Abstract
BACKGROUND: Menstrual health is a vital indicator of adolescent girls' overall well-being and is shaped by diverse social, economic, cultural, and environmental factors. The menstrual period is often associated with physical and psychological discomfort, which can impact mental health. Early preparedness and a supportive environment are key to promote healthy coping and well-being. OBJECTIVE: To explore the perceptions and experiences of Indian adolescent girls regarding menstruation. STUDY DESIGN: Qualitative descriptive study. METHODS: This study explored menstrual health perception among 20 adolescent girls, aged 11-15 years, from three selected schools of Dakshina Kannada District, India. Data were collected through focus group discussion, transcribed and analysed using the OpenCode software (version 4.02). Thematic analysis was performed using deductive analysis. RESULTS: The analysis revealed overarching themes such as preparation, puberty and menstruation, menstrual discomforts, menstrual hygiene and management, menstrual health empowerment, and perceptions about menstruation, reflecting the multifaceted and inter-connected aspects of the participants' experiences. The findings highlight the need for comprehensive education, policy interventions, and community involvement to enhance menstrual health outcomes for adolescent girls in India. CONCLUSION: This study highlights the multifaceted experiences of younger adolescents regarding menstruation, an area that remains significantly under-researched and emphasises the need for age-appropriate, culturally sensitive interventions to support their menstrual health and empowerment.