Inclusion Criteria:  Treatment naive PCOS women having age from 14-45 years with scanty or no menstruation, hirsutism and elevated serum androgen levels, will be diagnosed on the basis of AES (Androgen access society) guidelines 2006 according to which when two of the following criteria are present patient will be said to have the syndrome Hirsutism or hyperandrogenism Oligo or an-ovulation and or polycystic ovaries  Exclusion Criteria:  Women with previous history of Cushing syndrome Thyroid disorders Hyperprolactinemia Ovarian tumors Congenital adrenal hyperplasia androgen-producing tumors, History of seizures Patients on warfarin, Coumadin and Sintrom because of drug interaction with acetyl-L-Carnitine, Pregnancy or using contraceptive medications, Patients on hormonal therapy that alters the biochemical or hormonal profile