'Medical Memoir' is a Health & Me series that delves into some of the most intriguing medical histories and unveils how medical innovations have evolved over time. Here, we trace the early stages of all things health, whether a vaccine, a treatment, a pill, or a cure.Menstrual products have come a long way—from homemade cloth rags and belts to silicone menstrual cups and sleek, leak-proof underwear. The history of these products is as much about medical innovation as it is about cultural taboos, social shifts, and gendered marketing. While nearly half the world menstruates at some point, the journey toward safer, dignified, and sustainable period care has been anything but straightforward.Ancient Origins: Creativity and Cultural BeliefsLong before commercial products existed, women relied on locally available materials. In ancient Greece, tampon-like devices were reportedly made using lint wrapped around light wood. Egyptian women fashioned internal devices from softened papyrus, while Roman women used wool or cotton pads secured with belts. Meanwhile, Native American women used moss and buffalo skin, and in Equatorial Africa, grass rolls absorbed menstrual blood.However, these were not necessarily used openly. Menstruation was frequently wrapped in superstition and shame. Ancient texts reveal contradictory beliefs: while Egyptian medical papyri regarded menstrual blood as medicinal, Roman and early Christian texts often considered it impure, even dangerous.19th Century: Cloth Pads and the Birth of Sanitary BeltsBy the 1800s, European and American women commonly used reusable cloth rags made from flannel or linen. These were washed and reused but posed hygiene concerns. The late 19th century saw the invention of the sanitary belt—a strap-on belt that held a pad in place. Brands like Southalls’ Shaped Towel Suspender marketed these belts for women “travelling by land or sea.”In 1896, Johnson & Johnson launched Lister’s Towels, the first disposable sanitary napkins. But cultural stigma around menstruation kept them from selling well; women were reluctant to ask for them in stores.Early 20th Century: From Warfront to Women’s NeedsWorld War I brought an unexpected breakthrough. Nurses discovered that cellulose bandages, used to stop bleeding on the battlefield, were highly absorbent and cheap. This innovation led to the Kotex sanitary pad, marking one of the first commercially successful disposable period products.In the 1920s, Fax tampons emerged, though still rudimentary. The most transformative moment came in 1933, when Earle Haas patented the modern tampon with an applicator. Soon after, Gertrude Tendrich, founder of Tampax, bought the patent and established the brand. Even so, tampons faced social resistance, particularly from conservative groups concerned about virginity and morality.Mid-20th Century: Belts, Pads, and PatentsThrough the mid-1900s, many women still used sanitary belts. African-American inventor Mary Kenner created an adjustable version in 1956, complete with a moisture-proof pocket. Sadly, her patent was ignored for decades due to racial discrimination.In the 1970s, beltless pads with adhesive strips revolutionized convenience. Pads now came in various sizes—mini, maxi, with or without wings. Around the same time, feminist movements advocated for reusable options like sea sponges and cloth pads as environmentally conscious alternatives.Menstrual Cups: A Quiet RevolutionThough menstrual cups seem like a recent innovation, the first patent was filed by Leona Chalmers in 1937. Made of latex, her design didn't gain traction due to wartime material shortages and social discomfort.It wasn’t until 2002 that the Mooncup, a reusable silicone cup, popularized the category. Founder Su Hardy promoted it as a hypoallergenic, eco-friendly product. Unlike tampons or pads, a single menstrual cup could last up to 10 years—dramatically reducing waste. Brands like Tampax followed suit with their own versions in the late 2010s, promoting sustainability.Late 20th Century: Safety Concerns and RegulationThe rise of toxic shock syndrome (TSS) in the late 1970s, particularly linked to super-absorbent tampons, led to thousands of hospitalizations and several deaths. This public health crisis sparked stricter regulations and awareness campaigns, including the Tampon Safety Bill (1995) and the General Product Safety Regulation (2005) in the UK.21st Century Innovations: Empowerment and SustainabilityThe last two decades have ushered in a period care renaissance. There’s a growing market for organic cotton tampons and pads, biodegradable wrappers, and subscription-based period boxes. Perhaps the biggest innovation has been period panties—moisture-wicking, antimicrobial underwear that replaces pads altogether.Modern period brands now emphasize body positivity, gender inclusivity, and sustainability. Campaigns no longer whisper "discreet protection" but proudly celebrate menstruators taking control of their health.Despite all the progress, menstrual stigma lingers. Even in 2025, millions of girls worldwide miss school due to lack of access to period products or sanitation. In many parts of the world, conversations around menstruation remain cloaked in secrecy or shame.