Objective: The present study evaluates clinical profile, complications, and drug prescribing patterns in polycystic ovarian syndrome (PCOS) patients across age groups. It is strongly associated with insulin resistance, obesity, and lifestyle factors, leading to reproductive and metabolic complications. Methodology: A 6-Month prospective study was conducted in gynecology OPDs, including 160 females (>15 years) diagnosed with PCOS. Patients 60 years and those with major comorbidities were excluded. Results: Most patients were aged 15–25 years (50%). Oligomenorrhea (42.5%) was the most common symptom. Bilateral ovarian involvement was seen in 80%. Common complications included hypothyroidism (26.87%) and infertility (25%). Multivitamins were prescribed in all cases, with frequent use of steroid hormones and progestins. Conclusion: PCOS commonly affects young women and presents with menstrual and metabolic disturbances. Early diagnosis, appropriate therapy, and lifestyle modification are essential to prevent long-term complications.