MENSTRÜEL SAĞLIKTA GÜNCEL YAKLAŞIMLAR VE SOSYOKÜLTÜREL DÖNÜŞÜM
Özet
Menstrüel sağlık, yalnızca menstrüel kanamanın hijyenik biçimde yönetilmesini değildir. Fiziksel, ruhsal ve sosyal iyilik hâlini, doğru bilgiye ve sağlık hizmetlerine erişimi, güvenli ürün kullanımını, toplumsal katılımı ve insan onurunu kapsayan çok boyutlu bir sağlık alanıdır. Menstrüasyon deneyimi; kültürel inançlar, dini uygulamalar, toplumsal cinsiyet normları, ekonomik koşullar ve kuşaklar arası bilgi aktarımı tarafından şekillenmektedir. Menstrüasyonun kirli, gizlenmesi veya konuşulmaması gereken bir süreç olarak değerlendirilmesi, stigma, utanç, ayrımcılık, sosyal dışlanma ve sağlık hizmetine başvuruda gecikme gibi sonuçlara yol açabilmektedir. Bu bölümde menstrüel sağlık kavramı yaşam boyu yaklaşım çerçevesinde ele alınmıştır. Menstrüel tabular, toplumsal cinsiyet ve sosyal eşitsizlikler, menarş deneyimi, menstrüel hijyen yönetimi ve ürünlere erişim incelenmiştir. Ayrıca menstrüel sağlık eğitimi ve sağlık okuryazarlığı, dijital teknolojiler ve sürdürülebilir menstrüel ürünler güncel yaklaşımlar kapsamında değerlendirilmiştir. Menstrüel sağlığın geliştirilmesi için bilgi, ürün, sanitasyon ve sağlık hizmetlerine eşit erişimin sağlanması; kültürel açıdan duyarlı, kapsayıcı ve insan hakları temelli uygulamaların geliştirilmesi gerekmektedir. Ebeler ve diğer sağlık profesyonelleri eğitim, danışmanlık, erken tanılama, yönlendirme ve savunuculuk rolleriyle bu dönüşümde temel bir konuma sahiptir.
Anahtar Kelimeler: Menstrüel sağlık, Menstrüel Stigma, Menstrüel Hijyen Yönetimi, Sağlık Okuryazarlığı, Sosyokültürel Dönüşüm, Ebelik
Konu Alanı: Tıp -> Tıp (diğer) -> Doğum ve Kadın Hastalıkları Hemşireliği
Armour, M., Parry, K., Manohar, N., Holmes, K., Ferfolja, T., Curry, C., MacMillan, F., & Smith, C. A. (2019). The Prevalence and Academic Impact of Dysmenorrhea in 21,573 Young Women: A Systematic Review and Meta-Analysis. Journal of women's health (2002), 28(8), 1161–1171. https://doi.org/10.1089/jwh.2018.7615
Barrington, D. J., Robinson, H. J., Wilson, E., & Hennegan, J. (2021). Experiences of menstruation in high income countries: A systematic review, qualitative evidence synthesis and comparison to low- and middle-income countries. PloS one, 16(7), e0255001. https://doi.org/10.1371/journal.pone.0255001
Baumann, S. E., Rabin, M. A., Hawk, M., Devkota, B., Upadhaya, K., Shrestha, G. R., Joseph, B., & Burke, J. G. (2025). From stigma to solutions: harnessing local wisdom to tackle harms associated with menstrual seclusion (chhaupadi) in Nepal. Culture, health & sexuality, 27(3), 299–320. https://doi.org/10.1080/13691058.2024.2373793
Bhoda, K., Burgoa, S., Zerrouki, Y., Jhumkhawala, V., Lobaina, D., Knecht, M., Kitsantas, P., & Sacca, L. (2024). Examining Menstrual Health and Hygiene Educational Initiatives for American Middle and High School Menstruating Students: A Scoping Review. Journal of pediatric and adolescent gynecology, 37(5), 465–476. https://doi.org/10.1016/j.jpag.2024.06.004
Bucher, E., Sharkey, C., Henderson, A., Basaran, B., Meyer, S., & Chen, C. X. (2025). An evaluation of menstrual health apps' functionality, inclusiveness, and health education information. BMC women's health, 25(1), 261. https://doi.org/10.1186/s12905-025-03812-1
Casola, A. R., Kunes, B., Jefferson, K., & Riley, A. H. (2021). Menstrual Health Stigma in the United States: Communication Complexities and Implications for Theory and Practice. Journal of midwifery & women's health, 66(6), 725–728. https://doi.org/10.1111/jmwh.13216
Casola, A. R., Rea, O., & Ho, T. (2024). Family physicians and menstrual care: An analysis of CERA 2023. Women's health (London, England), 20, 17455057241247799. https://doi.org/10.1177/17455057241247799
Chandra-Mouli, V., & Patel, S. V. (2017). Mapping the knowledge and understanding of menarche, menstrual hygiene and menstrual health among adolescent girls in low- and middle-income countries. Reproductive health, 14(1), 30. https://doi.org/10.1186/s12978-017-0293-6
de Arruda, G. T., Barbosa-Silva, J., Driusso, P., Pathmanathan, C., Armijo-Olivo, S., & Arias Avila, M. (2026). Worldwide prevalence of dysmenorrhea: a systematic review and meta-analysis across 70 countries. Pain, 167(1), 41–55. https://doi.org/10.1097/j.pain.0000000000003768
Elledge, M. F., Muralidharan, A., Parker, A., Ravndal, K. T., Siddiqui, M., Toolaram, A. P., & Woodward, K. P. (2018). Menstrual Hygiene Management and Waste Disposal in Low and Middle Income Countries-A Review of the Literature. International journal of environmental research and public health, 15(11), 2562. https://doi.org/10.3390/ijerph15112562
Gallivan, S., Kelleher, S., & Foley, S. (2026). Measuring menstrual health literacy: Development and validation of the Menstrual Health Literacy Scale. Journal of Health Psychology. Advance online publication. https://doi.org/10.1177/13591053261423318
Garrido Martín, A. M., Cervilla, O., Álvarez-Muelas, A., & Granados, R. (2025). Analysis of harmful menstruation beliefs and practices: a systematic review. Women & health, 65(3), 246–258. https://doi.org/10.1080/03630242.2025.2463429
Hansen, A., Bayes, J., & Schloss, J. (2025). Empowering Women Through Knowledge: A Systematic Review of Literature on Menstrual and Reproductive Health Literacy. Health equity, 9(1), 357–374. https://doi.org/10.1177/24731242251363080
Hennegan, J., Shannon, A. K., Rubli, J., Schwab, K. J., & Melendez-Torres, G. J. (2019). Women's and girls' experiences of menstruation in low- and middle-income countries: A systematic review and qualitative metasynthesis. PLoS medicine, 16(5), e1002803. https://doi.org/10.1371/journal.pmed.1002803
Hennegan, J., Winkler, I. T., Bobel, C., Keiser, D., Hampton, J., Larsson, G., Chandra-Mouli, V., Plesons, M., & Mahon, T. (2021). Menstrual health: a definition for policy, practice, and research. Sexual and reproductive health matters, 29(1), 1911618. https://doi.org/10.1080/26410397.2021.1911618
International Confederation of Midwives. (2024). Essential competencies for midwifery practice. https://internationalmidwives.org/resources/essential-competencies-for-midwifery-practice/
Jimenez, S., Lent, A., Kaleem, S., Eldawy, N., Mendonca, J., Etzel, M., Brinzo, P., Burgoa, S., Zerrouki, Y., Follin, T., Mejia, M., Kitsantas, P., & Sacca, L. (2025). Digital Platforms and Educational Tools for Enhancing Menstrual Health: A Scoping Review. International journal of sexual health : official journal of the World Association for Sexual Health, 37(3), 350–368. https://doi.org/10.1080/19317611.2025.2496218
Johnston-Robledo, I., & Chrisler, J. C. (2020). The menstrual mark: Menstruation as social stigma. In C. Bobel, I. T. Winkler, B. Fahs, K. A. Hasson, E. A. Kissling, & T.-A. Roberts (Eds.), The Palgrave handbook of critical menstruation studies (pp. 181–199). Palgrave Macmillan. https://doi.org/10.1007/978-981-15-0614-7_17
Kaur, R., Kaur, K., & Kaur, R. (2018). Menstrual Hygiene, Management, and Waste Disposal: Practices and Challenges Faced by Girls/Women of Developing Countries. Journal of environmental and public health, 2018, 1730964. https://doi.org/10.1155/2018/1730964
King, A. S., Sikkema, K. J., Rubli, J., DeVries, B., & Cherenack, E. M. (2025). "Due to These Restrictions, Girls Think of Themselves as Nothing": A Qualitative and Quantitative Description of Menstrual Restrictions and Stigma Among Adolescent Girls Across Religious and Other Sociocultural Contexts. Journal of adolescence, 97(4), 901–916. https://doi.org/10.1002/jad.12463
Ko, S., Lee, J., An, D., & Woo, H. (2023). Menstrual Tracking Mobile App Review by Consumers and Health Care Providers: Quality Evaluations Study. JMIR mHealth and uHealth, 11, e40921. https://doi.org/10.2196/40921
Kumar, A., & Srivastava, K. (2011). Cultural and social practices regarding menstruation among adolescent girls. Social work in public health, 26(6), 594–604. https://doi.org/10.1080/19371918.2010.525144
Liu, H. L., Chen, K. H., & Peng, N. H. (2012). Cultural practices relating to menarche and menstruation among adolescent girls in Taiwan--qualitative investigation. Journal of pediatric and adolescent gynecology, 25(1), 43–47. https://doi.org/10.1016/j.jpag.2011.08.006
Maulingin-Gumbaketi, E., Larkins, S., Gunnarsson, R., Rembeck, G., Whittaker, M., & Redman-MacLaren, M. (2021). 'Making of a Strong Woman': a constructivist grounded theory of the experiences of young women around menarche in Papua New Guinea. BMC women's health, 21(1), 144. https://doi.org/10.1186/s12905-021-01229-0
Munro, A. K., Hunter, E. C., Hossain, S. Z., & Keep, M. (2021). A systematic review of the menstrual experiences of university students and the impacts on their education: A global perspective. PloS one, 16(9), e0257333. https://doi.org/10.1371/journal.pone.0257333
Pednekar, S., Some, S., Rivankar, K., & Thakore, R. (2022). Enabling factors for sustainable menstrual hygiene management practices: a rapid review. Discov Sustain 3, 28 (2022). https://doi.org/10.1007/s43621-022-00097-4
Sánchez López, S., Barrington, D. J., Poveda Bautista, R., & Moll López, S. (2025). Stigma and silence: the menstrual taboo in Spain. International journal for equity in health, 24(1), 278. https://doi.org/10.1186/s12939-025-02630-z
Sánchez-López, S., Barrington, D. J., Poveda-Bautista, R., & Moll-López, S. (2026). Mapping the social impact of menstrual stigma in Spain. BMC women's health, 26(1), 73. https://doi.org/10.1186/s12905-025-04168-2
Sebert Kuhlmann, A., Peters Bergquist, E., Danjoint, D., & Wall, L. L. (2019). Unmet Menstrual Hygiene Needs Among Low-Income Women. Obstetrics and gynecology, 133(2), 238–244. https://doi.org/10.1097/AOG.0000000000003060
Selva, C., Butragueño, M. N., & de Miquel, C. (2026). Gender equity and menstrual justice: a psychosocial review on stigma and discrimination in access to reproductive health. Reproductive health, 23(1), 27. https://doi.org/10.1186/s12978-025-02255-z
Seo, M. S., & Seo, B. N. (2025). Effectiveness of digital healthcare in managing menstrual symptoms: a systematic review. Women's health nursing (Seoul, Korea), 31(2), 108–118. https://doi.org/10.4069/whn.2025.05.22
Sinharoy, S. S., Chery, L., Patrick, M., Conrad, A., Ramaswamy, A., Stephen, A., Chipungu, J., Reddy, Y. M., Doma, R., Pasricha, S. R., Ahmed, T., Chiwala, C. B., Chakraborti, N., & Caruso, B. A. (2023). Prevalence of heavy menstrual bleeding and associations with physical health and wellbeing in low-income and middle-income countries: a multinational cross-sectional study. The Lancet. Global health, 11(11), e1775–e1784. https://doi.org/10.1016/S2214-109X(23)00416-3
Sommer, M., & Mason, D. J. (2021). Period Poverty and Promoting Menstrual Equity. JAMA health forum, 2(8), e213089. https://doi.org/10.1001/jamahealthforum.2021.3089
Thakuri, D. S., Thapa, R. K., Singh, S., Khanal, G. N., & Khatri, R. B. (2021). A harmful religio-cultural practice (Chhaupadi) during menstruation among adolescent girls in Nepal: Prevalence and policies for eradication. PloS one, 16(9), e0256968. https://doi.org/10.1371/journal.pone.0256968
United Nations Children’s Fund. (2019). Guidance on menstrual health and hygiene. https://www.unicef.org/documents/guidance-menstrual-health-and-hygiene
van Eijk, A. M., Jayasinghe, N., Zulaika, G., Mason, L., Sivakami, M., Unger, H. W., & Phillips-Howard, P. A. (2021). Exploring menstrual products: A systematic review and meta-analysis of reusable menstrual pads for public health internationally. PloS one, 16(9), e0257610. https://doi.org/10.1371/journal.pone.0257610
World Health Organization. (2022, June 22). WHO statement on menstrual health and rights. https://www.who.int/news/item/22-06-2022-who-statement-on-menstrual-health-and-rights
World Health Organization. (2026, June 18). Menstrual health. https://www.who.int/news-room/fact-sheets/detail/menstrual-health
AKTAŞ, H. & YILMAZ, A. N. (2026). MENSTRÜEL SAĞLIKTA GÜNCEL YAKLAŞIMLAR VE SOSYOKÜLTÜREL DÖNÜŞÜM. In GÜÇLÜ CİHAN, E. (Ed.), Kadın Sağlığında Güncel Yaklaşımlar ve Disiplinlerarası Perspektifler (pp. 112-135). Vizetek Yayıncılık. https://doi.org/10.54637/vizetek.9786253824013
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