The use of the Asoka tree (Saraca asoca) for supporting or treating menopausal symptoms is primarily rooted in traditional Ayurvedic medicine. In Ayurveda, the bark of the Asoka tree has long been valued for its effects on female reproductive health, particularly for conditions like menorrhagia (excessive menstrual bleeding), dysmenorrhea (painful menstruation), and other gynecological disorders. Its use for menopause is based on the broader application of Asoka in balancing hormonal disturbances and supporting uterine health, as described in classical Ayurvedic texts such as the Charaka Samhita and Sushruta Samhita. However, direct references to its use specifically for menopausal symptoms are rare; its application is more extrapolated from its general benefits for female reproductive health.

Scientifically, there is limited evidence to validate these traditional uses. While some preclinical studies suggest that extracts of Asoka bark possess phytoestrogenic, anti-inflammatory, and antioxidant properties, robust clinical trials in humans assessing its efficacy for menopausal symptoms are lacking. Most available research focuses on its effects for menstrual disorders rather than menopause per se. Therefore, while traditional use is well-documented and the herb is commonly included in polyherbal formulations for women's health, scientific validation for menopause-specific benefits remains minimal.