Background: Female reproduction system contains uterus, fallopian tubes and ovaries. PCOS occur when male sex hormones are produced in excess amount in female. The ovaries can foster an enormous liquid assortment (follicles) and on ordinary premise don't deliver eggs. Objective: To estimate the polycystic ovary syndrome (PCOS) prevalent in reproductive womens in Gujrat City Population. Material and Methods: Cross sectional study was conducted between March 2022 to May 2022 for patients at Khalil Hospital Gujrat, Pakistan. Sample size of 140 female Patients was obtained using a convenient sampling technique. All Female patients on daily routine were included. Toshiba Ultrasound Machine was used in this study. SPSS version 22 was used for data entry and analysis. Results: 140 Patients presented in the age ranges of (18-25), (26-35), (36-45), (46-55) respectively. There were all female included in this study. Classification of Signs & symptoms of Pain was present in 54(41.4%), Obesity in 36(25.7%) patients, Irregular Periods in 13(9.3%), Irregular Period-Pain-Facial Hairs in 16(11.4%), Infertility-Irregular Periods in 13(9.3), Irregular Periods-Obesity 4(2.9%). PCOS was seen in 48(34.3%) patients. Conclusion: PCOS is common in reproductive age women, most patients come with complain of pain 54(44.1%) and Obesity 36(25.7%) with Disturbed Menstrual cycle 13(9.3%) some were present with complain of Infertility 13(9.3%). PCOs were seen in 48(34.3%) patients. Ultrasound is effective in the diagnosing PCOS in early age.