Polycystic Ovarian Disease (PCOD) is a common hormonal disorder among women of reproductive age, often leading to irregular menstrual cycles, insulin resistance, obesity, and metabolic complications. Regular physical activity, particularly aerobic exercise, has been shown to alleviate these symptoms. This study explores the impact of aerobic dance training on key physiological, hormonal, and fitness-related parameters in college women diagnosed with PCOD. A total of 40 participants were randomly assigned to either an experimental group (n = 20) or a control group (n = 20). The experimental group engaged in a 12-week aerobic dance training program (five sessions per week, 45 minutes per session), while the control group continued their regular lifestyle without structured exercise. Pre- and post-intervention assessments were conducted to evaluate body composition, insulin resistance, menstrual cycle regularity, cardiovascular endurance, and psychological well-being. The findings revealed significant improvements in the experimental group, including reductions in body mass index (BMI) and fasting blood sugar levels. Additionally, participants exhibited enhanced insulin sensitivity, improved cardiovascular fitness, and better menstrual cycle regulation. Psychological well-being also improved, with reduced levels of stress and anxiety. These results suggest that aerobic dance training is an effective, non-pharmacological approach to managing PCOD symptoms and enhancing overall health.