Most affected women won't be aware of the condition until puberty, when their first period never comes.
Be it because of concerns over big femcare, landfill, cost, toxic ingredients or toxic shock syndrome, some menstruators seek solutions outside of the Kotex box. These are those choices.
A new book on puberty has explored why we find it so difficult to talk about puberty, and why we need to start talking about it earlier.
Girls who have their first period at a young age are more likely to experience poorer health as a adult, including an elevated risk of diabetes during pregnancy.