Systemic Powers, Institutionalized Thinking and Situated Knowledge: A Qualitative Exploration on the Meanings of ‘Menstruation’ and ‘Menstrual Health’ in Spain

Abstract Menstrual imagery and embodied menstrual experiences are greatly modulated by androcentric biomedical systems. Given that menstruating is not only a biological phenomenon but also a sociocultural and political action, women and people who menstruate (PWM) must actively participate in redefining how menstruation and menstrual health are understood and addressed. Taking a situated knowledge perspective, this study aims to investigate how women and PWM conceptualize menstruation and menstrual health in the Barcelona area (Spain), to offer a critical reflection on how social meanings of menstruation and menstrual health may be embodied and shape the menstrual experiences of women and PWM in our context. A qualitative study with 31 women and 3 PWM was conducted, using semi-structured photo-elicitation interviews and framework analysis. Menstruation was often perceived and experienced as a burden, as it was seen as intrinsically linked to identity and stereotyped femininity. Menstrual health was strongly framed within a biomedical and androcentric lens. At the same time, some participants took a critical stance, highlighting the importance of body literacy and self-care. Definitions of menstruation and menstrual health should take into account how women and PWM experience and embody menstruation, to promote menstrual education and health in a way that responds to the needs of women and PWM. Challenging institutionalized ideas about menstruation could also support community-based actions and transform menstrual policymaking into participatory processes.