The paper explores Spousal age gap and its effects on Reproductive Health Decision Making Process in Nigeria using Ankpa Local Government of Kogi State as a unit of analysis. Qualitative research was carried out using in-depth interviews. 20 couples were interviewed in Ankpa local government area of Kogi State and the findings revealed that age gap Narrow spousal communication and has implication for the younger bride’s ability to communicate very well and freely in qualitative manner with her husband, age gap provide them with experience and resources, the wider the age gap the more the respect, if the woman is of the same age with the husband there is a tendency for disrespect and as women grow older chances that they will find husbands.The paper suggest, educating women as well as creation of jobs opportunities. Keywords: Age, Health, Reproductive, Rights and Women