Polycystic Ovarian Syndrome (PCOS), the most common endocrine disorder in women of reproductive age; its prevalence has been shown to be 6 to 18% based on Rotterdam diagnostic criteria [
1‐
3]. Clinical presentation includes oligomenorrhea, obesity, acne, reproductive disorders and hirsutism [
4‐
6]. Moreover, because of impaired glucose tolerance, insulin resistance, type II diabetes, an abnormal increase in blood lipids and high blood pressure, patients with PCOS are at increased risk of cardiovascular disease [
7,
8]. Also, due to its chronic nature and variety of its symptoms, PCOS affect the patients’ different aspects of life. Studies suggest that in addition to physical problems [
8], and emotional disorders [
9] their quality of life is impacted by disorder [
10], and PCOS leads to psychological problems [
9‐
18]. Pcos creates an important psychological burden throughout the life-time of these women [
9,
10,
19]. It has been reported that 57% of women with polycystic ovary syndrome have at least one mental disorder [
20]. High levels of androgens, acne, infertility and fear of it, hirsutism, high body mass index, low body image, sexual problems and coping with the disease impair the mental health of them [
20,
21].
Mental health is fundamental to good health and wellbeing and influences social and economic outcomes across the lifespan [
22]. Also, mental health is an important part of public health [
23] and it is one of the most important indicators of the quality of health care in society [
24]. Many chronic illnesses have mental health impacts [
25]. In PCOS, symptoms and co-morbidities increase the risk of adverse psychological health consequences. While, mental health is particularly related to the management of polycystic ovary syndrome and is an essential component of self-efficacy and enjoying a healthy lifestyle [
20,
25]. Lifestyle modification is the priority in the management of polycystic ovary syndrome, since small changes in these women’s lifestyle and a balanced weight, can improve symptoms, and increase ovulation and improve fertility [
6,
26]. However, mental disorders including depression or anxiety reduce these critical components and prevent of lifestyle modification and subsequently the disease will show negative clinical outcomes [
25,
27]. Considering the importance of mental health, some researchers suggest that there has been little attention paid to the mental health of women with PCOS, and it is necessary to evaluate and manage the mental health among this group of women [
28]. Therefore, this exploratory mixed method study will carry out to define and explore their needs and demands to provide a standard patient oriented protocol for women with PCOS.