Public and Private Healthcare Paths for Menstrual Pain

This study explores how individuals in Spain navigate public and private healthcare systems when seeking care for menstrual discomforts. Based on data from a national online survey (n = 1,165), the qualitative research examines perceived barriers in access, continuity of care, and satisfaction with medical responses to menstrual symptoms. Respondents reported difficulties obtaining referrals within the public system, long waiting times, and limited follow-up, often leading them to seek care in the private sector. Despite this shift, many experienced similar limitations across both systems, including standardized treatment —mainly the prescription of hormonal contraceptives— and a perceived minimization of symptoms.The study also considers the broader implications of these experiences, highlighting fragmented care pathways and the need for a more comprehensive approach to menstrual health. National data support the findings, with over half (52.7%) of gynaecological consultations in public healthcare in 2021 being first-time visits, suggesting systemic issues in long-term care. These results underline the importance of improving access, continuity, and clinical responses to menstrual health concerns. The study calls for healthcare system and policies that acknowledge the complexity of menstrual experiences and ensure adequate support across, particularly in public systems.