This capstone project examined the burden of delayed diagnosis of polycystic ovarian syndrome (PCOS) among reproductive-age women (18-45) and its impact on fertility awareness and reproductive health equity. Guided by the Health Belief Model (HBM), three complementary methods were utilized: a thematic analysis of peer-reviewed literature, descriptive mapping of National Health and Nutrition Examination Survey (NHANES 2021-2023) data, and a review of existing clinical and public health policies and programs. The thematic analysis revealed persistent diagnostic barriers, limited and inconsistent provider training, and reduced overall fertility education. Descriptive mapping demonstrated that women who reported menstrual irregularity (a PCOS indicator symptom) were disproportionately from low- to middle-socioeconomic status groups, suggesting reduced access to care and delayed diagnosis. Policy review identified several gaps, including outdated clinical guidelines, and little to no public health initiatives for PCOS. Findings highlight the need for updated diagnostic standards, increased fertility literacy, and improved screening practices. By improving early PCOS detection methods, it can advance women’s health-equity, and reproductive health outcomes.