Aim: The goal of this study was to see if there were any links between abdominal fat distribution and insulin resistance and cardiovascular risk in women with polycystic ovary syndrome (PCOS). Methods: 350 women were included in a cross-sectional study that comprised a complete clinical examination, body mass index (BMI), waist-hip ratio, insulin resistance, and cardiovascular risk scores. Fasting blood glucose, serum insulin, triglycerides, total cholesterol, and HDL cholesterol were all tested biochemically. Insulin resistance and cardiovascular risk score were the primary outcomes of interest.