Menstrual hygiene is an essential yet often neglected public health issue,

particularly within university environments. This study explores how female

students at the University of Colombo manage their menstrual hygiene, the

challenges they face, and the broader health and environmental impacts, through

a medical geographical lens. The research set out to understand students’

perceptions, examine the types of menstrual products they use and their attitudes

toward them, assess the health and environmental effects of these practices, and

suggest practical, sustainable solutions. Data were collected from 130

questionnaires and 52 interviews across all academic years. Results revealed a

strong reliance on single-use sanitary pads, with 94% of students using them and

only 6% choosing reusable options. Eva (48%) and Fems (40%) were the most

preferred brands. Many students experienced health concerns like irritation,

inflammation, and allergies. Most changed pads three times a day, with monthly

costs ranging between Rs. 270 and Rs. 700 often a burden for students living away

from home. Alarmingly, 76% said they lacked proper menstrual hygiene education,

and 51% felt the university’s Youth Wellness Center services needed improvement.

The study calls for better awareness programs, affordable sustainable alternatives,

and improved hygiene facilities on campus.