Menorrhagia a common gynecological complaint is characterized by regular cyclic menstrual bleeding that is excessive in volume greater than equal to 80 mL or prolonged less than7 days .It arises from multifactorial causes including structural abnormalities such as fibroids and polyps systemic disorders like coagulation defects and thyroid dysfunction and hormonal imbalances as seen in PCOS and anovulatory cycles. Conventional management including NSAIDs hormonal therapy and surgical interventions often focuses on symptom control may cause adverse effects and is not always individualized .

Homoeopathy offers a safe constitutional and patient centered alternative aimed at addressing underlying causes .This prospective randomized clinical study was conducted over one year on 54 cases of menorrhagia from OPD IPD and peripheral health centers of Sarada Krishna Homoeopathic Medical College & Hospital. Out of 54 cases 27 will be treated using a repertory based approach Murphy repertory while the other 27 will be treated using Nonrepertorial approach Allen’s Keynotes and Boericke’s Materia Medica.

Baseline assessment included Pictorial Blood Assessment Chart PBAC scores hemoglobin levels and SF36 quality of life scores. Detailed case-taking was followed by individualized prescriptions with potency and repetition tailored to patient needs. Follow-ups were scheduled every two weeks or more frequently as required. Outcomes measured included changes in PBAC scores ,hemoglobin levels ,SF36 scores duration of bleeding and improvement in anemia related symptoms .Statistical analysis compared therapeutic effectiveness duration of treatment and quality of life improvements between the two approaches .The study aims to determine the relative efficacy of repertorial versus non repertorial homoeopathic prescribing in reducing menstrual blood loss, improving hemoglobin levels and enhancing quality of life thereby contributing to evidence based strategies for individualized management of menorrhagia.