Is Period Blood the Breakthrough Women’s Health Has Been Waiting For?
Every month nearly two billion people around the world menstruate, with about six tablespoons of menstrual blood leaving each person’s body over the course of three to seven days. And we throw it all away. What a growing number of researchers believe is that those discarded tampons and pads contain precious information. Menstrual blood—or effluent, as it’s referred to in medical literature—contains unique information about our health that no other bodily fluid can share.
In addition to blood, effluent contains lining of the uterus and secretions from the vagina and cervix, along with stem cells. Studies have found that menstrual blood has over 1,000 distinct proteins, 385 of which are not found in any other blood. “There’s a whole host of potentially really important information about the health of the uterus itself and also our body’s broader health and wellbeing,” says Gemma Sharp, PhD, a professor of epidemiology at the University of Exeter in England and director of the Menarche Menstruation Menopause and Mental Health Consortium. Sharp is part of a team of researchers building a large menstrual fluid biobank as part of a wider program trying to identify the causes of and better treatments for heavy menstrual bleeding.
Sharp’s ambition to work in menstrual health was driven largely by the fact that it’s been overlooked in research, clinical practice, and by society for so long. “I was really interested to find out why that is,” says Sharp. “There’s just this huge clinical gap because we haven’t been doing this type of research before.” Part of that is simply due to health care’s male-centric baseline. Women were frequently excluded from clinical trials done before 1993 (when the National Institute of Health’s Revitalization Act mandated their inclusion in future federally-funded studies) so how treatments, medications, and diseases impact women writ large has only been studied for just over three decades. Which means there’s a lot of catching up to do.
Another hurdle for menstrual research specifically is the lack of education around menstruation, even among doctors. Ridhi Tariyal is the co-founder of NextGen Jane, an Oakland-based women’s health care and biotech company that has been collecting health information via mailed-in, menstrual-blood soaked tampons. When she was first pitching her idea to a male oncologist, she quickly realized that she would also have to explain the nuances of menstruation. “The oncologist was really excited about the idea and said, ‘OK, so you’re going to use the tampon that a woman puts in her body at the beginning of her period and takes out at the end and sequence it,’” says Tariyal. “I remember replying flatly, ‘actually, there’s not just one tampon during a period, we change it every few hours.’ And he was like, ‘really?’ This was a great doctor and a smart scientist, but neither his lived experience nor his medical school training gave him any knowledge about the menstrual regimen.”
Finally, there’s the ick factor. Our collective belief that menstrual blood is somehow grosser than other blood is deeply entrenched. “It has always had a social stigma,” says Christine Metz, PhD, the head of medicinal biochemistry and a professor at the Feinstein Institute for Medical Research. “I don’t know of any culture other than the indigenous population that embraces menstrual blood. Everyone else says, ‘we don’t talk about that stuff.’”
As anyone who has walked to a public restroom with a tampon tucked into their shirt sleeve knows, periods are often shrouded in shame. The “curse of blood,” as Carrie’s religious fanatic mother calls it in the 1976 film (that just got a reboot on Amazon Prime), is painted as revolting and sinful, and eventually, come prom night, leads to rage and destruction; exaggerated for maximum horror movie shock value but also, frankly, relatable. Less than a decade after Carrie’s blood-soaked prom, the word period would be uttered for the first time on TV in a Tampax commercial (set in a high school locker room) by a pre-Monica-fame Courtney Cox. Then it trickled into the occasional television and movie plotline, most often as a marker of the shift away from childhood—Rudy and Darlene got theirs on The Cosby Show and Roseanne, and Vada in My Girl, has to be convinced she’s not hemorrhaging to death—and sometimes, regrettably, as a gross-out vehicle (see Superbad).
Period portrayals have come a long way in recent years, from Broad City’s period pants to Turning Red’s metaphorical red panda. Period products have evolved dramatically too (there’s underwear and cups and cycle support from brands like The Period Company, Thinx, Looni ,and Cora) and so has our cultural perception—a few decades ago, the notion of free bleeding the London marathon would have been unfathomable. While the stigma has not entirely disappeared, and there remain huge gaps in menstrual education and period poverty worldwide, we may be more ready than ever to unlock menstrual blood as a key to women’s health. Metz always saw it as an amazing tool and biological specimen that had just been completely ignored. “We study spit, we study poop, we study urine,” she says. “Nobody’s studying menstrual blood.”
Right now there are two groups talking a lot about menstrual blood: Scientists eager to understand health conditions that exclusively or disproportionately impact women, and fem-tech start-ups eager to capitalize on a potential new diagnostic tool. The first person to stumble upon that potential wasn’t working in women’s health, but crime scene investigations: a forensic scientist named Donald Siegel who was employed at the time by New York City’s Office of the Chief Medical Examiner. Back in 2012, scientists in that office were trying to find a way to disprove “the menstrual blood defense.” “People would claim it was not blood, but menstrual blood at a crime scene,” says Tariyal. As in, “The blood stains all over my apartment aren’t from a violent crime, just free bleeding”—it’s a defense that comes up more than you might think. Those early studies were trying to find a way to differentiate menstrual from systemic blood samples.
Once the difference (those aforementioned hundreds of unique proteins) was established by Siegel and his fellow researchers, scientists began to zero in on what else menstrual blood could reveal. “The next question became, is there anything you could pick up in whole blood, with normal lab tests, that you could more conveniently pick up in menstrual blood,” says Tariyal. The earliest answer to that was hemoglobin A1C, which is used to track diabetes. Typically, a patient with diabetes has to have their blood tested twice a year (four times if the disease is not stable or being actively managed), either by venous blood draw or at-home fingerstick tests.
Qvin, a California-based health tech company founded in 2014 by Dr. Sara Naseri and Soren Therkelsen, was the first to capitalize on menstrual blood as a diagnostic tool, commercializing a pad (called a Q-pad) with a removable collection strip that could be mailed in for evaluation. Their Q-pad received FDA approval in 2024 to measure and monitor hemoglobin A1C levels using menstrual blood to track blood sugar in those with diabetes or prediabetes.
While Qvin demonstrated what was possible with menstrual blood, they didn’t necessarily address an acute pain point or make anything more convenient. (A finger prick at home is arguably less hassle than putting your bloody menstrual pad in the mailbox.) Creating a different way to gather health information, while interesting, isn’t exactly electrifying science, says Tariyal. What may be more compelling, though, is HPV testing using menstrual blood; currently, testing requires an in-person evaluation with a speculum which many are uncomfortable with. Qvin has now pivoted to HPV and their diagnostic pads for that disease have already received approval from Thailand’s Food and Drug Administration.
Much of the current wave of research focuses on what menstrual blood can tell us about our reproductive organs and the conditions specific to that area of the body. “Menstrual blood is distinct in that it’s a proxy for the endometrium, the innermost lining of the uterus, so we get insights into the uterus itself,” says Irma Vlasac, a researcher in the Geisel School of Medicine at Dartmouth, adding that some research has shown that there are even immune cells specific to the uterus. “In conditions such as endometriosis and reproductive tract cancers, menstrual effluent may help us gain better insights than traditional blood samples.”
Inflammation, which plays a significant role in a number of gynecological ailments, is something that Metz has focused on for her entire career. In the mid-’90s, interested in how the cells that line the blood vessels of the endometrium and myometrium respond to inflammation, she would have to go over to labor and delivery to get umbilical cords. Then she thought of menstrual blood. Because it has unique biomarkers (like urocortin 3, a protein involved in inflammation), creating a bank of samples has given Metz’s team a singular lens into what’s happening in the uterus—and potentially an invaluable diagnostic tool.
For Xella Health co-founder and CEO Kelly Lacob, whose background is in health tech and diagnostics, menstrual blood’s diagnostic value was top of mind when approaching her new venture, which she describes as “precision health care” and “concierge care delivery” for women. In other words, it’s a private telehealth company that uses patients’ lab results to recommend treatment plans for a wide range of conditions (cancer, cardiovascular disease, B12 deficiency) and life stages (trying to get pregnant, navigating perimenopause). Xella costs $499 per year for a standard membership or $949 if you want more management of active conditions. Right now, the company is still relying on venous blood draws, so subscribers need to go to a local lab, like Quest
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31 of October 2026