Background: Polycystic ovarian syndrome (PCOS) is a condition in which there is an imbalance of female sex hormones among women. It is a common health problem among adult and teenagers women which may lead to abnormal menstrual cycle, cyst in the ovary, unable to conceive and other health problems. Lifestyle modification and lack of knowledge are considered to be the major factor leading to this phenomenon. There is a necessity to increase awareness among women especially nutritional interventions so as to avoid major cases of fertility related problems in the future. Objectives: To assess the knowledge about PCOS among adult women & provided nutritional counseling. Methodology: The population based cross sectional study was conducted at a tertiary care center in Puducherry. Pre-designed, pre-tested structured questionnaire was used for collection of data. The response to questionnaire was collected and nutritional advices were provided on the study population. The data was analyzed through frequency and percentage using excel. Result: The frequency of the lifestyle modification and nutritional awareness to combat the disease among the study population was found to increase with increase in educational qualification Conclusion: Lifestyle modification and dietary habit awareness talks to adult women are the prime factors to control its manifold complications in future.