Objectives This study aims to increase understanding of Afghan family and culture influence on romantic relationship development and reproductive decisions in second-generation Afghan women living in the United States. Methods Participants were second-generation Afghan-American women between the ages of 18-25, born in the United States, and were not legally married. Data was collected through five semi-structured interviews. Results The study identified several themes: romantic relationships outside of marriage are considered taboo, gender differences in relationships, parental approval is important, limited communication about relationships, and a hesitancy to discuss topics surrounding reproductive health. Conclusions Overall, this study found the influence of Afghan culture was present in regards to relationship development and reproductive decisions among participants; however, religion was identified has having an even larger influence.