Reproductive health conditions: girls and young women

Women and Equalities Committee Open Inquiry
Opened: 24 Jul 2025 Parliament page
The Committee is following up its previous work on women’s reproductive health, with a focus on better meeting the needs of girls and young women. It is assessing progress in diagnoses, treatments and pain management of conditions including endometriosis, adenomyosis and heavy menstrual bleeding.
29 Recommendations
14 Conclusions
1 Report
5 Oral sessions
5 Events
Oral evidence sessions 5 sessions
Women and Equalities Committee
Baroness Merron · Department of Health and Social Care Dr Sue Mann · NHS England Tabitha Jay · Department for Health and Social Care
Women and Equalities Committee
Dr Sue Mann · NHS England Professor Dame Lesley Regan
Women and Equalities Committe
Charlotte Porter · The College of Sexual and Reproductive Healthcare Kate Lancaster · Royal College of Obstetricians and Gynaecologists (RCOG) Professor Margaret Ikpoh · Royal College of General Practitioners Ruth Bailey · Women's Health Forum, Royal College of Nursing
Women and Equalities Committee
Chella Quint OBE Dr Aziza Sesay Dr Nighat Arif Dr Tori Ford · Medical Herstory Kerry Wolstenholme
Women and Equalities Committee
Dr Nandi Simpson · NHS Race and Health Observatory Emma Cox · Endometriosis UK Janet Lindsay · Wellbeing of Women Katharine Gale · Menstrual Health Coalition
Recommendations & Conclusions
43 results
1 Conclusion Acknowledged
12th Report – Menstrual health of …
We welcome the changes to the statutory guidance on relationships and sex education and health...
We welcome the changes to the statutory guidance on relationships and sex education and health education (RSHE). They are the crucial first step towards ensuring all girls have an adequate understanding of their menstrual cycle and know when and how … Read more
Government Response
The government welcomes the committee's comments on RSHE guidance, highlighting past training funding and a recently announced £2m for 2024/25 RSHE teacher training (focused on online harms/mental health, with menstrual health also considered). It states DfE will work with DHSC and stakeholders on training and resources, and notes the RSHE guidance is currently under review.
Government Equalities Office
View details
2 Recommendation Accepted in Part
12th Report – Menstrual health of …
The Government should encourage schools to use part of the RSHE grant funding to train...
The Government should encourage schools to use part of the RSHE grant funding to train teachers on the menstrual and gynaecological health elements of the curriculum. The Department for Education should work with the Department of Health and Social Care … Read more
Government Response
The government acknowledges the importance of effective RSHE delivery and commits for DfE to work with DHSC to ensure menstrual health is considered in further teacher training and resource development. It notes schools can continue using RSHE grant funding for this purpose, but doesn't explicitly commit to new encouragement for this use.
Government Equalities Office
View details
3 Conclusion
12th Report – Menstrual health of …
The new RSHE guidance on menstrual and gynaecological health needs to recognise the diversity of...
The new RSHE guidance on menstrual and gynaecological health needs to recognise the diversity of experiences of menstruation and menstrual health. Many, including Deaf BSL signers and children with learning disabilities, will also face communication barriers to effective menstrual education. … Read more
Government Equalities Office
View details
4 Recommendation Accepted
12th Report – Menstrual health of …
The Department for Education and the Department of Health and Social Care should work with...
The Department for Education and the Department of Health and Social Care should work with expert stakeholders to ensure the range of guidance being produced to support the introduction of the new RSHE curricula in September 2026 reflects the diversity … Read more
Government Response
The government accepts the recommendation, stating the DfE will work with expert stakeholders to develop guidance and resources for the updated RSHE curriculum (effective September 2026) to ensure it reflects diverse menstrual wellbeing experiences. The refreshed statutory guidance will be published for consultation later this year.
Government Equalities Office
View details
5 Recommendation Accepted
12th Report – Menstrual health of …
As part of the rollout of the updated RSHE curriculum, the Department for Education should...
As part of the rollout of the updated RSHE curriculum, the Department for Education should develop resources and guidance for teachers and other school staff to embed menstrual health awareness and support at a whole school level. That guidance should … Read more
Government Response
The government accepts the recommendation, committing the Department for Education to develop comprehensive resources and guidance for schools on menstrual and gynaecological health. This will include advice on period product access and embedding awareness at a whole-school level, to be in force by September 2026.
Government Equalities Office
View details
6 Recommendation Accepted
12th Report – Menstrual health of …
While take up of the period product scheme is high there are still some institutions...
While take up of the period product scheme is high there are still some institutions that have not engaged. The Government should seek to understand why some schools and colleges have not participated in the scheme and encourage them to … Read more
Government Response
The government accepts the recommendation, committing to investigate reasons for non-participation in the period product scheme and actively encourage engagement. It will also extend the scheme indefinitely and explore expanding access points beyond schools and colleges within the refreshed Women's Health Strategy.
Government Equalities Office
View details
7 Recommendation Accepted
12th Report – Menstrual health of …
Reports that access to school toilets is being restricted are troubling.
Reports that access to school toilets is being restricted are troubling. The Government should investigate the extent to which this is happening and request that school leaders take alternative approaches to tackling issues regarding discipline. (Recommendation, Paragraph 39) Read more
Government Response
The government accepts the recommendation, stating the DfE will investigate restricted school toilet access, work with school leaders to ensure appropriate access, and provide guidance encouraging alternative disciplinary approaches.
Government Equalities Office
View details
8 Conclusion Acknowledged
12th Report – Menstrual health of …
School nurses can play a crucial role in helping girls recognise menstrual problems and provide...
School nurses can play a crucial role in helping girls recognise menstrual problems and provide a necessary, early pathway to appropriate care. However, the school nurse system has seen a substantial overall reduction in funding over many years and is … Read more
Government Response
The government acknowledges the crucial role of school nurses and their under-resourcing, stating that the refreshed Women’s Health Strategy will aim to improve provision, and NHS England has committed to increasing school nurse numbers by 2030 as part of the Long Term Workforce Plan.
Government Equalities Office
View details
9 Recommendation Accepted
12th Report – Menstrual health of …
The renewed Women’s Health Strategy should include an aim to improve the provision of school...
The renewed Women’s Health Strategy should include an aim to improve the provision of school nurses, particularly in more deprived areas, where need is often greatest. Improving early access to care reduces the risk of symptoms worsening and the increased … Read more
Government Response
The government accepts the recommendation, stating the refreshed Women’s Health Strategy will aim to improve school nurse provision, especially in deprived areas. NHS England has already committed to increasing school nurse numbers by 2030, involving investment in recruitment, training, and retention.
Government Equalities Office
View details
10 Recommendation Accepted
12th Report – Menstrual health of …
We congratulate Wellbeing of Women on developing and rolling out its period symptom checker.
We congratulate Wellbeing of Women on developing and rolling out its period symptom checker. It is an excellent tool, which has the potential to be a major breakthrough in improving awareness and understanding of menstrual health problems and speeding up … Read more
Government Response
The government will provide a link to the Wellbeing of Women period symptom checker on the NHS England website by Summer 2024, subject to governance processes. NHS England has also begun work with Wellbeing of Women to explore options for including the checker within the NHS app's functionality.
Government Equalities Office
View details
11 Recommendation Accepted
12th Report – Menstrual health of …
Wellbeing of Women’s period symptom checker should be added to the NHS app.
Wellbeing of Women’s period symptom checker should be added to the NHS app. The Government should work with Wellbeing of Women to determine whether conditions in addition to heavy bleeding and pain, such as irregular bleeding, depression and anxiety, might … Read more
Government Response
The government agrees to add Wellbeing of Women’s period symptom checker to the NHS app, with NHS England having begun work with stakeholders to explore options. DHSC will also work with Wellbeing of Women to expand the conditions captured by the checker and will provide a link on the NHS website by Summer 2024.
Government Equalities Office
View details
12 Conclusion Accepted
12th Report – Menstrual health of …
The Government’s use of social media to disseminate engaging and accurate information and advice for...
The Government’s use of social media to disseminate engaging and accurate information and advice for girls and younger women on menstrual health has been poor. The 2022 Women’s Health Strategy talked ambitiously about raising awareness and understanding through social media. … Read more
Government Response
The government agrees on the vital role of social media in health information dissemination and states DHSC is currently developing a social media content plan for the Women’s Health Strategy, with updates to be provided in the annual report.
Government Equalities Office
View details
13 Recommendation Acknowledged
12th Report – Menstrual health of …
Countering women’s health misinformation through increased official and accurate social media content is vital and...
Countering women’s health misinformation through increased official and accurate social media content is vital and should be a key part of the renewed Women’s Health Strategy. The renewed Strategy must include a clear plan with measurable actions and targets to … Read more
Government Response
The government agrees social media is vital for health information and states DHSC is developing a social media content plan to promote the Women’s Health Strategy, with updates in the annual report. It also references the Online Safety Act and ongoing engagement with platforms to address online information suppression.
Government Equalities Office
View details
14 Recommendation Accepted in Part
12th Report – Menstrual health of …
The Government must improve NHS England’s processes for approving and publishing third-party health content.
The Government must improve NHS England’s processes for approving and publishing third-party health content. There is a growing number of expert healthcare professionals putting out accurate, engaging and helpful information on social media that merits wider publication and promotion via … Read more
Government Response
The government agrees on the importance of improving NHS England’s processes for third-party content but states the NHS already has a robust process, implying no further improvement is needed. It also commits to developing a social media content plan to promote the Women's Health Strategy, addressing the expansion of communication channels.
Government Equalities Office
View details
15 Conclusion Acknowledged
12th Report – Menstrual health of …
The suppression of vital online information about women’s health is a pressing issue, which requires...
The suppression of vital online information about women’s health is a pressing issue, which requires immediate action. The assurances provided to us by the Minister were inadequate. We do not share the Government’s confidence that the Online Safety Act 2023’s … Read more
Government Response
The government agrees on the vital role of social media in health information and is developing a social media content plan for the Women's Health Strategy. It maintains confidence in the Online Safety Act and Ofcom's future role in monitoring platform compliance, while also noting the NHS already has a robust process for third-party content.
Government Equalities Office
View details
16 Recommendation Acknowledged
12th Report – Menstrual health of …
The Government must hold social media platforms to account for inappropriate censorship of important women’s...
The Government must hold social media platforms to account for inappropriate censorship of important women’s health content. “Shadow banning” is unacceptable and must cease. Social media companies must 71 recognise the significant role they play in girls’ and women’s access … Read more
Government Response
The government agrees social media is vital for health information and mentions developing a social media content plan for the Women’s Health Strategy. It references the Online Safety Act and Ofcom’s role in monitoring platform compliance with duties regarding harmful content, and states it continues to engage with platforms to understand online information suppression.
Government Equalities Office
View details
17 Conclusion Acknowledged
12th Report – Menstrual health of …
FemTech apps such as period trackers have the potential to transform girls’ and women’s understanding...
FemTech apps such as period trackers have the potential to transform girls’ and women’s understanding of, and ability to advocate for, their menstrual health and wellbeing. The 2022 Women’s Health Strategy, however, was not sufficiently alert to the risks. These … Read more
Government Response
The government acknowledges the potential and risks of FemTech apps, stating it has commissioned NICE to develop evidence standards and MHRA to create a new regulatory framework. It commits to exploring increased resourcing for the NHS Innovation team and including digital health priorities in the Women's Health Strategy annual report.
Government Equalities Office
View details
18 Recommendation Accepted
12th Report – Menstrual health of …
The Government should set out in the renewed Women’s Health Strategy a rigorous approach to...
The Government should set out in the renewed Women’s Health Strategy a rigorous approach to tackling the risks from ineffective, unsafe and exploitative for-profit FemTech apps. To combat demand for these apps the Government must increase resourcing of the NHS’s … Read more
Government Response
The government accepts the recommendation, commissioning NICE to develop FemTech evidence standards and MHRA to create a new regulatory framework for software as a medical device. DHSC and NHSE will explore opportunities to strengthen the NHS Innovation team's capacity, and the refreshed Women's Health Strategy annual report will include priorities for digital health functionality like period trackers.
Government Equalities Office
View details
19 Conclusion Accepted
12th Report – Menstrual health of …
Dismissal of women’s period problems and the normalisation of period-related pain in primary care is...
Dismissal of women’s period problems and the normalisation of period-related pain in primary care is now recognised as a concern by the healthcare sector. However, there is little evidence of systemic improvement. Young women and girls are still reporting their … Read more
Government Response
The government acknowledges the concerns regarding the dismissal of women's period problems in primary care and commits to systemic improvement. It will ensure the refreshed Women's Health Strategy annual report includes an objective with clear actions, and DHSC/NHSE will develop a comprehensive training programme for primary care practitioners, including exploring funding mechanisms for dedicated training time.
Government Equalities Office
View details
20 Recommendation Accepted
12th Report – Menstrual health of …
The renewal of the Women’s Health Strategy must include an objective accompanied by clear actions...
The renewal of the Women’s Health Strategy must include an objective accompanied by clear actions to improve the level of awareness among all primary care practitioners of menstrual health conditions, including that symptoms can begin at puberty. This will require … Read more
Government Response
The government agrees to include an objective with clear actions in the refreshed Women’s Health Strategy annual report to improve primary care practitioners' awareness of menstrual health. DHSC and NHSE will develop a comprehensive training programme, explore funding mechanisms, and ensure practitioners have the necessary time and resources, with a clear plan and timeline for implementation.
Government Equalities Office
View details
21 Recommendation Accepted
12th Report – Menstrual health of …
We were dismayed to learn that training modules in menstrual and gynaecological health for nurses...
We were dismayed to learn that training modules in menstrual and gynaecological health for nurses are very limited and typically undertaken only by those who choose to “specialise” in women’s health. Nurses are at the frontline of sexual and reproductive … Read more
Government Response
The government accepts the recommendation, agreeing that all nurses should have solid menstrual and gynaecological care training. It commits to working with the Royal College of Nursing and stakeholders to include menstrual health in standard nurse training, reviewing curricula, and developing new modules, with a clear plan and timeline to be included in the Women’s Health Strategy annual report.
Government Equalities Office
View details
22 Recommendation Accepted
12th Report – Menstrual health of …
The Government must work with the Royal College of Nursing to ensure that menstrual health...
The Government must work with the Royal College of Nursing to ensure that menstrual health is included in the standard training offer for all nurses. The renewed Women’s Health Strategy must include this as an objective together with a clear … Read more
Government Response
The government agrees to work with the Royal College of Nursing and other stakeholders to include menstrual health in standard training for all nurses. This objective, along with a clear plan and timeline, will be included in the refreshed Women’s Health Strategy annual report.
Government Equalities Office
View details
23 Conclusion
12th Report – Menstrual health of …
Discriminatory attitudes and assumptions about the pain tolerances of women from some racial and ethnic...
Discriminatory attitudes and assumptions about the pain tolerances of women from some racial and ethnic minority groups, particularly Black women, persist. This is wholly unacceptable. Racial discrimination by healthcare professionals must be vigorously rooted out. It is deeply disappointing that … Read more
Government Equalities Office
View details
24 Conclusion
12th Report – Menstrual health of …
Girls and young women with disabilities and sensory impairments face additional barriers to menstrual wellbeing.
Girls and young women with disabilities and sensory impairments face additional barriers to menstrual wellbeing. Taboos around periods are compounded by those around disability. Disabled and Deaf girls’ period- related needs are routinely ignored or dismissed. We were shocked to … Read more
Government Equalities Office
View details
25 Recommendation
12th Report – Menstrual health of …
The Government must work with the health and care sectors’ professional bodies to improve health...
The Government must work with the health and care sectors’ professional bodies to improve health and social care practitioners’ understanding of the menstrual wellbeing needs of young disabled and Deaf women. The needs of this group were underrepresented in, and … Read more
Government Equalities Office
View details
26 Conclusion
12th Report – Menstrual health of …
The renewed Women’s Health Strategy should include a specific objective on improving the menstrual wellbeing...
The renewed Women’s Health Strategy should include a specific objective on improving the menstrual wellbeing of disabled and Deaf girls and young women. This should include provision of information and advice in suitable formats, including in Easy Read for girls … Read more
Government Equalities Office
View details
27 Conclusion
12th Report – Menstrual health of …
There has been long-overdue progress towards tackling the problem of painful gynaecological procedures such as...
There has been long-overdue progress towards tackling the problem of painful gynaecological procedures such as hysteroscopies and some intrauterine device contraceptive coil fittings. The relevant guidelines from the Royal College of Obstetricians and Gynaecologists and the College of Sexual and … Read more
Government Equalities Office
View details
28 Conclusion
12th Report – Menstrual health of …
We are partly reassured by the evidence of NHS England’s National Clinical Director for Women’s...
We are partly reassured by the evidence of NHS England’s National Clinical Director for Women’s Health that the renewed Women’s Health Strategy for England will include measures on ensuring women have sufficient information in advance of procedures to make informed … Read more
Government Equalities Office
View details
29 Recommendation
12th Report – Menstrual health of …
We urge the NHS to record the pain history of women undergoing procedures so that...
We urge the NHS to record the pain history of women undergoing procedures so that their needs can be prepared for. The NHS should be able to anticipate that someone who has previously struggled, for example with a smear test, … Read more
Government Equalities Office
View details
30 Recommendation
12th Report – Menstrual health of …
Additional support for women undergoing painful procedures comes at a cost but is a price...
Additional support for women undergoing painful procedures comes at a cost but is a price that must be paid. The Government should recognise this increase in costs in its allocation of funding to providers such as sexual health services. Women … Read more
Government Equalities Office
View details
31 Conclusion
12th Report – Menstrual health of …
We have expedited this Report because we were not convinced by the Government’s evidence that...
We have expedited this Report because we were not convinced by the Government’s evidence that its forthcoming renewal of the Women’s Health Strategy for England will be adequate to address the fundamental issues in girls’ and young women’s menstrual healthcare, … Read more
Government Equalities Office
View details
32 Recommendation
12th Report – Menstrual health of …
As much as we want to see progress, the Government must not rush out an...
As much as we want to see progress, the Government must not rush out an inadequate strategy, which does not properly set out how it aligns and interacts with wider health sector reforms. A renewed Women’s Health Strategy must be … Read more
Government Equalities Office
View details
33 Recommendation
12th Report – Menstrual health of …
Implementation of the 10-year Health Plan for England alongside a renewed Women’s Health Strategy could...
Implementation of the 10-year Health Plan for England alongside a renewed Women’s Health Strategy could be a turning point in how women and girls experience menstrual healthcare in this country, but the strategies must be clearly aligned and include clear … Read more
Government Equalities Office
View details
34 Recommendation
12th Report – Menstrual health of …
We are concerned that the ongoing merger of NHS England into the Department of Health...
We are concerned that the ongoing merger of NHS England into the Department of Health and Social Care poses risks to delivery of a renewed Women’s Health Strategy for England. The Government must ensure that 75 it retains the capacity … Read more
Government Equalities Office
View details
35 Recommendation
12th Report – Menstrual health of …
85% or more of women on elective gynaecology hospital waiting lists do not need to...
85% or more of women on elective gynaecology hospital waiting lists do not need to be there because there are effective treatments for their symptoms, which could be administered in primary or community-based care, if only they could access them. … Read more
Government Equalities Office
View details
36 Conclusion
12th Report – Menstrual health of …
The fragmented commissioning system for long-acting reversible contraception (LARC) is preventing many women from accessing...
The fragmented commissioning system for long-acting reversible contraception (LARC) is preventing many women from accessing LARC, which can be an effective treatment for menstrual problems. The current system results in many women being added unnecessarily to huge elective gynaecology waiting … Read more
Government Equalities Office
View details
37 Recommendation Accepted
12th Report – Menstrual health of …
The renewed Women’s Health Strategy must include increasing access to long-acting reversible contraception (LARC) as...
The renewed Women’s Health Strategy must include increasing access to long-acting reversible contraception (LARC) as a top priority. There must be a shift across the healthcare system to view LARC as a tool for menstrual health management, not only for … Read more
Government Response
The government accepts the recommendation, stating the refreshed Women’s Health Strategy (due early 2025) will prioritize improved access to LARC and explore integrating LARC into broader women's health services, aiming to shift its perception beyond just contraception.
Government Equalities Office
View details
38 Recommendation Accepted
12th Report – Menstrual health of …
A key success of women’s health hubs is that they have facilitated co- commissioning of...
A key success of women’s health hubs is that they have facilitated co- commissioning of long-acting reversible contraception (LARC) by public authority sexual health services and NHS services. This can be an effective workaround for a dysfunctional LARC commissioning system … Read more
Government Response
The government accepts the recommendation, stating the refreshed Women’s Health Strategy (due early 2025) will focus on improved LARC access and explore ways to further integrate LARC provision into broader women’s health services, supporting expansion of women's health hubs.
Government Equalities Office
View details
39 Recommendation Rejected
12th Report – Menstrual health of …
We strongly disagree with the Minister’s argument that further ringfenced funding to support NHS Integrated...
We strongly disagree with the Minister’s argument that further ringfenced funding to support NHS Integrated Care Boards to maintain and develop women’s health hubs is unnecessary. The implementation of women’s health hubs is not complete. There are inconsistencies in provision, … Read more
Government Response
The government rejects the call for additional ringfenced funding for women’s health hubs, arguing that ICBs are best placed to allocate resources and further ringfencing would limit flexibility. It notes existing investment and a renewed commitment to hubs in the refreshed Women's Health Strategy.
Government Equalities Office
View details
40 Recommendation Accepted in Part
12th Report – Menstrual health of …
We are concerned that women’s health hubs have not been specified in the 2025/6 operational...
We are concerned that women’s health hubs have not been specified in the 2025/6 operational planning guidance. There is a high risk that without a central requirement to deliver women’s health hubs, and with Integrated Care Boards (ICBs) required to … Read more
Government Response
The government partially accepts the recommendation to protect women's health hubs and prevent service rollbacks. It commits to a renewed national commitment to hubs and increased accountability in the refreshed Women's Health Strategy but rejects additional ringfenced funding, believing Integrated Care Boards are best placed to allocate resources.
Government Equalities Office
View details
41 Recommendation Accepted in Part
12th Report – Menstrual health of …
The renewed Women’s Health Strategy should include a refreshed national commitment to women’s health hubs...
The renewed Women’s Health Strategy should include a refreshed national commitment to women’s health hubs across England. We recommend the Government invest at least the same amount as in 2023–25 (£25 million) in ringfenced Integrated Care Board funding for women’s … Read more
Government Response
The government partially accepts the recommendation, committing to a renewed national commitment to women’s health hubs in the refreshed Women's Health Strategy, with a focus on extending benefits and increasing accountability. However, it rejects additional ringfenced funding for hubs beyond existing investment, deferring resource allocation to Integrated Care Boards.
Government Equalities Office
View details
42 Recommendation Accepted
12th Report – Menstrual health of …
The renewed Women’s Heath Strategy should set out ambitions for increased research into menstrual health...
The renewed Women’s Heath Strategy should set out ambitions for increased research into menstrual health conditions, with specific targets and actions that will incentivise funders, industry and clinical academia to prioritise this area. Such research should focus on the root … Read more
Government Response
The government accepts the recommendation, committing to set ambitious targets and actions in the refreshed Women's Health Strategy to incentivise increased research into menstrual health conditions, including root causes and improved diagnosis and treatment. It will also explore dedicated research for adolescent girls and ringfenced funding for specific research areas.
Government Equalities Office
View details
43 Recommendation Accepted
12th Report – Menstrual health of …
A substantial increase in research into menstrual health conditions is long overdue and would represent...
A substantial increase in research into menstrual health conditions is long overdue and would represent a huge stride forwards in recognising the impacts these conditions have on the lives of women and girls. However, as this inquiry has shown, better … Read more
Government Response
The government accepts the recommendation, acknowledging the urgent need for increased research into menstrual health conditions and existing investments of over £50 million. The refreshed Women’s Health Strategy will set ambitious targets, address wider barriers to diagnosis and treatment for specific groups, and focus on improving healthcare access and education.
Government Equalities Office
View details
Government Response AI assessment · 28 of 29 classified

Total 29 recs + 14 conclusions