Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. 1. Since PCOS is a metabolic problem [due to low metabolism], thus please remember the following points: i. check regularly with thyroid profile [for hypothyroidism], blood sugar [for high blood sugar]: which are most of the times abnormal in PCOS. ii. before commencing further [for vitex/shatavri], do consult with your Gynecologist regarding your PCOD profile, who might ask for Ultrasonography of Abdomen to check with any accompaniments of PCOD and might go for hormonal tests. iii. Because PCOS affect Ovulation so do check with your Doctor for Medications, till then. AVOID: refined carbohydrates (packed cereals, white bread-rice-flour,pasta, cakes ,biscuits, sugar, honey, fruit juice concentrates, starch,watermelon, cantaloupe, pineapple,potato,carrots,dried fruits,ice cream,chocolates,jellies, pizza), fatty food,curd,late night work,milk,mustard oil,cabbage,soybean. TAKE: fresh green vegetables,whole grains,olives,soy products,whole legumes (peas,beans,lentils),brown rice,oatmeal,barley, green gram, saindhav [rock salt] Lavan, tandulodak [rice gruel],coconut water,vegetable soups. iv. since PCOS is due to low metabolism (digestive fire) thus medicine will work/ function by increasing the Metabolism by acting as: deepana [appetizers], pacahana [digestion], ushna [hot], tekshna [sharp], sukshma [subtle], lekhana drugs [anti obese and anti kapha/fat] and thus reducing the symptoms. PS. In Ayurveda, we call it ARTVA VAHA SROTO DUSHTI [Blocked channels] and provide medicine along with certain yogic exercises like Simhasan, Vajrasan, Shalabhasan, Sarvangasana. Hope I have answered your query. Let me know if I can assist you further.