Our study aimed to describe the evolution of main reproductive health policies in Romania and their implications in terms of access and addressability to family planning services for the general population.We performed a literature review for identifying the most relevant policies and indicators of access to reproductive health services at international level and in Romania. We found that Romania has strong policies and regulations encouraging the access to family planning, but monitoring of access is missing and some key interventions developed in the past are implemented at a lower scale. This resides in affectation of some health indicators, particularly in young age-groups. Further efforts are needed for ensuring systematic training of providers, monitoring of the needs and access to services, appropriate provision of contraceptives for vulnerable groups and systematic exposure of teenagers to sexual education.