Health issues in rural areas are limited not just to diseases, rare health conditions and epidemics but also a very basic and normal physiological process - menstruation and hygienic measures to be followed during menstruation remains the most ignored issue. Considering the fact that only a small percentage of women in rural India are aware of menstrual hygiene, this paper focuses on highlighting the reasons for ignorance of menstrual hygiene, reluctance to use sanitary napkins and give few suggestions to make the existing situation better.