A Comprehensive Analysis of Ayurvedic Treatments for Asrigdara (Heavy Menstrual Bleeding)

Objectives: To assess the effectiveness and safety of Ayurveda treatment for managing Asrigdara (Heavy menstrual bleeding). Materials and Methods: Electronic databases for published research articles, and doctoral thesis works were searched from inception till Dec 2023. Only randomized clinical trials were considered of the reproductive age group, receiving Ayurveda interventions regardless of forms, dosages, and ingredients were included. Results: 68 research articles were identified, of which 08 randomized clinical trials met inclusion criteria. In five studies, combined shodhana (purifying) and shamana (pacifying) therapy was found statistically more effective compared with shamana therapy in reducing excessive menstrual blood loss. The trial formulation was found more beneficial than the comparative drug in two studies, while in one study, the trial formulation was less effective than the comparator. Conclusion: Although individual studies appeared to produce positive results. Additional well-designed trials are needed to investigate the safety and efficacy of Ayurveda interventions for the treatment of Asrigdara (Heavy menstrual bleeding).