Ayurvedic management of Delayed Menstruation (Artavakshaya) in an Adolescent Female: A Case Report

Background: Menstrual disorders are among the most common gynecological concerns in India, with oligomenorrhea (delayed menstruation) affecting approximately 14–25% of adolescent and reproductive-age women. Contributing factors include psychological stress, dietary imbalances, hormonal dysregulation, and sedentary lifestyles. From an Ayurvedic standpoint, this condition aligns with Artavakshaya, Nashtartava, or Artava Dushti, involving vitiation of Vata and Kapha Doshas, impaired Agni (digestive/metabolic fire), and blockage in Artavavaha Srotas (channels of menstrual flow). Case Presentation: This report presents the case of a 21-year-old female with a 3-year history of delayed menstrual cycles, accompanied by acne, pelvic pain, weight gain, and increased psychological stress. She was treated using a classical Ayurvedic protocol that included internal medications (Varanadi Kashayam, Rajapravartini Vati, Shaddharanam DS, Aruna Capsules, and Trikatu Churna) and a Sadhyovirechana (immediate therapeutic purgation). The intervention led to normalization of her cycle and symptomatic relief without any allopathic hormonal therapy. Conclusion: This case underscores the utility of a holistic Ayurvedic approach, incorporating classical formulations, detoxification therapies, and lifestyle correction, for effective and sustainable management of delayed menstruation.