Background: The incidence of polycystic ovarian syndrome is 4% to 22% of women overall and 50% of women seen at infertility clinics. Thus PCOS has evolved through many steps from the clinical, biochemical and imaging perspectives. Further, advances in imaging technology, particularly transvaginal sonography, have qualitatively enhanced the information on the internal structure of ovary and endometrial morphology. Aim & Objective: To determine the association between sonological appearance of ovaries and endometrium with hormonal profile of the patients. Methods: The Prospective study was conducted on hundred women having clinically the provisional diagnosis as polycystic ovarian syndrome. Evaluation of ovarian morphology and endometrium by pelvic ultrasonography by transvaginal and transabdominal. Results: Out of 100 patients studied, the mean age of presentation was 24 years. The age range observed was between 15years to 35 years. Most (65%) of them were married compared to the unmarried (35%).(100%) had irregular periods particularly oligomenorrhea 52%. obesity which constituted about 37% of the patients followed by 18% of hirsutism and infertility 32%.31% of the patients belongs to group of 25 to 30 kg/m2 i.e. overweight, 11% were obese i.e. >30 kg/m2. Maximum numbers of patients 65% were in the group of ≥12 follicles, 35% showed 9mm (83%), ≥ 10mm stromal thickness (64.7 %), LH/FSH ratio was significantly greater in patients with more than 12 follicles (51%), stromal thickness >10mm. Increased LH/FSH levels are also observed in patients with 2-9mm follicular size, >10cc volume. Higher testosterone levels were observed in patients with ≥12 follicle, ≥10mm stroma thickness. This rise was statistically significant. Conclusion: Thus this study concludes that the ovarian features on ultrasonography like follicular number, follicle size, and stromal thickness shows positive association with LH, LH/FSH and Testosterone.