Polycystic ovary syndrome is a common endocrine disorder affecting women of reproductive age which is characterized by hormonal imbalances, metabolic disturbances and the presence of multiple ovarian cysts. The conventional medical approach focuses on symptom management and hormone regulation through pharmaceutical interventions, but alternative systems of medicine such as homoeopathy and Ayurveda offer different therapeutic paradigms. This study aims to provide a comparative analysis of the homoeopathic and Ayurvedic approaches towards PCOS management. In the homoeopathic approach, individualization of treatment is crucial, wherein each patients symptoms, physical and psychological constitution, and personal history are taken into account. Various homoeopathic remedies have been explored, targeting hormonal imbalances, menstrual irregularities, and associated symptoms like acne, hirsutism, and obesity. On the other hand, Ayurveda adopts a comprehensive approach, considering the patients prakriti (constitution) and imbalances of doshas (vital energies) - primarily vata, pitta, and kapha. The treatment involves lifestyle modifications, dietary interventions, herbal formulations, detoxification procedures, and stress management techniques. Comparing both approaches, homoeopathy offers individualized treatment based on symptom similarity, while Ayurveda emphasizes the restoration of doshic balance and overall harmony. Both systems have reported positive outcomes in managing PCOS symptoms, including regulation of menstrual cycles, reduction in androgen levels, improvement in fertility, and alleviation of associated complications. This comparative analysis sheds light on the strengths and limitations of homoeopathy and Ayurveda in PCOS management. It provides valuable insights for clinicians, researchers, and patients seeking alternative treatment options.