Adolescents and young adults with gynecology cancer are unique, especially in terms of their reproductive and sexual aspects. This systematic review aimed to identify reproductive problems in adolescent and young adult survivors of gynecology cancer. Articles from five databases were reviewed. PubMed, Taylor & Francis, Scopus, Science Direct, and Proquest, which were published in 2012-2023, 15-39 years of age, who had gynecology cancer and had completed cancer treatment. Biased risk assessment using Joanna Briggs Institute (JBI) tools. From the 1.167 articles, 12 were reviewed in this systematic review. Based on the results of the study, there were 4479 adolescent and young adult cancer survivors and 990 with gynecology cancer (cervical, ovarian, endometrial, pelvic, and vulva). The average age at diagnosis of cancer was 33,58 years old. Reproductive problems that occur in adolescents and young adults are sexual dysfunction, sexual activity, fertility, and psychosocial problems as a result of reproductive problems. Adolescent and young adult cancer survivors need information on reproductive issues and fertility maintenance after completing cancer treatment. Health professionals must focus on reproductive problems and counselling about long-term reproductive health among adolescent and young adult gynecology cancer survivors.