A common, complex endocrine condition called polycystic ovarian syndrome (PCOS) causes polycystic ovaries, persistent anovulation, and hyperandrogenism, which manifest as irregular menstrual periods, hirsutism, acne, and infertility. Evidence-based medical management for PCOS emphasizes a multidisciplinary approach because standard pharmacological treatment only treats a single symptom, may not be appropriate, frequently has adverse effects, and is occasionally ineffective. Women with PCOS have moreover shown a significant interest for alternative therapies. This review investigates the impact of herbal medicine as an alternative treatment for PCOS on the reproductive and endocrine systems.