Which States in India have menstrual leave policies, and how do these policies differ? Only five States have introduced menstrual leave policies, and these vary in terms of coverage and the number of leave days permitted. Bihar was the first State to introduce menstrual leave, allowing women government employees two days of paid leave every month, amounting to 24 days annually. Several countries have adopted menstrual leave policies, although the scope of benefits and their implementation vary considerably. Spain became the first European country to introduce paid menstrual leave in 2023.