Restoration of Menses in Artavakshaya (Delayed Menstruation) Through Ayurvedic Care: A Case Report on an Adolescent Female

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 young female with a history of irregular menstrual cycles, accompanied by dysmenorrhea, ultrasound-confirmed bilateral cystic ovaries, and hormonal imbalance. She was treated using a classical Ayurvedic protocol including internal medications (Varanadi Kashayam, Rajapravartini Vati, Aruna Syrup, Kumaryasava, and Kanchanara Guggulu) and a Kshara Vasti course. The intervention led to the regularization of her cycles and symptomatic relief without the use of 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.