Spain first country in Europe to introduce paid menstrual leave

Spain has become the first country in Europe to officially introduce paid menstrual leave. The new legislation, passed in 2023 and consistently implemented in the following months, positions the country as a pioneer in recognizing the health, rather than just the “discomfort”, aspects of menstruation.

Three to five days off - paid for by the state

According to the law, those suffering from severe menstrual pain that prevents normal functioning can obtain sick leave for three days, and up to five days in justified cases. The key point is that remuneration for this time is paid by the state social security system, not the employer. Lawmakers emphasize that the leave is not for “laziness,” but is intended to support people who are unable to work due to pain, nausea, fainting or accompanying conditions such as endometriosis.

This solution puts Spain in the vanguard of countries recognizing that women's and menstrual reproductive health is part of a real concern for workers' well-being.

Not a privilege, but recognition of medical need

The Equality Ministry described the law as a “historic step” and an attempt to disenchant the taboo that had surrounded menstruation for decades. For the first time in Europe, it was officially recognized that heavy menstruation could be a reason for temporary inability to work - just like a migraine, severe back pain or an infection.

In order to take the leave, it is necessary to obtain a medical certificate, which is intended to prevent abuse, but at the same time confirms that we are talking about situations with a real medical background.

Revolutionary law, but carefully used

Although the law has attracted a lot of attention around the world, in Spain alone the first data showed that relatively few people are opting for menstrual leave. Experts explain this by, among other things, fear of stigmatization, lack of knowledge about the new laws, and the fact that many workers have become “accustomed” to working despite the pain.

Women's organizations stress, however, that even the limited use of the law does not take away from its importance: official recognition of menstrual pain as a medical issue is a signal that could change the way reproductive health is treated in the workplace.

Impetus for the rest of Europe?

The Spanish reform is being closely watched in other EU countries. Discussions about the possible introduction of similar solutions are taking place in Italy, Portugal and Belgium, among others. Supporters insist it is a step toward a fairer labor market. Opponents, however, are concerned about the potential stigmatization of women in recruitment processes.

Regardless of the controversy, one thing is certain: Spain has opened a new chapter in the menstrual health debate. For the first time, it has been recognized at the state level that menstrual suffering is not a “fad” or “exaggeration,” but a real health problem that deserves systemic support.