A mass formed over the adnexa because of the occurrence of bleeding into a follicular or corpus luteum cyst is known as a Haemorrhagic ovarian cyst. The incidence of cysts found to be the fourth most common cause for hospital admission of women and out of that 13.7% are said to be haemorrhagic ovarian cysts. Apart from hormonal medications, the current treatment modality adopted for painful or large ovarian cysts is surgery, and recurrence has been noted in many cases. So, the patients prefer alternative therapy to avoid unnecessary surgery. Similar cases are successfully managed through Ayurveda where the conditions are improved and avoided the surgery. Direct special reference for Granthi of the female reproductive system is not available in classics but it can be called raktaja beejakosha granthi on the basis of its origin and surroundings. It is a Raktha pradana sannipathika vyadhi along with the vitiation of rakta, mamsa and medas. In this case study, patient treated with Avipathy choornam, Saptasaram kashayam, Kanchanara guggulu vati and Kalyanaksharam. After a course of 3 months medications, there was no haemorrhagic cyst as per Ultrasound sonography and the patient is symptom free.