PCOS is mainly considered as lifestyle disorder. So is mainly characterised with oligo or anovulation, hyperandrogenism and polycystic ovaries and in some patients it presents with acanthosis nigricans. The investigations, they show increased LH levels, increased estrogen reduced SHBG, increased testosterone and increased serum insulin resistance and the scan shows the ovaries volume more than 10 ml cube and multiple cysts arranged in circular fashion. The objective of the treatment include to regulate the cycle, to stimulate the ovary and to normalise the hormonal imbalance so we advise diet and lifestyle changes and oral medications and panchakama. If a patient follows them regularly within 3 to 6 months we can establish the stromal thickness reduction as well as the ovarian volume reduction as well as we can establish the growth of the ovarian follicles in the scans.