Abstract : Background Polycystic ovary syndrome (PCOS) can cause infertility, irregular periods and other health problems. Women with PCOS are at a higher risk of depression and anxiety compared to those without it. Lifestyle modifications can reduce the risk for hair loss, obesity status, depression, and anxiety. Objectives: To assess the prevalence of psychological impact among females with PCOS and its correlates. Patients and Methods: Across-sectional study was performed on patients with known history of PCOS, attending IVF center/ Baghdad since April 10th 2022 to July 20th 2022. Women aged 12-49 years with PCOS were eligible for study. A sample of 200 women were interviewed using a special questionnaire to assess their mental health status which is consists of 15 points, as well as some demographical variables. Results: The prevalence of polycystic ovarian syndrome (PCOS) was found 77.5% which was highly prominent because women with PCOS may face psychological issues and it is widely most common problem. The obesity and overweigh status where highly increase of 74% which was very correlated to women with PCOS. The educational level was also found highly in the category of college graduates than primary and secondary level of 71% versus 57% respectively. The occupation status was also showed high prevalence in housewives which was 62% than employees. Conclusion: Significant associations of psychological impacts on patients with polycystic ovarian syndrome included occupation, educational status, BMI, irregularity of menstrual cycle, hirsutism, hair loss and acne of the study participants and give rationality to the aspects of PCOS Psychological Scale. These result high need for assessment of women with PCOS for psychological impacts. Keywords: (Polycystic ovarian syndrome, depression, anxiety, obesity, infertility)