Most polycystic ovary syndrome (polycystic ovary syndrome,PCOS) patients suffer from Insulin resistance,which is closely related to the occurrence of diabetes and hyperlipidemia,so treatment against Insulin resistance in the prognosis of patients with PCOS and the quality of life is of great help.With the deepening of clinical and basic research,the effect of acupuncture in the treatment of PCOS is remarkable,but because of the complexity of the disease,the effect of acupuncture combined with IR as well as its mechanism still needs exploration.As a result,this paper summarizes the recent advances in the research of acupuncture against PCOS combined with insulin resistance to provide more safe and effective clinical treatment in PCOS with IR.