Introduction: Polycystic ovary syndrome (PCOS) is characterized by a variety of reproductive and metabolic symptoms that affects 4__ampersandsignndash;18% of reproductive-age women, depending on the diagnostic criteria used. PCOS is characterized by hormonal deregulation, insulin resistance, and metabolic disorders, all of which raise the risk of infertility, type 2diabetes, and cardiovascular disease (CVD) while also lowering quality of life. Women with PCOS have higher levels of body dissatisfaction and are more likely to develop mood swings, anxiety, and eating disorders. PCOS remains undiagnosed, in part due to the variety of phenotypes exhibited by this disorder, despite its prevalence and consequences for sexual, metabolic, and psychological health. Aims: The aim of the study was to determine the true prevalence rate of PCOS patients in both urban and rural India, as well as to link the disorder__ampersandsignrsquo;s symptoms to lifestyle changes. Methodology: The participants are all exposed to the same climatic conditions, with only man-made shifts distinguishing the urban and rural populations. From the urban and rural populations, a total of 1068 young girls between the ages of 18 and 24 were able to participate in the study. Result: The participants were automatically age matched, and they all shared the same climatic conditions. Conclusion: A larger sample size and a controlled prospective study would be able to shed light on the disease__ampersandsignrsquo;s prevalence as well as other environmental factors that contribute to PCOS manifestation in the Indian population.