Aim: The primary objective of this study is to determine the prevalence of PCOS amongst young unmarried girls attending the gynecology OPD. Additionally, we aim to assess the clinical manifestations, hormonal profiles, and ultrasound findings associated with PCOS in this group. Furthermore, this study will explore the psychological and social implications of PCOS in young, unmarried girls. Background: Polycystic Ovary Syndrome (PCOS) is a common endocrine illness distressing reproductive-aged women. However, its occurrence in young, unmarried girls has been a subject of increasing concern. The main purpose of our current research is to explore occurrence, clinical features, and risk factors of PCOS in this specific population, as well as its implications for long-term health. Methods: A cross-sectional study involving young unmarried girls (age range: 15-25 years) presenting at the gynecology OPD will be conducted. Participants will undergo clinical assessments, including medical history, physical examination, and assessment of menstrual irregularities. Hormonal assays will be performed to evaluate serum levels of hormones such as FSH, LH, and testosterone. Transvaginal ultrasound will be used to assess ovarian morphology. Data will be analyzed using statistical methods to determine occurrence and associated aspects of PCOS in this population. Results: The study results revealed a higher prevalence of PCOS in young unmarried girls attending the gynecology OPD than previously reported in the general population. Clinical manifestations such as irregular menstrual cycles, hirsutism, and acne were common. Hormonal assays showed elevated LH/FSH ratios and increased testosterone levels. Ultrasound findings demonstrated the presence of polycystic ovaries in a significant proportion of participants. Psychological and social implications, including body image concerns and emotional distress, were also observed. Conclusion: PCOS is a significant health concern among young unmarried girls attending the gynecology OPD. The high prevalence, clinical features, and hormonal abnormalities highlight the need for early diagnosis and management in this population. Early intervention and lifestyle modifications can potentially reduce the long-term health risks associated with PCOS. Additionally, addressing the psychosocial aspects of PCOS is crucial for improving the overall well-being of these individuals.