Objective The incidence of polycystic ovary syndrome(PCOS)is on the rise,which seriously puzzles the ma-jority of female patients.Acupoint catgut embedding therapy is an improved acupuncture therapy.This study will explore the influence of acupoint catgut embedding therapy on the metabolism and hormone levels of PCOS patients.Methods A total of 156 PCOS patients admitted to Wenzhou People1 s Hospital from March 2021 to January 2023 were selected as the study objects and were divided into a control group and an observation group according to the random number table method.During the observation process,8 cases fell out due to poor patient compliance and other reasons,so the total number of en-rolled cases was 148,with 74 cases in each group.The control group was given routine treatment according to"Chinese Guidelines for the Diagnosis and Treatment of PCOS".The observation group received acupoint catgut embedding therapy based on the control group.Clinical efficacy,glucose and lipid metabolism[triglyceride(TG),total cholesterol(TC),high-density liptein cholesterol(HDL-C)and low-density lipoprotein(LDL-C),fasting insulin(FINS),glycated hemoglo-bin(HbA1c),homeostasis model insulin resistance index(HOMA-IR)],hormone[testosterone(T),luteinogen hormone(LH),follicle-forming hormone(FSH)]and ovarian reserve function[anti-Mullerian hormone(AMH),statin B(INHB),sinus follicle count]in the two groups after treatment were observed.Results There were 61 effective cases in the observation group,and the total effective rate was 82.43%(61/74),which was higher than that of the control group[67.57%(50/74),X2=4.360,P=0.037].After treatment,TG,TC,LDL-C,FINS,HbA1c,and HOMA-IR in the ob-servation group were lower than the control group,and HDL-C was higher than the control group(P<0.05).FSH,AMH,and INHB in the observation group were higher than those in the control group,and T,LH,and sinus follicle count were lower than those in the control group(P<0.05).Conclusion Acupoint catgut embedding therapy can regulate the metab-olism and hormone levels of PCOS patients,improve ovarian reserve function,and have a significant effect.