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Abstract

Menopause is a normal biological transition marked by the permanent cessation of menstruation after loss of ovarian follicular activity. Although not a disease, the transition may bring vasomotor symptoms, disturbed sleep, mood changes, genitourinary discomfort, and longer-term metabolic and skeletal concerns that affect quality of life. Biomedically, these changes are related largely to fluctuating and declining ovarian hormone production, together with ageing and individual susceptibility. Ayurveda describes the end of menstruation as Rajonivritti and places it within the broader process of Jara. Increasing Vata, gradual Dhatu Kshaya, altered Agni, and changes in mental wellbeing offer a classical framework for interpreting the varied menopausal experience. This narrative review examines Rajonivritti and Rasayana in relation to contemporary menopausal physiology and care. Material from the Charaka Samhita, Sushruta Samhita, Ashtanga Hridaya, and Bhava Prakasha Nighantu was considered alongside literature identified through PubMed, Scopus, Web of Science, and Google Scholar. Regular routines, individualized diet, exercise, Abhyanga, yoga, selected Rasayana medicines, and psychological support may complement evidence-based care. These measures should not be presented as direct hormonal substitutes, and herbal or Panchakarma interventions require attention to indication, product quality, interactions, and contraindications. Better trials using validated symptom and quality-of-life outcomes are needed to define their effectiveness and safety.