The cornerstone of women's and girls' rights, as well as their sexual and reproductive health, is access to safe and modern contraceptives. Women's independence, freedom, and gender equity are all aided by access to family planning. This study focused on the assessment of the psychosocial consequences that women experience as a result of using contraceptives as well as their perception on the use of contraceptives in Temeke Municipality, Tanzania. The study employed a case study design whereby a sample size of 306 women attending contraceptive services at MbagalaRangiTatu Hospital were used in providing data from questionnaire and interviews. Findings revealed several negative and positive side effects such as immediate abnormal changes, feelings of guilt and shame, depression, feelings of hopelessness, abnormal changes in sleeping patterns, and the like, while positive side effects included happiness and no regrets among others. In addition, the study found that most of women had negative perception on the use of contraceptives. The study concluded that the use of contraceptives has both negative and positive effects to women. It is thus recommended that family planning programs should focus on increasing men’s approval of contraception, improving partner communication around family planning and bolstering women’s confidence in their reproductive decision making.