 Polycystic ovarian syndrome or PCOS is now becoming a very common problem. It is seen as much as 20% of our OPD patients present with symptoms and signs of PCOS. This is a very common problem now cropping up especially in the reproductive age group that is women between the age of 20 to 35 years. Very commonly the presentation is increasing in weight, irregular menstrual cycles, loss of crown hair and hair in the other places where it should not be that is the male pattern hair, chin hair, facial hair, hair on the rest of the body and a loss of hair on the head. This syndrome is also now being found to be a metabolic syndrome and it runs in families and what has been found is that there is a very close link with diabetes in the family. It runs in the women of the family most of the time you know girls and young women may present either to the gynecologist when they have irregular periods or if they have a lot of acne and they have a lot of facial hair they may actually first be presenting to the skin specialist either way polycystic ovarian syndrome since it has so many symptoms and signs they may go to different specialists so therefore it is very important that we must be very aware of this syndrome so that this is picked up right in the beginning. What has to do with our lifestyle now the genetic component of PSU is well you could say that you can't do anything about the genetic aspect or the hereditary aspect of this metabolic syndrome but as is as is very true of all other metabolic syndrome like diabetes there are a lot of modifying factors what we call them environmental factors or lifestyle issues so if a woman who has been diagnosed as having PSU is well she need not panic she should come and get herself checked get the entire hormone profile done and the first and foremost she should change her diet and her lifestyle after that she may require to be put on medication for some time and thereafter she can lead a perfectly normal life. What is important to understand that just like diabetes PSU S is not completely treatable I have patients asking me can it be completely cured well it can be brought to absolutely normal level under control but it is not something which can go away so you have to understand that PSU S has to be brought under control in various phases of life and move on and keep it under control.