1. Managing Menstruation and clearing myths and misconceptions: Deki and Rigzin LIFE SKILLS TEAM Prepared By: Mr. Tashi Namgyel

2. What is menstruation? Menstruation is the shedding of tissues and blood from the lining of the womb through a woman’s vagina. It is a monthly vaginal bleeding that women experience. It is made up of clean blood and tissues. It is natural. When it starts for the first time – it is called menarche.

3. How long does monthly bleeding last? It differs from woman to woman but normally it may be as short as two days and as long as a week (7 days). It depends on the health and diet of a woman.

4. What does it indicate? Menstruation indicates that a girl has become sexually mature. It means that she is ready to reproduce and if she has unprotected/unsafe sex, she will get pregnant and give birth. It means her body is ready to reproduce.

5. Back pain Heavy Bleeding Passing Clots Abdominal Pain Uncomfortable feeling Muscle cramps Mood swings Drowsiness/laziness It is natural to have the following during menstruation:

6. Suggestions for managing pain and cramps during menstruation: Use hot water bags. If the cramps are severe, the girl should consult the physician.. Adequate rest is necessary, especially for the first three days of heavy bleeding. Regular exercise helps reducing cramps and pains. Drink hot water/ tea/soup etc.

7. Important points to note during menstruation: Keep the genital area clean all the time, especially during menstruation otherwise it will lead to itching, infections, burning sensation and bad odor. Change sanitary napkins/clothes at least 3 to 4 times a day. If you are using a cloth, it should be washed properly with soap and well dried in the sun. To prevent inflaming due to rubbing, use powders and lotions to keep your skin safe.

8. Some of the common myths and misconceptions related to menstruation: Menstrual blood is unclean. She is not allowed to go to places of worship. She is not allowed to eat certain foods. She is not encouraged to bath. It’s a shameful thing. One should hide and feel embarrassed about it.

9. Here is a situation: Jigzin is in the middle of a math class. She feels uncomfortable and has abdominal pain. She feels her kira wetting. She then realizes she is having her period. What are the life skills she will use to make a right decision? What should she do?

10. Life Skills she needs to use are: Self awareness Coping with stress Coping with anxiety. Critical Thinking Creative thinking Decision making Effective communication and Problem solving.