Menstrual Health and Disability: Challenges and Solutions

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Pinkishe Foundation

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31/10/2026

Dr. Shehla Jamal

Menstrual Health and Disability: Challenges and Solutions

Why periods can be harder with a disability

Every girl and woman deserves to manage her period with comfort, privacy and dignity. For girls and women with disabilities, this can be harder. A toilet may be too narrow for a wheelchair. A lesson on periods may not reach a girl who cannot hear or see. A girl with an intellectual disability may not understand what is happening to her body. And many carers are unsure how to help.

Most of these problems can be solved with planning, the right products and patient teaching. This post sets out the main challenges, what Indian law says, and practical tips for families, carers and schools.

The main challenges

1. Toilets that do not fit

Many toilets in schools, offices and public places are too narrow, have a step at the door, or have no grab bars. The tap may be out of reach, and there may be no bin. A girl who uses a wheelchair, crutches or a walker may not be able to change a pad on her own.

2. Information that does not reach her

Lessons on periods are often given only by talking, or only with pictures on a board. A girl who is deaf, blind or has a learning disability may miss most of it. Some families also think a girl with a disability does not need to know, so she meets her first period with no warning.

3. Hands and bodies that need a different way

Weak hand grip, shaking hands, stiff joints or poor balance can make it hard to open a packet, stick a pad in place, or wash and dry a cloth pad.

4. Carers who have not been shown how

A mother, sister or paid carer may feel shy or unsure about helping with periods. Without guidance, care can become rushed, rough or skipped, which leads to rashes, infection and shame.

5. Extra stigma

Period taboos are often stronger around girls with disabilities. Some are kept at home during their periods or hidden from visitors. This adds to their isolation.

An accessible bathroom with grab bars and a low shelf of pads and soap.

What the law says in India

The Rights of Persons with Disabilities Act, 2016 says that persons with disabilities have the same rights as everyone else, and that schools and public buildings must be accessible to them.

On 30 January 2026, in Dr Jaya Thakur v Government of India, the Supreme Court held that menstrual health is part of the right to life under Article 21. It gave directions for classes 6 to 12 on free products, vending machines, safe disposal, education, teacher training and annual inspection. In an order of 1 September 2026, the Court set the standard as compostable products meeting ISO 17088 read with IS 5405, and directed states towards reusable cups, period panties and reusable napkins.

For a girl with a disability, "accessible" has to include a toilet she can enter, turn around in and use in private, with water, soap, a grab bar and a covered bin.

Practical tips for families and carers

  • Start before the first period. Explain periods early, in a way she can follow. Show her a pad and let her hold it. Practise putting a pad on underwear before she needs to.
  • Keep the same routine. Do each step in the same order every time, in the same place.
  • Use reminders. A phone alarm or a picture chart can remind her to change her pad every 4 to 6 hours.
  • Make it easy. Keep supplies within reach, in the same spot. Choose clothes with elastic waists that are easy to pull down and up.
  • Try different products. Pads with wings stay in place better. Period underwear can be easier for some girls. Reusable cloth pads with press studs or hook-and-loop strips can be easier than sticky strips. Cloth pads are safe when washed with soap and dried fully in sunlight. A menstrual cup needs good hand control, so it may not suit everyone.
  • Keep skin healthy. Wash the area with plain water, front to back, at each change, and pat dry. Watch for redness or sores, especially in girls who sit for long hours.

Tips for different disabilities

  • Physical or mobility disability: set up a safe place to sit while changing, with supplies, a bin and water within reach. Wide-opening clothes and pads with wings help. Ask an occupational therapist for ideas if one is available.
  • Visual impairment: let her learn each product by touch: the sticky side, the wings, the front and back. Keep supplies in the same place always. Darker clothes help, and a trusted person can tell her quietly if there is a stain.
  • Hearing impairment: teach with sign language, pictures and written notes. Make sure school lessons on periods are signed or written down too.
  • Intellectual disability or autism: teach one small step at a time, with picture cards, and repeat often. A short picture story about "what happens when I get my period" can help. Some girls dislike the feel of a pad. Try different materials, or period underwear. Teach the difference between private places, such as the toilet, and public places.

Dignity, privacy and consent

Every girl has the right to privacy and to say no. Carers should explain each step, ask before helping, and never consider surgery or medicines to stop periods without independent medical advice and the girl's own say wherever possible.

Teach her the names of her body parts, and that no one should touch her private parts except to help with care she understands and agrees to. Where possible, let her choose who helps her. If she seems afraid of a particular person, or has injuries no one can explain, take it seriously and get help at once. In an emergency, call 112.

What schools can do

  • Make at least one girls' toilet fully accessible, with water, soap, a grab bar and a covered bin.
  • Teach periods in ways every student can follow: spoken, signed, written and with pictures.
  • Keep spare pads and underwear with a trusted teacher.
  • Make sure staff know how to help a student with dignity, and always ask first.
  • Never send a girl home just because she has her period.

When to see a doctor

  • She seems upset, restless or in pain around her periods but cannot say why. Pain can show up as a change in behaviour.
  • Her period lasts longer than 7 days, or she soaks a pad every hour or two, or passes clots bigger than a coin.
  • She has no period by the age of 15, or no period for 3 months and is not pregnant.
  • She has a rash, sores, itching, a bad smell or unusual discharge that does not clear up.
  • Anyone suggests stopping her periods with surgery or medicines. Get independent medical advice first.

Last reviewed: October 2026.

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FAQs

What period challenges do girls with disabilities face?

Toilets they cannot use, lessons they cannot follow, products that are hard to handle, carers who have not been shown how to help, and extra stigma. Most of these can be solved with planning and support.

How can I teach a girl with an intellectual disability about periods?

Start before her first period. Use pictures, a simple picture story and the same routine every time. Teach one small step at a time and repeat it often. Practise with a pad on underwear before she needs it.

Which period products are easiest to use?

It depends on the girl. Pads with wings, period underwear, and cloth pads with press studs or hook-and-loop strips are often easier for girls with limited hand use. Try a few and let her choose.

Should a girl's periods be stopped to make care easier?

Not without independent medical advice and the girl's own say wherever possible. Every girl has the right to privacy and to say no. Surgery or medicines to stop periods are serious decisions.

What does Indian law say about accessible toilets?

The Rights of Persons with Disabilities Act, 2016 says schools and public buildings must be accessible to persons with disabilities. The Supreme Court has also given directions on menstrual health in schools for classes 6 to 12.

In short

Girls and women with disabilities have the same right to manage their periods with dignity as anyone else. Accessible toilets, teaching she can follow, the right products and carers who ask before helping make the biggest difference.

About Pinkishe Foundation

Pinkishe Foundation is a specialist implementation organisation for menstrual health. We deliver, reliably, in schools and communities across India. Support our work with a donation.

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