Polycystic ovary syndrome (PCOS) requires an individualized approach that addresses menstrual irregularities, hyperandrogenism, metabolic dysfunction, and fertility concerns. Ayurvedic approaches may incorporate traditional formulations and practices alongside dietary guidance, physical activity, stress management, and sleep optimization. Lifestyle interventions, including regular exercise, balanced nutrition, and sustainable weight management where appropriate, remain important components of care. Ayurvedic therapies should be evaluated critically for evidence of efficacy, product quality, interactions, and safety, particularly in patients taking hormonal or metabolic medications. Clinical assessment should guide treatment according to reproductive goals, symptom burden, and metabolic risk. Integrating patient preferences with evidence-based medical care and appropriately supervised complementary approaches can support long-term symptom management and overall wellbeing.