Last year, we sounded the alarm on period poverty with our groundbreaking, national CODE RED report on period poverty. To kick off 2025, we’re diving deeper into another urgent issue within the CODE RED data: the impacts of heavy menstrual bleeding (HMB).
HMB is a condition that significantly disrupts daily life yet is largely undiscussed and misunderstood due in large part to society-wide stigma, which contributes to dismissive attitudes and lack of awareness among some healthcare providers, further hindering access to effective care.
Our new CODE RED follow-up report further analyses fieldwork gathered by the researchers at Opinium to highlight the many consequences of HMB. It provides a closer look at how HMB impacts individuals and healthcare within the Netherlands. Beyond identifying the current scale of the problem, we also advocate for practical and systemic changes to support those affected by HMB.
Among the CODE RED research findings
Significant financial, social and health impacts
HMB leads to higher expenses for menstrual products, medications, and as shown in multiple studies, if unaddressed, means significant additional costs in health care for the individual and government. Our report shows that HMB significantly disrupts daily routines, from work and school to personal relationships, leading to feelings of shame and frustration. (for more information on symptoms and impacts and barriers, see our 2-page summary or the full report)
Barriers to seeking medical help
Despite the many negative impacts, our research shows that the percentage of individuals in the Netherlands seeking medical assistance remains low. Most – over half those with HMB – turned to people close to them for advice.
Despite the existence of guidelines for diagnosis and treatment of HMB, multiple recent research studies confirm misconceptions and lack of awareness among healthcare providers further hamper access to the care people need.
To address these challenges, we call for:
- Increasing awareness: Breaking the silence around HMB by normalizing conversations about menstruation in schools, workplaces, and media.
- Changing policy: Advocating for government support to improve access to menstrual products and needed healthcare services in the Netherlands.
- Improving training for medical providers: Ensuring healthcare providers in the Netherlands are equipped to recognize and treat HMB with empathy and expertise.
- Sharing practical resources: Our report includes an appendix with a user-friendly information sheet to help individuals navigate conversations with medical professionals.
Pushing back together against menstrual stigma for improved health for all
At Neighborhood Feminists, we believe that open, inclusive conversations about menstruation are the foundation of needed change. By shedding light on the hidden struggles of heavy menstrual bleeding, we’re taking another step toward a more equitable future for all menstruating individuals. Together, we can ensure that everyone has access to the care, understanding, and support they deserve.
Download full research report
Download the full CODE RED report PDF with the link below for an in-depth look at the data and actionable steps we recommend for policymakers, medical providers, and the general population.
Download 2-page summary
Prefer a quick overview?
Check out our 2-page CODE RED summary, which highlights the key insights and calls to action.
