Asparagus racemosus, commonly known as Shatavari, has a long history of use in traditional Ayurvedic medicine for supporting female reproductive health, including the management of dysmenorrhea (painful menstruation). In Ayurvedic texts, Shatavari is described as a "rasayana" herb, believed to improve vitality, nourish the female reproductive organs, and alleviate menstrual disorders, including menstrual cramps and irregular cycles. Its traditional use for dysmenorrhea is attributed to its reputed antispasmodic, anti-inflammatory, and adaptogenic properties, which are thought to help reduce uterine muscle spasms and discomfort during menstruation.

However, scientific evidence supporting the efficacy of Asparagus racemosus specifically for dysmenorrhea is limited. A few preclinical studies suggest that extracts of the plant may exhibit antispasmodic and anti-inflammatory effects in animal models, which could theoretically help with menstrual pain. A small number of clinical studies have investigated its broader effects on female reproductive health, but robust, well-controlled human trials directly assessing its impact on dysmenorrhea are lacking. Therefore, while the traditional use is well-documented, current scientific support remains minimal, and more research is needed to confirm its effectiveness for this specific condition.