Polycystic Ovarian Syndrome (PCOS) was originally described in 1935 by Stein and Leventhal as a syndrome manifested by amenorrhea, hirsutism,and obesity associated with enlarged polycystic ovaries. Physical and psychological effects of PCOS, particularly those related to weight gain and infertility, can lead to social stigma and mental health challenges.It is the most common endocrine disorder in a woman of reproductive age. Incidence of PCOS is rapidly increasing in recent few years. There are many reasons behind it but some leading are changes in lifestyle,excessive consumption of junk food,disturbed sleep etc.While consulting in Striroga OPD, majority of patients came with such issues with different patterns of clinical manifestations which further shifts on infertility. It a remarkable public health issue affecting women of reproductive age. Prevalence of PCOS is higher among some ethnicities and these groups often experience more complications, in particular related to metabolic issues.In Ayurveda, yonivyapada and jatiharini are mentioned as a group of female diseases and the symptoms mentioned there have some similarities with PCOD but pushpaghni jatiharini described by Acharya Kashyapa has got much resemblance with its main clinical features.This syndrome involves pitta, kapha, medas with ambuvahasrotas and artavdhatu, which are primarily considered during management. This article deals with to understand the conceptual aspects of PCOS and to know the Ayurveda Protocol for its managements.