▁H IV . ▁Access ▁to ▁fert ility ▁treatment ▁and ▁ad option ▁is ▁also ▁a ▁re product ive ▁justice ▁issue ▁for ▁many ▁L GB T Q ▁people ▁who ▁want ▁to ▁raise ▁children . ▁Like wise , ▁pre jud ice ▁against ▁L GB T Q ▁people ▁is ▁a ▁re product ive ▁justice ▁issue ▁impact ing ▁their ▁personal ▁bod ily ▁aut onomy , ▁safety , ▁and ▁ability ▁to ▁create ▁and ▁support ▁health y ▁families . ▁Self - det erm ined ▁family ▁creation ▁is ▁a ▁human ▁right ▁for ▁all ▁people , ▁according ▁to ▁re product ive ▁justice . ▁Trans ▁people ▁share ▁all ▁of ▁these ▁re product ive ▁justice ▁issues ; ▁in ▁addition , ▁access ▁to ▁gender - aff irm ing ▁h orm ones ▁is ▁considered ▁a ▁re product ive ▁issue ▁necessary ▁to ▁their ▁personal ▁bod ily ▁aut onomy . ▁Trans ▁people ▁in ▁the ▁US , ▁especially ▁trans ▁people ▁of ▁color , ▁face ▁the ▁most ▁severe ▁pre jud ice ▁and ▁violence ▁directed ▁toward ▁the ▁L GB T Q ▁community . ▁Black ▁trans ▁women ▁in ▁particular ▁are ▁being ▁murder ed ▁at ▁alarm ing ▁rates . ▁ ▁Econom ic ▁justice ▁and ▁re product ive ▁justice ▁ ▁Due ▁to ▁system ic ▁rac ism , ▁women ▁of ▁color ▁in ▁the ▁US ▁ear n ▁consider ably ▁less ▁than ▁white ▁men ▁and ▁also ▁substantial ly ▁less ▁than ▁white ▁women ▁or ▁men ▁of ▁color . ▁This ▁impact s ▁their ▁ability ▁to ▁afford ▁birth ▁control , ▁re product ive ▁health care , ▁and ▁abort ion , ▁as ▁well ▁as ▁their ▁ability ▁to ▁have ▁as ▁many ▁children