The Secondary amenorrhea serves as a key clinical indicator of underlying endocrine, structural, or functional reproductive dysfunction in women of childbearing age. From an Ayurvedic perspective, the absence of menses is aligned with Nashtartava, a condition resulting from the impairment of Artava-vaha Strotas or systemic metabolic imbalances. This combined reporting evaluates the therapeutic efficacy of multi-herbal Ayurvedic formulations in treating secondary amenorrhea arising from underlying etiology; a functional hemorrhagic ovarian cyst. The metabolic factors – such as improper diet and lack of physical activity – frequently cause hormonal disbalance, triggering the growth of ovarian cysts. The functional luteal cysts resulting from hyperactive corpus luteum vascularization and internal bleeding, this is known as haemorrhagic cyst.
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2Dr. Shivam Shukla *1Dr. Sangita Jagotra (2026) studied this question.
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