Climate Change Hits Hard—Even on Your Cycle

At first glance, climate change and equitable access to menstrual products may seem unrelated. Climate change is a global crisis driven by greenhouse gas emissions from daily activities such as driving cars, using plastic-based products, and raising livestock. Since pre-industrial times, the Earth’s average temperature has risen by about 1.2°C, and scientists warn it could surpass 1.5°C in the 2030s. The consequences are already visible: hotter summers, shifting rainfall patterns, and more frequent and destructive natural disasters. Simultaneously, menstrual equity remains a pressing concern. According to the American Academy of Pediatrics, 1 in 3 U.S. teens experiences “period poverty,” or the lack of reliable access to safe menstrual products. For many young people, schools, doctors’ offices, and local grocery stores are their primary sources of these products. 

Climate change threatens these access points. Natural disasters can interrupt supply chains, floods or storms can close schools and clinics, and heat-related stress can influence reproductive health outcomes. Research also suggests that climate-related stress and extreme heat can physically disrupt menstrual cycles, adding another layer of vulnerability. While many factors influence what menstrual products are bought, the most common, and often cheapest menstrual products, often carry the highest carbon footprint. While many factors influence what products someone may choose,  What may appear to be two separate issues — climate change and menstrual equity — are deeply connected. Without intervention, a warming planet will make it even harder for young people to access safe, affordable, and sustainable menstrual products.

Looking closer, climate change’s impacts on menstrual products are complex and far-reaching. Physically, climate change can exacerbate existing stressors on the body, leading to disruptions in normal menstrual cycles. For example, extended periods of extreme heat have been shown to change hormonal balances, specifically amplifying endocrine disorders and UTIs. Focusing on indigenous peoples’ testimony, insufficient water access during unpredictable rain cycles can affect menstrual hygiene practices. In tandem, intensive disasters like hurricanes, frequent flooding, or forest fires impact supply chains and people’s access to distribution areas. When seeking shelter, menstrual products are often a limited and overlooked resource – food and medication take prominent attention. Just as important, improper menstrual products can cause infections and may worsen a person’s mental health from social stigma. From a health and logistical perspective, climate change worsens menstrual product access by disrupting a person’s health and hindering community access during a crisis event.

Tangentially, single-use, plastic-based menstrual products like tampons and pads remain the most popular choice worldwide. Decades of branding, education, and refinement have made products like tampons and pads safe – and often desirable – compared to unsanitary methods. Nevertheless, the greenhouse gas emissions, coupled with plastic waste, make menstrual products an environmental concern as well. Over the course of a year, single-use menstrual products emit 20 pounds of greenhouse gases during production and transportation – equivalent to charging a phone over 1000 times! In addition, once disposed of, a product like a tampon or a pad is nonbiodegradable; it can take 500-800 years for a single product to fully decompose. As a necessary health product, menstrual products are intensive on the environment during manufacturing, transportation, and in a landfill. While not the largest contributor, continuing to use unsustainable menstrual products slowly contributes to worldwide climate change.

While separate issues, climate change directly impacts local communities and people’s access to sanitary menstrual products. From ongoing health impacts, intensive natural disasters, supply chain disruptions, and single-use products environmental toll, menstrual products are in a catch-22. Nevertheless, sustainable options are more readily available than ever before! Products like menstrual cups are reusable items that are inserted into the canal and can be rewashed for multiple uses. Further, biodegradable pads and tampons are becoming market staples – even if it has a price premium. Resources like the Good Shopping Guide (here) or getting involved in initiatives like the Pad Project (here) can help make a difference too! Regardless, it is important when picking menstrual products, you pick the ones that are best for you – both healthfully and personally. Whether it is a reusable cup or single-use item, ensuring everyone has access to menstrual products is vital. We can change the system, whether by voting with our dollar, pressing companies vocally to change, or working to ensure everyone has access to menstrual products.

Click here to read Laila’s personal story about choosing a birth control method.

References

American Academy of Pediatrics. 2020. “Period Poverty Research Finds 1 in 3 Teens Lack Access to Menstruation Products.” Aap.org. 2020. https://www.aap.org/en/news-room/news-releases-from-aap-conferences/period-poverty-research-finds-1-in-3-teens-lack-access-to-menstruation-products/?srsltid=AfmBOoo8Go8K_pjStrWigCEN4C9xOVJQIMhSb5lyZxKHBMJJIYdyiU0V.

Muralidharan, Arundati, Marije Broekhuijsen, Lady Lisondra, Aeka Guru, Jacquelyn Haver, and Sidra Irfan. 2025. “The Ripple Effect: Impacts of Climate Change on Menstrual Health and Paths to Resilience.” Frontiers in Global Women S Health 6 (April). https://doi.org/10.3389/fgwh.2025.1569046.

Parnian Khorsand, Sara Dada, Laura Jung, Siufung Law, Poorvaprabha Patil, Marie-Claire Wangari, Omnia El Omrani, and Kim van Daalen. 2023. “A Planetary Health Perspective on Menstruation: Menstrual Equity and Climate Action.” Planetary Health 7 (5): e347–49. https://doi.org/10.1016/s2542-5196(23)00081-5.

Yasemin Hamlaci Baskaya, Nazlı Unlu Bidik, and Busra Yolcu. 2024. “The Effect of Level of Anxiety about Climate Change on the Use of Feminine Hygiene Products.” International Journal of Gynecology & Obstetrics 165 (3): 1158–66. https://doi.org/10.1002/ijgo.15324.

Eco-Friendly Sneezes and Green Wheezes: Navigating Health in a Changing Climate

Hello, beautiful faces and people!

First off, happy Earth Day! I am Nicholas J. Mertens, an undergraduate student in environmental studies and political science from Minneapolis, Minnesota. I also go by “Nick” or “Ringo” if you ever meet me in person! Nevertheless, I am currently visiting “the land down under”, writing from my fifth country this year, in Australia! I have also conducted qualitative research in Dubai, UAE; Istanbul, Turkey; Nassau, The Bahamas; and soon Baku, Azerbaijan; and next summer, I will be working in Washington D.C.! I have traveled worldwide for the last two years, studying climate change, private investment, and its intersectional relation with many industries — like healthcare. While lesser known, healthcare and climate change have become so inextricably linked with equitable healthcare. Many communities in the U.S. and worldwide are at greater risk from changing climate: whether it’s increased respiratory diseases from construction, increased exposure to toxic chemicals from overconsumption, or increased risks of heat-related diseases for people who are immunocompromised. Further, as a person with Crohn’s Disease, I take it as my duty to shine light on intersectional environmental and healthcare policy.

Selfie of Nick

A selfie of Nick in front of a waterfall Mount Field National Park and UNSECO World Heritage site in Tasmania, Australia.

Before delving into healthcare and environmental jargon, understanding the beginnings of Earth Day is essential. The motivation to start Earth Day was derived from several environmental developments during the 1960s: Rachel Carson’s environmentalist book Silent Spring, The Ohio Cuyahoga River Fire in 1969, and a disastrous 1969 oil spill in Santa Barbara, California. In each example, people’s health were consistently jeopardized, and further exacerbated if they were suffering from an autoimmune condition. Silent Spring was first denied by big companies, and highlighted the constant use of pesticides that killed numerous animals and gave fatal health conditions to humans — including liver disease and seizures. Further, The Cuyahoga River Fire and Santa Barbara oil spill caused petroleum and other industrious chemicals to runoff into aquifers, impacting lower-income areas prone to health impacts from worse water treatment. While the “Big 3” events emphasized a need for change, numerous smaller environmental disasters inspired activists to advocate for a designated holiday. Action was finally reached when Senator Gaylord Nelson (WI) saw the Santa Barbara oil spill, stretching over 500 miles along the California coast. Teaming up with activists and educators, Senator Nelson authored the bill to start Earth Day on April 22, 1970.

Following its inception, Earth Day has ballooned into a worldwide phenomenon. When it was first celebrated in 1970, over twenty million people, from university students to senior citizens, organized events, rallies, and lectures to spread sustainability awareness. Further, several Canadian and American community leaders championed the day for local awareness and impact. Today, April 22, is recognized as Earth Day by every country in the United Nations. Further, over 4 billion people annually participate in earth-related events of some nature. Earth Day is no longer “just about pollution”, but encompasses all parts of intersectionality: the physical environment, climate change, our own identities, and potential barriers to equitable success. Earth Day has permeated borders and become a rallying cry for intersectional, equitable change in the ongoing climate crisis.

A photo that Nick took of an ocean, mountain, and clouds in Pirates Bay, Tasmania.

In my own experiences, the relationship between healthcare and climate is not discussed enough. In the U.S., we have already seen climate change impact health nationwide. For the last five summers, our forest fire season has been prolonged and exacerbated by ongoing drought, heightened temperatures, and shifting wind patterns. Many states have experienced at least two weeks of Air Quality Index (AQI) levels above 150 — a value that designates unhealthful conditions for the general population. Some areas, most famously Buffalo, New York, and my home of Minneapolis, Minnesota, faced smoke so severe some days that sunlight couldn’t reach the ground. Because of these conditions, people with respiratory conditions, like asthma, are encouraged to wear an N-95 mask to dilute particulate matter. The smoke matter is dangerous, as it can cause scarring in lung tissue or diffuse into the bloodstream. While some people can travel to areas less affected by fire smoke, most are forced to remain in their housing or continue work outside.

In addition to respiratory conditions, more significant temperature fluctuations can place greater stressors on local healthcare systems — especially hotter temperatures. Last summer, many areas in the Southern U.S. experienced record-breaking temperatures. In Phoenix, Arizona, the city experienced a running streak of over 20 days with temperatures above 100 degrees Fahrenheit. Further, several communities in New Mexico, Nevada, and Texas faced scorching heat without access to air conditioning or cool liquids. The consecutive heat-waves contributed to a significant rise in hospitalizations. In addition, for people who are not used to extended periods of high heat, this can cause stress on immune responses. Conversely, cold snaps (polar vortexes) are less common than they were two decades ago. Still, their extremely low temperatures are colder than similar examples from the 1990’s.

A photo that Nick took of a sunset with clouds from Perth in Western Australia.

Specifically in the northern U.S., inaccessible heating can cause hypothermia and frostbite. Amongst the immunocompromised and elderly, the impacts from cold-related injury are heightened compared to healthy, young individuals.

From my experiences, traveling in the U.S. and abroad, a changing climate has impacted my health. Last summer, I had to work outside during the horrific wildfires in Northern Canada. Somedays, I was stationed outside for ten hours with an AQI above 200 — where the CDC recommends ALL persons wear an N-95 mask. As someone with Crohn’s, I found my mental health to be more demanding that day, along with my gastrointestinal system to operate more dynamically. Further, it wouldn’t be uncommon for me to cough vigorously for hours after my shift — even after wearing an N-95 mask. The extreme heat placed strain on my mental health and work output as well. While reaching 90 degrees in Minnesota is expected, we are now having multiple weeks in July where the temperatures exceed 100 degrees. I’ve experienced these problems even while abroad, specifically in Dubai and Perth, Australia. Each city is situated in an environment that receives little rain with high average temperatures. In Dubai, when I met with country delegations, many people were forced to flee their homes. While reasons spanned from poorer farm yields to rising sea levels, people worldwide felt the impact equally. From the Congo to the Asian Steppe, many people have changed their habits and political policies to accommodate climate change’s health policies. There was even an entire day last year at the United Nations dedicated to negotiating healthcare and climate change treaties! In Australia, communities lack air conditioning comparable to the U.S. Sea rise in coastal cities — Sydney, Melbourne, Perth, and Tasmania — harms coral reefs, real estate, and access to proper healthcare. Pushing people inwards from the coasts not only disrupts natural ecosystems, but forces many to uproot their communities and present lifestyle. The mental health implications from climate-induced migration are not well understood. My Crohn’s has been kind thus far in my travels, but climate change has made me consider what impacts I might face compared to home.

A photo Nick took of a sunset over Arawak Key in Nassau, The Bahamas.

Earth Day is a holiday ripe for celebration and active education. Formed from environmental disasters of the 1960s, today it is a holiday that transcends borders and language boundaries. It forces people to consider their own impacts on the environment, but also share in the beauty and wonder of our planet. Climate change will impact us all — the least affluent communities will bear the worst of the impact. Further, climate change is here to stay: it will take all of us to address the habits needed to stop its progression. Still, I challenge you to consider something different this Earth Day. While most editorials will explore how you can better protect the world via recycling or less use, I see another opportunity. How does your health and well-being fit into the environment around you? How would your environment be changed, be it by climate change or another factor, influence your health? When considering, explore not only how it would impact you physically, but mentally, spiritually, and emotionally as well. For myself, I see that my Crohn’s makes me more susceptible to temperature and lifestyle changes. Still, by being aware of my limits, I know that I am capable of so much more — like traveling all around the world! The world is going to change and we will make a difference, but how will you take care of yourself during this time? Before taking on the world, you have to be comfortable taking on yourself.