Polycystic ovary syndrome (PCOS) requires individualized care to address menstrual irregularities, androgen excess, insulin resistance, and fertility concerns. Ayurvedic approaches may include traditional formulations, dietary practices, yoga, and stress management as complementary strategies, alongside sustainable lifestyle changes. Regular physical activity, balanced nutrition, adequate sleep, and metabolic risk assessment remain important components of long-term management. Treatment should be guided by the patient’s symptoms, reproductive goals, and associated health conditions. Although some Ayurvedic interventions are being studied for PCOS, evidence remains variable, and herbal products may cause adverse effects or interact with prescribed medicines. Integrating patient preferences with evidence-based medical care, appropriate monitoring, and careful evaluation of complementary therapies can support safer symptom management and improved overall wellbeing.