Menstruation is surrounded by stigma, resulting in the ostracism of and discrimination against women and girls. In some cultures menstruating women and girls are considered to be contaminated and impure and restrictions and interdictions during menstruation are imposed on them. Women and girls may continue to harbour internalized stigma and are embarrassed to discuss menstruation even where there are no restrictions. They live with a lack of privacy for cleaning and washing, a fear of staining and smelling and a lack of hygiene in school toilets or separate sanitation facilities.