Polycystic Ovarian Syndrome (PCOS/PCOD) is a prevalent endocrine–metabolic disorder in women of reproductive age. It is characterized by menstrual irregularity, anovulation, obesity, and hyperandrogenism. Modern medicine primarily offers symptomatic management, while Ayurveda provides a holistic approach aimed at correcting the root causes. This review highlights Ayurvedic herbal remedies—Triphala, Guggulu, Shilajit, Ashwagandha, Shatavari, Guduchi, Turmeric, Aloe vera, and Lodhra—along with their specific mechanisms of action, dietary and lifestyle modifications, and yoga practices. Ayurvedic management emphasizes balancing the three Doshas, restoring hormonal equilibrium, and improving reproductive health, offering integrative management strategies for PCOD.