Androgenia syndrome caused by polycystic ovary syndrome (PCOS) in sports today is considered not only as a common pathology, but also as a potentially life -threatening condition, since cardiovascular complications in such athletes largely lead to disability and an increase in the risk of cardiovascular death. The purpose of the study. To evaluate the features of the course of arterial hypertension and types of myocardial remodeling of former athletes with PCOS with mild manifestations of androgeny in perimenopause. Materials and methods. 50 women were examined. The main group consisted of 30 perimenopausal women with hypertension in combination with PCOS and a comparison group of 20 perimenopausal women with hypertension without PCOS. In addition to general clinical examination and calculation of body mass index, all patients underwent the following instrumental studies: echocardiography, daily monitoring of blood pressure. Types of myocardial remodeling were studied according to Ganau formulas. Results. 30% of women with hypertension and indications for PCOS had a history of left ventricular hypertrophy in perimenopause. The indicators of average systolic blood pressure at night and average diastolic pressure during the daytime were significantly higher in the patients of the main group. Conclusion. The increased level of androgens in athletes with PCOS contributes to achieving higher achievements in sports at a young age, but on the other hand, the presence of obesity as part of the metabolic syndrome in perimenapause in combination with hyperandrogenism in women with PCOS contributes more to the development of cardiovascular pathology, in particular, a more severe course of arterial hypertension and increases the degree of myocardial remodeling.