Polycystic ovarian syndrome is a multisystem endocrinopathy with ovarian expression of metabolic disturbances and a wide spectrum of clinical features. It is a multi-factorial and polygenic condition. The prevalence of PCOS in the age group of 15-25 years is 20-30%. The diagnosis of PCOS in adolescent girls is difficult, mainly due to similarities in the irregular bleeding patterns among adolescent girls with PCOS and normal postmenarchal girls. But an early detection helps in preventing long term complications and management can be, by lifestyle modifications (diet, exercise and stress management). With the early onset of menarche and increasing incidences of PCOS among urban adolescent girls, the need to imply methods of prevention and awareness at school level arises. This research addresses the issue and brings forward the need to adopt means of early, better and efficient management of PCOS.