Full, free, and informed: defining and operationalising informed choice for menstrual supplies

Informed choice is a cornerstone of bodily autonomy and dignity, yet remains underdeveloped in menstrual health programmes and markets, particularly in low- and middle-income countries. Currently, menstruation-related stigma and gaps in access, availability, and education constrain individuals' ability to choose menstrual supplies that best suit their needs. This article proposes a gender-transformative definition of informed choice for menstrual supplies, adapted from the "full, free, and informed" framework widely used in family planning. Informed choice for menstrual supplies means having access to the broadest possible range of supplies, the freedom to choose without stigma or coercion, and access to accurate, unbiased information. The range of menstrual supplies should include single-use and reusable products, contraception, pain relief, and supportive items. Pathways for operationalising this framework in both commercial and free distribution settings are explored, with recommendations for expanding choice, addressing systemic barriers, and improving menstrual literacy. Ultimately, enabling full, free, and informed choice in menstrual health can improve individual health outcomes, reduce stigma, enhance equity, and foster well-functioning markets responsive to the needs of all who menstruate.