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You have full access to this open access chapter. This review aims to answer the following questions: 1 how knowledgeable are adolescent girls in low- and middle-income countries LMIC about menstruation and how prepared are they for reaching menarche, 2 who are their sources of information regarding menstruation, 3 how well do the adults around them respond to their information needs, 4 what negative health and social effects do adolescents experience as a result of menstruation, and 5 how do adolescents respond when they experience these negative effects and what practices do they develop as a result?

A total of 81 studies published in peer-reviewed journals between the years and that describe the experiences of adolescent girls from 25 different countries were included. Adolescent girls in LMIC are often uninformed and unprepared for menarche.

Exclusion and shame lead to misconceptions and unhygienic practices during menstruation. Rather than seek medical consultation, girls tend to miss school, self-medicate, and refrain from social interaction.

Also problematic is that relatives and teachers are often not prepared to respond to the needs of girls. In addition to investment in private latrines with clean water for girls in both schools and communities, countries must consider how to improve the provision of knowledge and understanding and how to better respond to the needs of adolescent girls.

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