The key findings of this review were that substantial numbers of girls in many countries have knowledge gaps and misconceptions about menstruation. This leaves them unprepared when they reach menarche that can lead to fear and anxiety. Girls commonly experience a variety of symptoms during menstruation (e.g., severe pain, headaches, fatigue). These symptoms combined with taboos result in their not being able to participate in household, school, social, and religious activities.
LMIC must recognize that lack of preparation, knowledge and poor practices surrounding menstruation are key impediments not only to girls’ education, but also to self-confidence and personal development. In addition to investment in private latrines with clean water for girls in both schools and communities, countries must consider how to improve the provision of knowledge and understanding and how to better respond to the needs of adolescent girls