Introduction: Haemorrhagic ovarian cysts (HOCs) are functional cysts that develop due to bleeding into follicular or corpus luteum cysts. They may present with abdominal pain, menstrual irregularities, or remain asymptomatic. Conventional manage ment often involves observation or surgery, but surgical intervention carries risks of ovarian damage and recurrence. In Unani, a haemorrhagic ovarian cyst is regarded as a condition resulting from Fasade Dam and the dominance of Balgham. It can be managed with Unani formulations that exhibit Mohallil-e-Awram, Moaddil-e-Dam, and Nafae Sudda-e-Har properties. Unani literature highlights several single and compound drugs that are believed to effectively dissolve the cyst and reduce the need for surgical intervention. Case Report: A 32-year-old married, primary infertile woman presented with painful scanty menses, lower abdominal heavi ness, backache, and urinary discomfort. Ultrasonography revealed a right ovarian haemorrhagic cyst measuring 4.0 × 3.7 cm. She was treated with a combination of Unani medicines—Majoon Dabidul Ward, Itrifal Ghudadi, Majoon Mocharas, and Sharbat Zanjabeel—administered orally for a period of three months. Results: The patient showed marked improvement in dysmenorrhea and abdominal symptoms by the third follow-up. A repeat ultrasound performed three months later confirmed the complete resolution of the ovarian cyst. Conclusion: Unani formulations demonstrated significant efficacy in resolving HOC without surgical intervention, suggesting their potential as safe and holistic alternatives in gynaecological practice. Further clinical studies are recommended to validate these findings.