Asparagus racemosus, commonly known as Shatavari, has a long history of use in Ayurvedic medicine as a female reproductive tonic. Traditional Ayurvedic texts describe Shatavari as a "rasayana" (rejuvenative) herb, used to balance female hormones, regulate the menstrual cycle, and address menstrual irregularities such as amenorrhea and dysmenorrhea. The herb is believed to exert its effects through its phytoestrogenic properties, supporting hormonal balance and nourishing the female reproductive system.

Modern scientific studies directly validating the efficacy of Asparagus racemosus for menstrual irregularity are limited and mostly preclinical. Some animal studies suggest phytoestrogenic or adaptogenic effects, but robust human clinical trials are lacking. The most notable support for its use comes from traditional knowledge and anecdotal reports in Ayurvedic practice. Therefore, while Shatavari is widely used in traditional medicine for menstrual health, the scientific evidence to substantiate these claims remains preliminary.

In summary, the use of Asparagus racemosus for supporting or treating menstrual irregularity is primarily rooted in tradition, with limited but emerging preclinical scientific support and a lack of high-quality clinical trials.