Polycystic ovarian syndrome is a complex endocrine disorder. It is prevalent in young reproductive age group of women. Incidence varies between 8-10%, more common amongst infertile women. In present era due to sedentary life style, lack of physical activities, excessive stress and anxiety worsens the prognosis of the diseases. The heterogeneous disorder is characterised by excessive androgen production by the ovaries mainly, which interferes with the reproductive, endocrine and metabolic functions. The major clinical features are amenorrhoea, oligomenorrhoea, hirsutism, obesity, acanthosis nigricans and infertility. In modern science the treatment recommended is hormonal therapy and other drugs which cause adverse effect in due course of life. Rising in prevalence of PCOS has become a great cause of health concern as it is increasing the incidences of infertility and metabolic syndrome i.e. insulin resistance diabetes and dyslipidaemia at a younger age. According to Ayurveda the PCOS involves Kapha and VataDosha, Meda, Mamsa, RaktaDhatus. In general it is considered as Bahudoshavastha, for which Ayurveda can play important role. EspeciallyPanchakarma can have better results which includesVamana, Virechana, Anuvasana, Niruha&Nasya. Panchkarma may be better line of treatment for PCOS as it works on correcting the underlying root cause along with symptoms of the diseases. And along with shamana drugs its can give better results.