but these findings cannot be directly extrapolated to humans or to the specific context of miscarriage prevention. Overall, while ashwagandha is traditionally used in some cultures for reproductive support, its use for miscarriage prevention is not scientifically validated, and its safety in pregnancy has not been thoroughly established. Pregnant women or those at risk of miscarriage should consult with a qualified healthcare provider before considering ashwagandha or any herbal supplement.