Across generations – periods through the ages

8 May 2024

Older generations of women had very different experiences of managing their periods to teenagers today – but modern girls are still calling for better, cheaper access to sanitary products, and continue to face widespread stigma and prejudice surrounding periods.

Here, we delve into conversations between grandmothers, mothers and daughters about menstruation through the ages.

Women in Togo discuss how they manage their periods.
Three generations of women from Togo – grandmother Inna, 72, her daughter Esther, 36, and her granddaughter Denise, 16. Image credit: Plan International / Izla Bethdavid

In central Togo, West Africa, teenager Denise, 16 (pictured right), is giving her 72 year-old grandmother, Inna – whom she affectionately calls Dada – a hug.

“I understand that my mother’s generation also suffered a lot,” exclaims Denise. “To my fellow girls all over the world, including those living in remote communities, I encourage you to stop being ashamed about menstruation. It’s a matter of rights!”

“To my fellow girls all over the world, including those living in remote communities, I encourage you to stop being ashamed about menstruation. It’s a matter of rights!”

Denise, 16, Togo.

Inna has just been telling Denise how girls dealt with periods when she was young.

“On the first day of our period, we had to hide and call our mother or one of our sisters to help in secret. It was forbidden to enter the house.

“The family had to find a room on the roadside where the menstruating girl had to spend her entire period. Then, the family alerted the whole village. For four days, from morning to night, the village brought food to the girl out of goodwill. In the evenings, girls and boys would visit her and pass the time talking, eating, singing and having fun with her. Some of them spent the night there.”

Such experiences are far from unusual. Also in Togo, grandmother Akoyiki, 80 tells her daughter and granddaughter: “During her period, the girl could bathe two or three times a day, with the permission of her mother. Like their mothers, girls who were on their periods were not allowed to prepare or serve food to their fathers.”

Assana, Gnoussiado and Akoyiki shelling black eyed peas.
Assana, Gnoussiado and Akoyiki shelling black eyed peas. Image credit: Plan International / Izla Bethdavid

“In our time, a girl on her period could not be allowed to be seen by, or interact with men, with the exception of her husband. The girl on her period was not allowed to go to groups as she pleased,” says her daughter, Gnoussiado, 60.

Granddaughter Assana, 24, gives some hope: “Nowadays, things have changed. We wear pants and bras. Even during our periods, we’re able to do any kind of activities without worrying too much.

In Cambodia, grandmother, Bui Non, 57, tells her granddaughter Seila: “In my generation, we didn’t have sanitary pads, so I cut fabric from a sarong into pieces. I washed them to reuse for only a week. After a week, I buried or burnt those fabrics – unlike now, where you can easily buy and use sanitary pads.

“When my daughter had her period, I kept telling her to clean herself and use the fabric as a pad. If she felt sick, I would help do skin coining once per period – for this we rub balm into the chest, back and shoulders until red is seen. This could relieve the pain.”

Grandmother Bui Non, 57,  and her teenage granddaughter Seila, 13, Cambodia.
Grandmother Bui Non, 57, and her teenage granddaughter Seila, 13, Cambodia. Image credit: Plan International / Bunchhai Chhun

In Paraguay, “we didn’t used to talk about it,” says grandmother Maria, 73. “My mum didn’t say anything. We, in secret, had to deal with it and there were no sanitary pads or anything. You had to use cloths, wash and iron them.”

Three generations of women in Paraguay discuss attitudes towards menstruation.
Grandmother Maria, 73, her daughter Ester, 51, and her granddaughter Alma, 16, Paraguay. Image credit: Plan International / Anselmo Garcete.

In El Salvador, grandmother Paz, 80, says: “My mum used to tell me that when I was like this, I couldn’t go to the river, because the water would enter through the pores and that was bad, so what you used to do was to use old clothes, cut them into strips, and fold them. After being used, they were burned.”

Grandmother, Paz, 80, her daughter Ana, 47 and teenage granddaughter Hazel, 18.
Grandmother, Paz, 80, her daughter Ana, 47 and teenage granddaughter Hazel, 18. Image credit: Plan International / Esteban Martinez

“Before, mothers didn’t talk to us about it, because they didn’t receive adequate information in their time, we were left with the little we heard at school,” says Ana, chatting with her teenage daughter, Hazel. “Here in the community, there are many girls who don’t have the courage to go to buy a sanitary pad, because their mothers don’t talk to them about it, so they’re afraid to buy pads. They’re ashamed.”

Teenager Hazel takes part in a community project called The Power of Red Butterflies, which aims to break taboos around menstruation. As a result, she has even discussed the topic with her grandfather.

“Talking to my grandfather one day, he told me that in the old days you couldn’t talk about menstruation, it was a taboo topic, that you couldn’t mention,” says Hazel. “The Power of Red Butterflies project was very impactful on my life as a girl. I hadn’t received 100 percent information about it. I was taught about my body, and they explained to me about my first period, about my menstrual cycle and what methods I can use, and how to be prepared for that moment.

“We were a little group of girls, and it was very special, the trusting and the sharing of ideas. How we had our first period. It was quite nice.”

Hazel, 18, El Salvador.

“We were a little group of girls, and it was very special, the trusting and the sharing of ideas. How we had our first period. It was quite nice.”

Nowadays, millions of teenage girls still have to deal with their periods in difficult conditions. On any given day, in all corners of the world, around three hundred million women and girls are having their periods. At the same time, one in four lack access to menstrual health products or clean toilets reserved for girls. Some are forced to use materials like old newspapers, rags, earth, sand, ash, grass or leaves to manage their period. Many are excluded from school and other societal activities and opportunities while on their period.

Where girls are able to manage and talk about their periods, it’s often down to long-standing community health projects working with girls and boys, women and men to distribute sanitary products, encourage intergenerational dialogue, and break down taboos and barriers about menstrual health.

Plan International has worked for many years in many parts of the world to instigate community education and awareness-raising about menstrual health, tackling taboos, gender-discrimination and stigma, as well as offering practical support for girls to access menstrual products, washing facilities, and girl-friendly toilets, while also working with governments to put menstrual health on the school curriculum, so that school children know that periods are a normal part of life.

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