Background: Polycystic Ovary Syndrome (PCOS) is one of the most common endocrine and metabolic disorders affecting women of reproductive age, characterized by menstrual irregularities, hyperandrogenism, insulin resistance, and subfertility. Conventional management primarily focuses on symptomatic relief, often with long-term dependence on pharmacological interventions. Ayurveda offers a holistic and individualized approach to women’s reproductive health, emphasizing correction of underlying metabolic and lifestyle imbalances. Objective: To explore the Ayurvedic understanding of PCOS in relation to women’s reproductive health and to highlight its therapeutic and preventive potential. Material and Methods: Classical Ayurvedic concepts related to Artava Dushti, Agnimandya, Kapha-Vata imbalance, and Medo Dhatu dysfunction were reviewed and correlated with the pathophysiology of PCOS described in contemporary medical science. Preventive and therapeutic principles, including dietary regulation (Ahara), lifestyle modification (Vihara), Panchakarma therapies, and herbal formulations, were analyzed. Results: Ayurveda addresses PCOS through normalization of metabolic function, hormonal balance, and reproductive physiology. Interventions such as Deepana–Pachana, Shodhana therapies, Ritucharya, stress management, and individualized treatment based on Prakriti demonstrate potential benefits in regulating menstrual cycles, improving ovulatory function, reducing insulin resistance, and enhancing overall reproductive health. Conclusion: Ayurveda provides a comprehensive, safe, and sustainable approach to the management of PCOS by targeting its root causes rather than isolated symptoms. Integrating Ayurvedic principles with contemporary medical care may offer improved long-term outcomes and quality of life for women with PCOS.
*1Dr. Meenakshi Dhandale(Ghagre), 2Dr. Prerana V. Khedkar, 3Dr. Nirmala Telrandhe (Fri,) studied this question.