In modern society, premenstrual syndrome (PMS) has emerged as a prevalent concern among women of reproductive age, often manifesting through emotional instability, fatigue, irritability, and physical discomfort. These symptoms significantly disrupt daily functioning, personal relationships, and professional responsibilities. While healthcare systems aim to promote holistic well-being for women, PMS continues to pose a barrier to optimal mental and physical health. The cumulative impact of PMS on emotional balance, work productivity, and social engagement highlights the urgent need for effective, non-pharmacological interventions. Yoga, widely acknowledged for its integrative benefits on the mind and body, has gained global attention as a therapeutic tool. In India, where yoga is officially supported by the Ministry of AYUSH, it is increasingly incorporated into health interventions for women’s wellness (Khemka et al., 2011). This study investigates the effectiveness of an Integral Yoga Protocol in managing PMS symptoms among women aged 18 to 40 through a randomized controlled trial. By integrating asanas, pranayama, and meditation, the protocol addresses the physical discomfort and emotional fluctuations associated with PMS, aiming to enhance hormonal balance, psychological resilience, and overall quality of life. This research highlights the potential of integral yoga as a holistic, accessible solution for improving women’s reproductive health and well-being.