Menstruation has gone from being considered a disease to becoming part of the fight for women's health - and an industry worth billions.
“For a long time, menstruation was considered a disease. It was only in the 1940s that it became less shameful, yet radical, to say that you could work and go to school when on your period,” says Camilla Mørk Røstvik.
Røstvik is an associate professor in the Department of Religion, Philosophy and History at the University of Agder (UiA). She is behind the book Cash Flow: The Businesses of Menstruation, which is available for free download from UCL Press.
In the book, Røstvik dives into 100 years of corporate history:
She looks at how managers of the large companies, who have mainly been men, have influenced how we view menstruation.
“If you use our products, you will feel good, is how they advertised them. They promote that you should be young, clean, attractive and ideally white. You should also be active, preferably skiing or skating,” says Røstvik.
Before the war, many women in Norway used to knit their own sanitary pads in order to reuse them. Since blood is difficult to remove, it was hard work to wash them by hand.
In the 1920s it finally became easier, and American companies instead introduced the idea of buying and throwing away pads. In Norway, Saba started manufacturing disposable pads after the war.
“It was their chance to make money off something that was actually seen as a taboo in society. Companies attracted customers by showing how women should exercise, eat and look their best during their menstrual cycle. The blood did not fit the image,” says the UiA researcher.
Røstvik points out that since menstruation was such a taboo subject, selling feminine hygiene products was itself a kind of activism. This caused feminists in the 1970s to start questioning the products.
“It is the first time that Norwegian activists rebelled and asked questions about the products. What is actually in them? Why do they cost so much? Why embellish the truth about what it is like to menstruate?”
Until the 1990s, Saba had an effective monopoly in Norway, which was later taken over by the Essity brand. Saba gradually became a symbol for Norwegians that it was actually possible to talk about sanitary pads, blood and menstruation.
Today, feminine hygiene products are a billion-dollar industry. According to a report from Markets and Markets, the market is projected to reach 27.7 billion dollars by 2025.
In the past, tampon manufacturers were typically male dominated. Røstvik says that in recent years there has been a tendency for more women to start their own businesses in this field.
“The new entrepreneurial culture expresses the same criticism that the feminists raised. Here, women dominate with products such as the menstrual cup and period pants. They are fed up with the big companies that are not actively developing and the uncertainty about what the sanitary products contain,” says the UiA researcher.
Today, the market is overflowing with better and more products. A ton of apps help you keep track of your cycle. And countries like Kenya and Scotland provide sanitary pads and tampons for free to the population.
Even though we have come a long way, Røstvik sees that issues related to women's health are not understood well enough.
“These products have made it easier to be active without risking bleeding through your clothes. But challenges related to menstruation have never received much attention. What is normal pain during menstruation? And when should you suspect a diagnosis of endometriosis?”
Endometriosis is a disease affecting women where tissue, similar to the tissue lining the womb, grows outside of the uterus. This causes severe pain during menstrual periods and can lead to fertility issues, according to Helsenorge.
Without sufficient knowledge, several studies show that having a period can become a traumatic experience.
“According to a Norwegian survey [abstract in English], the generation from 1890 to 1920 confirms that they thought they were going to die when they got their first period. And this is still happening. We still need better teaching and clear language about menstruation being blood,” says Røstvik.