Menstrual Hygiene Day Menstrual Hygiene Day Menstrual Hygiene Day (MHD, MH Day in short) is an annual awareness day on May 28 to highlight the importance of good menstrual hygiene management (MHM). It was initiated by the German-based NGO WASH United in 2014 and aims to benefit women and girls worldwide. The 28th was selected to acknowledge that 28 days is the average length of the menstrual cycle. In low-income countries, girls’ choices of menstrual hygiene materials are often limited by the costs, availability and social norms. Adequate sanitation facilities and access to feminine hygiene products are one part of the solution. Creating
Anovulatory cycle In other cases, menstruation may be fairly regular (eumenorrhea), or more frequent (intervals < 21 days), or there may be a loss of menstrual pattern (menorrhagia, dysfunctional uterine bleeding). Normal menstrual bleeding in the ovulatory cycle is a result of a decline in progesterone due to the demise of the corpus luteum. It is thus a progesterone withdrawal bleeding. As there is no progesterone in the anovulatory cycle, bleeding is caused by the inability of estrogen — that needs to be present to stimulate the endometrium in the first place — to support a growing endometrium. Anovulatory bleeding is hence