Reproductive justice (reproductive medicine) is a conceptual framework and field of inquiry within the domain of reproductive medicine that examines and seeks to address systemic inequities in access to, quality of, and outcomes from reproductive healthcare services. It centers the rights and autonomy of individuals, particularly marginalized populations such as Black women, to make decisions about their reproductive lives, encompassing the full spectrum of reproductive health needs, including contraception, fertility care, pregnancy, childbirth, and abortion, free from coercion, discrimination, or preventable harm. Its significance lies in identifying and challenging the social, economic, and political determinants that perpetuate disparities in reproductive health within medical systems and practice.