Objective:To explore the effects of epimedium total flavonoids on sex hormone in rats with polycystic ovary syndrome (PCOS). Methods:Letrozole(1 mg/kg) was intragastrically administered in SD rats for 21 d to establish PCOS model. The PCOS rats were randomly divided into 5 groups(n=10):PCOS model group,Diane-35 group(240 mg/kg),epimedium flavonoids group(50,100,200 mg/kg). In addition,normal control group(n=10) was established. After continuous oral administration for 21 d,rat body weight and ovarian weight were measured and ovarian index was calculated. Serum testosterone(T),follicle stimulating hormone(FSH),estra-diol(E2),and luteinizing hormone(LH) were detected with radioimmunoassay. Results:Ovarian weight and ovarian indexes were sig-nificantly increased in PCOS group compared with those in normal control group(P<0.05). Moreover,PCOS group had higher serum T,LH(P<0.001),LH/FSH(P<0.01) and lower E2 level(P<0.01). After administration for 21 d,ovarian weight,ovarian index(P<0.05),serum T,LH(P<0.01) and LH/FSH(P<0.01) were decreased in 200 mg/kg epimedium flavonoids group compared with those in PCOS model group,but E2 level was significantly increased(P<0.01). However,100 mg/kg and 50 mg/kg epimedium flavonoids had weak effects. Conclusions:Epimedium flavonoids can improve hyperandrogenism in PCOS rats,regulate LH/FSH,elevate E2 and improve ovarian function.