Objective: To compare two commonly used strategies in the management of functional ovarian cysts discovered in women in the reproductive age group. Methods: Women attended outpatient clinic for different gynecological complaints with a finding of solitary functional ovarian cyst were enrolled and managed either expectantly or with oral contraceptive pills (OCPs). Postmenopausal and suspiciously malignant cysts were excluded. Enrolled women were followed up for three successive months and data were collected for statistical analysis. Results: There was no significant difference between both groups regarding demographics, complaint and ultrasound findings initially. There was no significant influence of using OCPs on the remission, regression, progression or persistence rates when compared to expectant management at three months interval. However, there was significant increase in remission and regression rates among women went through each arm of the study individually after full three months of assigned management. Conclusion: OCPs used as a treatment option for functional ovarian cyst for reproductive age women did not show any superior benefit over expectant management and should be kept for those who are candidate for its use for any other indication.