Objectives: To investigate women's knowledge and use of contraception in Saudi Arabia. Methods: We conducted a thorough search of PubMed, SCOPUS, Web of Science, and Google Scholar to find pertinent literature. Rayyan QRCI was utilized during the entire process. Results: We included fifteen studies with a total of 6766 women. The earliest studies stated that Saudi women lack understanding regarding the use of contraceptive methods and what to do if they miss more than two pills in a row. However, studies conducted within the last five years indicated that Saudi women are more conscious of the need to utilize contraceptives. They also have positive attitudes about family planning and are aware of it. Older age, higher education, employed women, higher monthly income, and parity (+4) were significantly associated with contraceptive use. Regarding emergency contraception (EC), Saudi women continue to have low levels of knowledge, awareness, and use. They also possessed little awareness of IUDs and were full of misconceptions and fears, these concerns included the possibility of ectopic pregnancy and genital infections. Conclusion: This systematic review recorded notable progress in the awareness and attitudes of Saudi women about contraception methods use. However, lack of knowledge regarding EC, IUD use, and adverse effects of contraception methods was prevalent. Regretfully, there is no proof offered on how educational programs affect how comfortable clients are using contraception or how their attitudes toward contraceptive techniques evolve. Future research ought to evaluate how instructional interventions affect how comfortable clients are using contraception. These results emphasize the necessity of healthcare professionals and nurses educating the public about reproductive health.