Fiveable

👩🏽‍🎤Intro to Women's Studies Unit 5 Review

QR code for Intro to Women's Studies practice questions

5.6 Menstrual health and hygiene

👩🏽‍🎤Intro to Women's Studies
Unit 5 Review

5.6 Menstrual health and hygiene

Written by the Fiveable Content Team • Last updated September 2025
Written by the Fiveable Content Team • Last updated September 2025
👩🏽‍🎤Intro to Women's Studies
Unit & Topic Study Guides

Menstrual health and hygiene are crucial aspects of women's overall well-being. This topic explores the biological processes, cultural perspectives, and socioeconomic factors that shape menstrual experiences worldwide.

From menstrual products and education to workplace policies and activism, the notes cover a range of issues. They highlight the importance of addressing period poverty, challenging stigma, and promoting inclusive menstrual health practices for all individuals who menstruate.

Biological aspects of menstruation

  • Menstruation plays a crucial role in women's reproductive health and overall well-being
  • Understanding the biological processes of menstruation provides a foundation for addressing women's health issues in various social contexts

Menstrual cycle phases

  • Follicular phase initiates with menstrual bleeding and lasts about 14 days
  • Ovulation occurs around day 14, releasing a mature egg from the ovary
  • Luteal phase follows ovulation, preparing the uterus for potential pregnancy
  • If fertilization doesn't occur, the cycle concludes with menstruation
  • Cycle length varies among individuals, typically ranging from 21 to 35 days

Hormonal changes during menstruation

  • Estrogen levels rise during the follicular phase, peaking before ovulation
  • Luteinizing hormone (LH) surge triggers ovulation
  • Progesterone increases during the luteal phase, supporting potential pregnancy
  • Sudden drop in estrogen and progesterone initiates menstruation if no pregnancy occurs
  • Follicle-stimulating hormone (FSH) stimulates follicle development throughout the cycle

Typical vs atypical menstruation

  • Typical menstruation includes regular cycles, moderate bleeding, and manageable discomfort
  • Atypical menstruation may involve:
    • Irregular cycles (shorter than 21 days or longer than 35 days)
    • Heavy menstrual bleeding (changing pads/tampons every 1-2 hours)
    • Severe cramping or pain (dysmenorrhea)
  • Factors influencing atypical menstruation include stress, hormonal imbalances, and certain medical conditions (polycystic ovary syndrome, endometriosis)

Cultural perspectives on menstruation

  • Menstruation has been viewed differently across cultures and time periods
  • Understanding cultural perspectives helps address stigma and promote menstrual health education

Historical views of menstruation

  • Ancient Greek physicians believed menstrual blood purged women's bodies of excess fluids
  • Medieval European societies often associated menstruation with impurity and sin
  • Traditional Chinese medicine viewed menstruation as a natural process for balancing yin and yang energies
  • Some Native American cultures celebrated menarche with coming-of-age ceremonies
  • 19th-century Western medicine often pathologized menstruation, leading to harmful treatments

Menstruation taboos across cultures

  • Many cultures restrict menstruating women's participation in religious activities
  • Some societies prohibit menstruating women from preparing food or entering certain spaces
  • Taboos often stem from misconceptions about menstrual blood being unclean or dangerous
  • In some rural areas, menstruating women face isolation or banishment (chhaupadi practice in Nepal)
  • These taboos can negatively impact women's education, work, and social interactions

Menstruation in religion

  • Judaism observes niddah, a period of separation during menstruation followed by ritual purification
  • Some interpretations of Islam restrict menstruating women from certain religious practices
  • Hinduism has varying views, with some traditions celebrating menarche and others imposing restrictions
  • Christianity has historically had mixed views, with some denominations maintaining menstrual taboos
  • Buddhist attitudes toward menstruation generally focus on practical hygiene rather than spiritual impurity

Menstrual hygiene management

  • Proper menstrual hygiene management is crucial for women's health, dignity, and social participation
  • Access to menstrual products and education varies greatly worldwide, impacting women's quality of life

Menstrual products overview

  • Disposable pads absorb menstrual flow externally, widely available in various sizes and absorbencies
  • Tampons inserted into the vagina to absorb menstrual flow internally
  • Menstrual cups made of medical-grade silicone, inserted to collect menstrual fluid
  • Reusable cloth pads offer an eco-friendly alternative to disposable products
  • Period underwear features absorbent layers to replace or supplement other menstrual products

Access to menstrual products

  • Affordability remains a significant barrier for many women worldwide
  • Rural areas often lack access to a variety of menstrual products
  • Some countries impose taxes on menstrual products, further limiting accessibility
  • Schools and public facilities increasingly provide free menstrual products to improve access
  • Grassroots organizations work to distribute menstrual products in underserved communities

Environmental impact of products

  • Disposable pads and tampons contribute significantly to plastic waste in landfills
  • Production of disposable products requires substantial water and energy resources
  • Reusable products (menstrual cups, cloth pads) reduce environmental impact over time
  • Biodegradable and compostable options emerging to address environmental concerns
  • Proper disposal methods for menstrual waste remain a challenge in many areas
  • Menstrual health encompasses various physical and mental health aspects
  • Addressing menstrual health issues is crucial for improving women's overall well-being

Common menstrual disorders

  • Dysmenorrhea causes severe menstrual cramps and pain, affecting daily activities
  • Menorrhagia involves heavy or prolonged menstrual bleeding, leading to anemia in some cases
  • Premenstrual Syndrome (PMS) includes physical and emotional symptoms before menstruation
  • Premenstrual Dysphoric Disorder (PMDD) causes severe mood changes and physical symptoms
  • Amenorrhea, the absence of menstruation, can indicate underlying health issues or pregnancy

Menstrual pain management

  • Over-the-counter pain relievers (ibuprofen, naproxen) help alleviate menstrual cramps
  • Heat therapy using hot water bottles or heating pads can reduce pain and discomfort
  • Regular exercise improves blood flow and may reduce menstrual pain intensity
  • Dietary changes, such as reducing caffeine and salt intake, can help manage symptoms
  • Hormonal birth control methods often prescribed to regulate menstrual cycles and reduce pain

Impact on mental health

  • Hormonal fluctuations during the menstrual cycle can affect mood and emotional well-being
  • Some women experience increased anxiety or depression symptoms before or during menstruation
  • Severe menstrual pain can lead to social isolation and decreased quality of life
  • Stigma surrounding menstruation may contribute to feelings of shame or embarrassment
  • Proper education and support can improve mental health outcomes related to menstruation

Socioeconomic factors

  • Menstruation intersects with various socioeconomic issues, affecting women's participation in society
  • Addressing these factors is essential for promoting gender equality and women's empowerment

Period poverty

  • Refers to the inability to afford or access menstrual products and proper hygiene facilities
  • Affects millions of women and girls worldwide, particularly in low-income communities
  • Can lead to the use of unsafe alternatives (rags, leaves) increasing the risk of infections
  • Often results in missed school or work days, impacting education and economic opportunities
  • Initiatives to combat period poverty include providing free products and reducing taxation

Menstruation and education

  • Lack of access to menstrual products and facilities contributes to school absenteeism
  • Inadequate menstrual education leaves many girls unprepared for menarche
  • Some schools lack proper sanitation facilities for menstrual hygiene management
  • Menstrual stigma can lead to bullying and decreased classroom participation
  • Comprehensive menstrual education programs improve attendance and academic performance

Workplace policies and menstruation

  • Many workplaces lack accommodations for menstrual needs (adequate breaks, sanitation facilities)
  • Menstrual leave policies gaining traction in some countries (Japan, Indonesia)
  • Stigma around menstruation can impact women's professional advancement and workplace comfort
  • Some industries (manufacturing, service) pose challenges for managing menstruation at work
  • Inclusive workplace policies can improve productivity and job satisfaction for menstruating employees

Menstrual activism and advocacy

  • Menstrual activism aims to challenge stigma, improve access to products, and promote education
  • This movement intersects with broader issues of gender equality and reproductive rights

Menstrual equity movement

  • Advocates for equal access to menstrual products, education, and healthcare
  • Pushes for the elimination of the "tampon tax" in regions where menstrual products are taxed as luxury items
  • Promotes the inclusion of menstrual products in public health and hygiene programs
  • Challenges societal taboos and misconceptions about menstruation through awareness campaigns
  • Encourages the development of sustainable and affordable menstrual product options

Policy changes for menstrual health

  • Legislation to provide free menstrual products in schools and public facilities (Scotland, New Zealand)
  • Efforts to include menstrual products in government assistance programs (SNAP, WIC in the US)
  • Workplace policies addressing menstrual needs and promoting menstrual leave
  • Improved regulations on menstrual product safety and ingredient disclosure
  • Integration of menstrual health into broader public health and education policies

Menstruation education initiatives

  • Comprehensive menstrual education programs in schools for all genders
  • Community-based workshops and outreach programs in underserved areas
  • Online resources and platforms providing accurate, accessible menstrual health information
  • Training for healthcare providers to better address menstrual health concerns
  • Peer education programs to empower young people as menstrual health advocates

Intersectionality and menstruation

  • Intersectional approach considers how various identities and experiences shape menstrual experiences
  • Recognizing diverse needs and challenges is crucial for inclusive menstrual health policies

Race and menstrual health

  • Women of color often face additional barriers to accessing menstrual products and healthcare
  • Cultural taboos and stigma may be more pronounced in certain racial and ethnic communities
  • Racial disparities in healthcare can impact diagnosis and treatment of menstrual disorders
  • Environmental racism may expose women of color to toxins affecting menstrual health
  • Representation in menstrual product marketing and education materials often lacks diversity

LGBTQ+ experiences of menstruation

  • Transgender men and non-binary individuals who menstruate face unique challenges and stigma
  • Menstrual products and education often use gendered language, excluding some LGBTQ+ individuals
  • Access to gender-affirming care can impact menstrual experiences for transgender individuals
  • Mental health concerns related to menstruation may be compounded by gender dysphoria
  • LGBTQ+-inclusive menstrual health services and education are increasingly recognized as necessary

Disability and menstrual management

  • Physical disabilities may impact the ability to use certain menstrual products independently
  • Cognitive disabilities can affect understanding and management of menstrual cycles
  • Some medications and treatments for disabilities may interact with menstrual cycles
  • Accessible menstrual hygiene facilities are often lacking in public spaces
  • Caregivers may need specialized training to assist with menstrual management for individuals with disabilities

Media representation of menstruation

  • Media plays a significant role in shaping public perceptions and attitudes towards menstruation
  • Increased visibility of menstruation in media can help normalize and destigmatize the topic

Menstruation in advertising

  • Historical ads often used euphemisms and vague imagery to avoid directly addressing menstruation
  • Modern advertising increasingly features more realistic depictions of menstrual experiences
  • Some brands challenge taboos by using red liquid instead of blue in product demonstrations
  • Diverse representation in menstrual product advertising is growing but still limited
  • Social media advertising allows for more targeted and personalized menstrual product marketing

Social media and period positivity

  • Hashtags like #PeriodPositivity and #MenstruationMatters create online communities for support and education
  • Influencers and activists use platforms to share personal experiences and challenge stigma
  • Period tracking apps provide data and foster discussions about menstrual health
  • Social media campaigns raise awareness about period poverty and menstrual equity issues
  • Online spaces allow for more open discussions about previously taboo menstrual topics
  • TV shows and movies increasingly include realistic portrayals of menstruation (Big Mouth, Turning Red)
  • Menstrual themes in art and literature challenge societal norms and explore diverse experiences
  • Celebrities speaking openly about menstruation help normalize the topic in public discourse
  • Comedy and humor are used to address menstrual stigma and educate audiences
  • Representation of menstruation in popular culture varies significantly across different countries and cultures

Global perspectives on menstrual health

  • Menstrual health issues vary widely across the globe, influenced by cultural, economic, and environmental factors
  • Understanding global perspectives is crucial for developing effective international menstrual health programs

Developing vs developed countries

  • Developing countries often face greater challenges in access to menstrual products and sanitation facilities
  • Education about menstruation tends to be more comprehensive in developed countries
  • Cultural taboos and stigma may be more prevalent in some developing regions
  • Developed countries generally have better healthcare systems for addressing menstrual disorders
  • Economic disparities within countries can create significant differences in menstrual health experiences

Cultural practices and hygiene

  • Traditional practices for managing menstruation vary widely across cultures (cloth pads, menstrual huts)
  • Some cultural beliefs may promote harmful practices (restrictions on bathing, dietary limitations)
  • Religious and cultural norms influence the types of menstrual products considered acceptable
  • Intergenerational knowledge transfer about menstrual practices differs among cultures
  • Balancing cultural sensitivity with promoting safe hygiene practices presents challenges for health workers

International menstrual health programs

  • UNICEF and WHO implement programs to improve menstrual health and hygiene in developing countries
  • NGOs work to distribute menstrual products and provide education in underserved communities
  • Sustainable development initiatives increasingly include menstrual health components
  • Collaborations between governments, NGOs, and private sector address various aspects of menstrual health
  • Research efforts focus on developing culturally appropriate, sustainable menstrual health solutions