en Descriptive & Survey <span style="font-size:11pt"><span style="line-height:normal"><span style="font-family:Calibri,sans-serif"><span style="font-size:12.0pt"><span cambria="style=font-family:"><strong>Aims:&nbsp;</strong>This study aimed to examine the association between fertility knowledge, general health&nbsp;literacy, and reproductive health literacy among female students at Saveh University of Medical&nbsp;Sciences.<br> <strong>Instrument & Methods:</strong> This descriptive-analytical cross-sectional study was conducted&nbsp;in 2025 on 208 female medical sciences students. Data collection tools included the Cardiff&nbsp;Fertility Knowledge Scale, the Short Form Health Literacy for Iranian Adults, and the Women&rsquo;s<br> Reproductive Health Literacy Questionnaire. Data were analyzed using SPSS 24. For inferential&nbsp;analysis, Spearman&rsquo;s correlation and backward linear regression were employed.<br> <strong>Findings:&nbsp;</strong>The mean age of participants was 22.34&plusmn;3.27 years. The mean fertility knowledge&nbsp;score was 7.68 out of 13, while the mean scores for general health literacy and reproductive&nbsp;health literacy were 74.07 and 73.54 out of 100, respectively. A significant positive correlation&nbsp;was observed between fertility knowledge and both general health literacy (r=0.401; p<0.001)&nbsp;and reproductive health literacy (r=0.386; p<0.001). Regression analysis revealed that general&nbsp;health literacy (p=0.003) and reproductive health literacy (p=0.007) were significant positive&nbsp;predictors of fertility knowledge.<br> <strong>Conclusion:&nbsp;</strong>Fertility knowledge among female university students is moderate and influenced&nbsp;by both general and reproductive health literacy.</span></span></span></span></span> Fertility, Health Literacy, Reproductive Health, Students, Iran 91 98 http://hehp.modares.ac.ir/browse.php?a_code=A-10-2-9374&slc_lang=en&sid=4 M. Rostami Varnousfaderani mehranrostami79@gmail.com 1003194753284600380341 1003194753284600380341 No Z. Khoshnazar zahedehkhn1380@gmail.com 1003194753284600380342 1003194753284600380342 No F. Mohammadjani shamilamohamadjani@gmail.com 1003194753284600380343 1003194753284600380343 No F. Fotovvati fatemeh.f8344@gmail.com 1003194753284600380344 1003194753284600380344 No F. Ghafori f.ghafoori1366@gmail.com 1003194753284600380345 1003194753284600380345 No K. Hosseini kobra.hosseini1990@gmail.com 1003194753284600380346 1003194753284600380346 No P. Hosseini Koukamari P.hosseinik@gmail.com 1003194753284600380347 1003194753284600380347 Yes