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Polycystic Ovarian Disease (PCOD) is a common endocrine disorder affecting women of reproductive age, characterized by polycystic ovaries, anovulation, hyperandrogenism, and menstrual irregularities. The global prevalence of PCOD ranges from 5% to 10% of women of reproductive age. Despite its widespread occurrence, Ayurveda does not categorize PCOD as a singular disease but rather as a collection of symptoms arising from various imbalances. This review explores the pathogenesis of PCOD from both modern and Ayurvedic perspectives, focusing on the etiological factors, symptomatology, and management approaches. Modern treatment modalities primarily address symptom management, including hormonal therapy for regulating menstrual cycles, inducing ovulation, and controlling hyperandrogenism. In contrast, Ayurvedic management emphasizes holistic approaches such as Samshodhana (detoxification), Agneya Dravya (metabolic stimulants), and Nidan Parivarjana (avoidance of causative factors), aiming to restore doshic balance and improve overall reproductive health. This article examines the overlap between Ayurvedic and modern treatments for PCOD, highlighting integrative strategies for managing the condition. Key Ayurvedic formulations, including Kanchnar Guggulu, Rajah Pravartani Vati, and Arogyavardhini Vati, are discussed as effective therapeutic agents. The review underscores the potential of combining modern medical and Ayurvedic approaches to provide a comprehensive treatment plan for women with PCOD.

Keywords: Polycystic Ovarian Disease, Ayurveda, Samshodhana, Nidan Parivarjana, Hyperandrogenism, Agneya Dravya, Integrative Medicine.