This paper examines the current state of menstrual hygiene policies, laws and regulations across selected countries in Latin America (Brazil, Chile, Colombia, Mexico) and Europe (Spain) with a particular focus on how human rights principles are being applied. It highlights the importance of recognising menstrual hygiene as a matter of fundamental human rights, intrinsically linked to dignity, equality, education, and full societal participation, which cannot be achieved without adequate access to safe drinking water, sanitation, and hygiene (WASH) services. It will provide recommendations for the design and implementation of effective policies related to menstrual hygiene management (MHM). The report is structured around internationally recognised human rights standards and principles, including accessibility, availability, quality, affordability, and acceptability, alongside non-discrimination, participation, access to information, accountability, and sustainability (CESCR, 2020). It draws on legal examples and local initiatives from across the region, supplemented with examples from Spain, presenting both progressive policies and existing gaps in implementation.