Access to sexual and reproductive health and rights for women who use drugs is limited as much as is complicated. Drug use interferes with sexual and reproductive health and rights of women who use drugs. For example lack of menses by women who use heroin makes it difficult or impossible to conceive. However this scenario changes when women start the opioid substitution therapy since they start getting their menses. Since there is limited knowledge on when the reproductive abilities resurface after starting the opioid substitution therapy, women are unable to make decision on when to conceive resulting to many unplanned pregnancies. Besides, many health care workers have limited knowledge on sexual and reproductive health and rights for women who use drugs, limited knowledge on pre and post natal management of women who use drugs resulting to high number of mortalities.