Menopause (Rajonivritti) is a natural stage that usually occurs in Praudhawastha (middle age), when a woman’s monthly periods permanently stop due to the decline of reproductive hormones like estrogen and progesterone. This change can bring several physical and emotional symptoms, such as hot flushes, mood swings, sleep disturbances, vaginal dryness, joint pain, fatigue, anxiety, and memory problems. In Ayurveda, this stage is considered a time of increased Vata Dosha and Dhatu Kshaya (weakening of body tissues), which affects both body and mind. To manage this transition, Ayurveda recommends Rasayana (rejuvenating) therapies that nourish the body and restore balance.

Vayasthadi Yog is a classical Ayurvedic formulation made from Guduchi, Ashwagandha, Shatavari, and Yashtimadhu—herbs well known for their Rasayana (rejuvenating), Medhya (mind-strengthening), and hormone-supporting actions. This review is based on information from Ayurvedic texts and modern scientific studies. The formulation is found to be Tridoshahara (balancing all three doshas), Medhya (improves brain function), and phytoestrogenic (having plant compounds that act like estrogen). Together, these herbs help relieve menopause-related symptoms by supporting hormonal balance, strengthening weakened tissues, calming the nervous system, and improving overall well-being during Praudhawastha. Thus, Vayasthadi Yoga offers a safe, natural, and holistic alternative to hormone replacement therapy for managing menopause. However, more clinical research is needed to confirm its effectiveness.