When a trans man has his period

Summary

Trans men in Nepal continue to face exclusion from menstrual health services, school curricula and clinical care despite legal recognition of transgender identities. A recent National Assembly resolution calls for inclusive legal frameworks, but the required Act and policy changes have yet to be drafted.

Key Points
  • Milan Chhetri and Nishant Jha describe how menstruation and gender identity intersect with stigma, lack of healthcare support and social exclusion in Nepal.
  • Nepal’s menstrual health system and related laws were built around women and girls, leaving trans men largely invisible in policy, schools and clinics.
  • A 2025 National Assembly resolution called for legal frameworks that recognize all menstruators, but the government has not yet drafted the required Act.
  • Advocates and health workers say curricula, clinical training and public facilities still need major changes to become inclusive.
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