This comprehensive review paper explores the intricate connections between socio-cultural determinants and the sexual and reproductive health (SRH) of married women in India. Drawing insights from an extensive array of literature, reports, and articles identified through targeted keyword searches in leading databases such as Academia, Jstor, ResearchGate, Google Scholar, Scopus, and PubMed, this paper encapsulates the trajectory of SRH discourse from the years 1985 to 2022. Over the last three decades, particularly post the International Conference on Population and Development (ICPD) in 1994, the narrative on SRH has evolved from a narrow focus on disease to a more extensive paradigm encompassing biomedical and socio-cultural elements. Emphasizing the crucial role of gender equality, socially constructed gender roles, cultural and sub-cultural norms, and the recognition of reproductive health as a fundamental right, the analysis draws from authoritative sources like the World Health Organization (WHO), International Planned Parenthood Federation (IPPF), International Center for Research on Women (ICRW), and National Family Health Survey-4 (NFHS-4) data from 2015-16. The findings underscore the intricate interrelationship between social relations and gender roles, emphasizing their profound impact on women's reproductive health. Advocating for a paradigm shift from a woman-centric approach to a more inclusive gender equality approach, this review paper recommends interdisciplinary policies. These recommendations are aimed at enhancing reproductive health outcomes for women, concurrently elevating the overall quality of life in developing countries, with a particular focus on the context of India.