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The aim of our research was to examine how sexual and reproductive health is experienced and understood by recent migrant and refugee women, living in Sydney Australia and Vancouver Canada. This allowed us to identify unmet sexual and reproductive health needs and barriers to accessing information and services. We interviewed women from a range of recent migrant and refugee communities, including Sudan, South Sudan, Somalia, Iraq, Afghanistan, Sri Lanka (Tamil), India (Punjab) and Latin America. In this document we present participant accounts of experiences of sexual and reproductive health. This includes: menstruation and menopause; contraception; sexual relationships; female genital cutting; sexual health screening; and use of sexual health services. We draw on these findings to outline implications for health services and provide recommendations to healthcare providers for culturally safe care of migrant and refugee women’s sexual and reproductive health needs.