**1. Introduction**

The term polycystic ovarian disease is a misnomer. The question whether it is a disease whole by itself or a sign of a wider disease complex has eluded many physicians from early 1900s. The insult to the normal physiology occurs in adolescence or the cause is deep rooted during the genesis of life; that is, fertilization and embryo formation are not clear yet. It is said that a person diagnosed with polycystic ovarian disease in adulthood can have signs and symptoms of metabolic syndrome in future. It is one disease that affects an young girl who is being bullied for her hairy faces, and blisters on her faces to a women who is trying hard to work with her irregular and scanty periods, to women hoping to become pregnant and have a baby and to a middle aged women who has to remember to take her daily dosage of antihypertensive medication. With increasing number of patients presenting with symptoms of polycystic ovarian disease, the day is not far when it will become an emerging medical challenge.
