Aim: To analyze the acceptance and use of various contraceptives and to determine the reasons behind the unmet need for contraception. Materials and methods: We conducted a cross-sectional observational study among 300 married women of reproductive age group over a period of 2 months. Age, education, use, and experience of contraception in the past and a few questions to assess their knowledge and acceptance toward contraceptive methods were asked. Results: Awareness regarding contraception among these women was 97.3%, but the use was only 44%. Maximum women were using condoms, 20%; followed by Copper-T, 8%; oral contraceptives, 7%; and injectable contraception, 1%. The most common reason for not using contraception was lack of guidance 15%, followed by misconceptions regarding contraception 13.3 and 6% due to family pressure. Out of 300, 19.3% of women had misconceptions regarding Copper-T, 9.7% of them regarding oral contraceptives, 1.3% regarding condoms, and 1% regarding tubal ligation. A total of 84.3% of women had received an education at primary, secondary, or graduate level and 15.7% were uneducated. The most common source of knowledge regarding contraception was through media 36%, followed by 31.3% from healthcare workers and family members. Out of 300 women, 10.3% had unwanted pregnancies and 8% had undergone abortion. After counseling and guidance 61.3% of women were willing to use contraception in the future. Conclusion: We concluded that even though many women were aware of contraception, very few were actually using it and proper guidance and refuting misconceptions can help to increase this number. Clinical significance: Family planning is an effective tool for population stabilization and as an intervention to improve maternal and child health. Effective use of contraception can help to prevent unwanted pregnancies and unsafe abortions. It has been estimated that meeting women's needs for contraceptives would prevent one-quarter to one-third of all maternal deaths.