From exile to equality

Ending menstrual stigma for girls worldwide.

The phenomenon known as menstrual exile reflects deeply rooted taboos, myths and discrimination that continue to limit the lives of millions of girls and women worldwide.

It’s time for change.

For generations, menstruation has meant far more than managing a monthly cycle. Across cultures and continents, it has often meant exclusion – from homes, schools, food, community life and opportunity.

Every day, around 300 million people are menstruating. Yet one in four lacks access to safe menstrual products or clean, private sanitation facilities. For many, periods still come with stigma, shame and restrictions that limit their freedom, education and equality. Tackling menstrual exile is therefore not only a health issue – it is essential for achieving gender equality.

Across generations, the forms of menstrual exile have differed, but the underlying message has remained the same: menstruation is something to hide.

Binita, 14, from Nepal.

“I still remember my first period. I was shocked and scared. My mother told me not to touch anyone, not to look at the Gods, not to enter the kitchen, not even to stay in my own room.”

“I was made to sit alone in a corner of the house. At that time, I didn’t question it. I thought it was just how things were meant to be. I believed I had to stay silent.”

Binita, 14, Nepal

In Togo, older women recall being sent to isolated roadside rooms for the duration of their periods, forbidden from entering their homes and separated from family life. In Burkina Faso, girls slept apart on sheepskins, physically distanced from their households because menstruation was seen as unclean. In Benin, girls were prohibited from cooking, handling fire or even preparing food for male relatives, due to beliefs that their periods could bring harm or weaken spiritual protections.

Elsewhere, restrictions shaped daily life in equally powerful ways. In Kenya, girls often isolated themselves out of shame, missing school and social interactions. In Nigeria, silence around menstruation created fear, with girls blamed or misunderstood. In El Salvador, girls were warned against entering rivers or eating certain foods, reinforcing myths that controlled their movement and bodily autonomy.

While these practices may vary, they share a common consequence: girls are denied full participation in society simply because of a natural biological process.

The impact on gender equality is profound.

Three generations of women from Kenya.

“In the olden days, periods were shameful. A girl would lock herself in for days without going to school, until it was over.”

Grandmother, Halima, Kenya (centre).

Period stigma affects education

When girls miss school because they lack menstrual products, private toilets or confidence, their education suffers. Missed lessons can accumulate into lower academic performance, reduced opportunities and increased risk of dropping out altogether. When harmful myths frame menstruation as dirty or dangerous, girls internalise shame and are less likely to advocate for their health, rights and ambitions. These barriers reinforce broader patterns of discrimination that limit women’s participation in public life, work and leadership.

Menstrual stigma is therefore both a symptom and driver of gender inequality. But change is happening.

Across communities, younger generations are challenging long-held taboos through education, advocacy and practical support. Girls are gaining access to menstrual products, safe sanitation facilities and accurate information about their bodies. Community programmes are opening conversations between grandmothers, mothers and daughters, helping families replace silence with understanding.

Denise from Togo.

“I understand that my mother’s generation also suffered a lot.

“It’s a matter of rights!”

Denise, 16, Togo.

Period stigma is a rights issue

In central Togo, 72-year-old Inna remembers being physically separated from her family whenever she menstruated. “It was forbidden to enter the house,” she explains. “The family had to find a room on the roadside where the menstruating girl had to spend her entire period.”

For Inna, menstruation meant isolation. But for her granddaughter Denise, change represents something bigger. “I understand that my mother’s generation also suffered a lot,” says Denise, 16. “It’s a matter of rights!”

Blanche from Benin with her grandmother.

“I know that a girl of a certain age must have her period. I learned this in the clubs set up by Plan International where they inform young people, especially girls, about their sexual rights, how to manage the menstrual cycle, and contraceptive methods.”

Blanche, 18, Benin.

In Benin, menstrual stigma still affects girls’ education. Blanche remembers the fear and disruption caused by inadequate school facilities: “It was difficult for me during my periods, because I’m afraid of staining my uniform. My school didn’t have toilets adapted to the needs of girls. I had to go home every time to freshen up, and several times I missed my lessons.”

Blanche’s story reflects a global challenge: when schools fail to meet girls’ menstrual health needs, education suffers – and with it, equality.

For Hazel, an 18-year-old in El Salvador, education has been life-changing. Through a community project tackling menstrual stigma, she says: “I was taught about my body… about my first period, about my menstrual cycle and what methods I can use, and how to be prepared for that moment.”

Hazel from El Salvador with her mother and grandmother.

“When I got my first period, I was not 100% prepared for that moment.

“Now I talk to my grandfather about menstruation, which is something that could not be talked about in the past. It was a taboo in society.”

Hazel, 18, El Salvador

Period stigma limits girls’ futures

These voices make one thing clear: menstrual exile is not simply about periods – it is about power, opportunity and equality.

When girls are excluded from school, denied accurate information or taught to feel ashamed of their bodies, their futures are limited. Menstrual stigma reinforces wider systems of gender discrimination by controlling girls’ movement, confidence and participation in society.

But when girls have access to knowledge, products and supportive communities, the cycle changes.

Binita from Nepal describes her light-bulb moment:

Education programmes, improved sanitation facilities and youth-led advocacy are helping to dismantle myths that have persisted for generations. Conversations once considered impossible are now happening openly between families, teachers and communities.

Silence is being replaced with empowerment.

Ending period stigma

Ending menstrual exile means ensuring no-one misses school because of their period. It means challenging harmful taboos that frame menstruation as shameful or dangerous. It means recognising menstrual health as fundamental to gender equality.

Because no-one should be excluded, silenced or held back by something natural.

As Hazel’s experience shows, knowledge can be transformative. As Denise reminds us, this is a rights issue. And as young people around the world continue to raise their voices, one message is becoming impossible to ignore: where there was once exile, there must now be communication, dignity, and belonging.

Let’s amplify their voices and end period stigma and menstrual exile for good.

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