This report highlights the significant yet underacknowledged impact of menstruation on students’ attendance, academic engagement and wellbeing in UK universities. Based on a survey of over 1,500 higher education students and 13 semi-structured interviews, it makes a series of recommendations for higher education providers and policymakers to best support students who menstruate. The research shows that menstrual cycles affect attendance, assessments and placement opportunities for a large portion of the student body – yet most institutions lack formal policies to address these issues. The report also highlights the gendered nature of discussions about menstruation. This includes different experiences of menstrual education, exposure to and participation in conversations around menstruation and the perception of taboo in relation to periods and menstruation.