This study examined reproductive health service utilization and social determinants among married female rural-to-urban migrants in Wuhan and Shenzhen, China. A survey of 997 married female migrants found that reproductive health service utilization was low at 38%. Educational attainment had a positive impact on utilization of reproductive health consultations and checkups. The study concluded that reproductive health service utilization among married female migrants in China remains at a low level. It recommended that local health departments enhance reproductive health services through community health centers to improve utilization.