This study is a follow up of a desktop study that was undertaken to gather baseline information on adolescent girls knowledge, practices, perceptions and needs in relation to menstruation and menstrual hygiene management in South Africa and in Kwazulu-Natal. The focus of the study was on the impact of menstruation and menstrual hygiene management on girl learners in these schools. Issues related to cultural practices, teachings about menstruation, access to sanitary supplies necessary during menstruation and to sanitation, as well as psychological trauma, particularly at menarche (the time of their first menstruation), were looked at. The study attempted to capture the feelings and experiences of learners and their knowledge at menarche.