Menstrual Hygiene Management and Its Implications for Sexual and Reproductive Health: A Narrative Review

Abstract

Background: Menstrual health is foundational to women's overall well-being. Despite its importance, millions of menstruating individuals lack access to safe, dignified menstrual hygiene management (MHM), which has adverse implications on Sexual and Reproductive Health (SRH).

Objectives: This review aims to examine the interrelationship between menstrual health and SRH, highlight current gaps, and recommend pathways for integrating menstrual health into nursing education and public health policy.

Methods: A narrative review approach was adopted. Articles were identified through PubMed, Scopus, and Web of Science databases, yielding 18 peer-reviewed publications. An additional 13 resources were included from websites, reports, and grey literature. Studies and documents published in English addressing menstrual health, hygiene management, awareness, and interventions were included.

Results: Poor menstrual hygiene is related to increased prevalence of RTIs, UTIs, school absenteeism, and psychological distress. Multisectoral interventions show the greatest success in addressing these complex issues.

Conclusion: Menstrual health must be integrated into SRH frameworks and nursing curricula to ensure comprehensive care. A rights-based, holistic approach is needed to eliminate stigma, improve health outcomes, and support gender equity.