Clinical Considerations to Improve Menstrual Equity: Review and Recommendations to Address Counseling, Supplies, and Access in US-Based OBGYN Clinics.

Menstrual equity impacts nearly every obstetric and gynecological patient experiencing vaginal or uterine bleeding. There is a lack of information on how to incorporate menstrual equity into clinical counseling for gynecologists. To review current evidence on menstrual bleeding across the reproductive life course and to examine the role of gynecologists in improving menstrual equity in clinical settings. A PubMed search was performed using appropriate keywords to identify and evaluate journal articles focused on this subject. There is a dearth of information on the clinical applications of menstrual equity for gynecologists and limited information on managing access to supplies and safe spaces to manage vaginal bleeding across the reproductive life course in the United States. Health care professionals providing care for menstruators should include discussion of menstrual equity in their clinical counseling. This should include resources for supplies, risks and benefits of each menstrual management option, and discussion around barriers to safe menstruation. This review suggests best practices to improve menstrual equity across the reproductive life course.