As per Ayurveda this condition is not explained as a single disease entity, but given under the headings Yonivyapada (genital disorders), Artava Dushti (menstrual disorders), Pushpaghni Jataharini etc. Ayurvedic management is beneficial in controlling the three aggravated Doshas & brings balance & strength to the reproductive system& it helps to regulate Artava Dhatu. In view of this, Shatapushpa Churna and Madhutailika Basti are selected as trial drugs so as to provide an easy and cost effective therapeutic measure for PCOS. 30 patients suffering from Nashtartava (PCOS) from OPD & IPD National Institute of Ayurveda, Jaipur will be selected according to the inclusion criteria , irrespective of religion, occupation and socio-economic status. Patients will be randomly divided into two groups. In group A  Shatapushpa Churna orally with Ghrita and group B Madhutailika Basti per rectum.

Shatapushpa Churna will be given 6gm orally with Ghrita twice a day for a period of 90 days or 3 consecutive cycles.

Madhutailika Basti 400mL per rectum empty stomach as following-

For irregular cycles- For 7days (after initial screening), then there is a waiting period of fifteen days, during which the patient may get her periods. The next seven days of medicine is started seven days prior to the expected date of next menstruation, in case she does not get her periods, medicine again started for seven days, after the waiting period, this follows for three cycles of medicine administration.

For regular cycles- Seven days prior to the expected date of menstruation for three consecutive cycles.

During trial, follow up will be done after completion of one menstrual cycle. After completion of the trial, case will be followed after one month. Assessment will be done on the basis of objective and subjective parameter before treatment, after treatment, and during last follow up. Appropriate statistical test will be applied.