Silence Hurts: Why Parent–Child Conversation Matters During Puberty

Blog Image
  • 8/3/2026
  • Lydia Hall

Medical Reviewer: Dr. Paulinus Essien (MD)

Editorial Team: Bridging Health Int’l Editorial Team


QUICK FACTS

Primary Groups: School-aged girls

Impact: Can alleviate school absenteeism

How to help: Donate to support Period Poverty Reduction Campaign

From Awareness to Action 
Campaign Alignment: Supports awareness, behavior change, and community engagement within the Period Poverty Reduction Campaign. 

Field Application: Designed for adaptation into parent guides, community discussion materials, and school-based resources, especially in low-resource settings. 

Dear Readership, 

There is a quiet moment in many homes when a young person begins to change and parents hesitate to speak. This silence may come from uncertainty, cultural norms, or the belief that schools will provide all the answers. However, for many adolescents, silence creates confusion, withdrawal, isolation, and fear. 

In the context of period poverty, this silence can have even deeper consequences. When menstruation and puberty are not discussed openly, young people, especially girls, may lack the knowledge, confidence, and support they need to manage their health with dignity.  

Picture credit: Alone and sad

 Working together: Key considerations for parents, caregivers and community partners 

1. Knowledge Gaps and Misunderstanding

Many adolescents experience puberty without a clear understanding of what is happening to their bodies (Coast et al., 2019; Mhando et al., 2025). Without guidance, they may misinterpret normal changes, feel abnormal, or rely on inaccurate information from peers or social media.

In many communities where poverty persists, this gap can mean that girls experience their first menstruation with fear or shame, unprepared for what is happening. This is often coupled with limited access to safe care products and inadequate knowledge of menstrual health and hygiene management and broader reproductive health risks such as early pregnancy.

 

Picture credit: Pregnant lady

Field use:  

  • Community discussion point: “What did you first learn about menstruation, and who told you?”  

  • Parent guide: Basic, accurate explanations of puberty and menstruation protects teenage girls.  

Picture credit: Parental protection

2.    Emotional Wellbeing and Mental Health 

Communication builds emotional security. Strong parent–child communication is linked to better mental health outcomes, while poor communication is associated with distress (Zapf et al., 2023). When menstruation is treated as a secret or taboo, adolescents may feel ashamed or isolated. Open conversations help them feel safe, supported, and understood. 

Field Use: 

  • Parent training: Encourage listening without judgment. 
  • Discussion prompt: "How can we make children feel safe asking questions?” 

3.    Reducing Risky Behaviors 

Heart-to-heart conversation reduces engagement in risky sexual and antisocial behaviors (Coakley et al., 2017; Nattabi et al., 2023). Without guidance, adolescents may make decisions without understanding the consequences, or they may be influenced by peer pressure. For girls experiencing period poverty, lack of guidance can also intersect with vulnerability, such as missing school or engaging in unsafe coping strategies.

Picture credit: Mother and daughter bonding

Field Use: 

  • Community messaging: Emphasize parental role as a “trusted guide”. 
  • Role-play exercises for parents on how to respond calmly and clearly.  

4.    Improving Sexual and Reproductive Health Outcomes 

Parent–teen intercommunication improves knowledge about pregnancy prevention, increases confidence in help-seeking behavior, and access to health services (Sievwright et al., 2023; Javidi et al., 2025). Communities where access to menstrual products and services may be limited, informed adolescents are better able to seek support and make safer choices. 

Field Use: 

  • Simple resource sheets on hygiene, and menstruation management. 
  • Community sessions linking parents to local health resources. 

A Gentle Word to Parents 

It is okay not to have all the answers. 
It is okay to feel uncomfortable. 

What matters is your willingness to start saying; “Let’s talk about this together,” this can change your child’s experience completely. 

Call To Action

  • Ask: “How are you feeling about the changes you’re noticing?” 
  • Use everyday moments to start conversations. 
  • Listen more than you speak. 

Key Takeaway 

For the Period Poverty Reduction Campaign, parental communication is not optional but essential. It drives awareness, supports behavior change, and strengthens community engagement. 

Adolescents who receive guidance from parents are more likely to: 
Manage menstruation with confidence. 
Make informed health decisions. 

Related Articles

Why Silence Hurts: Why Parents-Child Communication Matters During Puberty

Disclaimer: This article is for general educational purposes only and does not provide medical advice. Content is evidence-based and medically reviewed by a qualified physician, but readers are advised to consult a healthcare professional for personalized medical guidance.


Disclaimer: Bridging-Health Int'l does not own the rights to these videos. No copyright infringement is intended. The content is used solely for educational and non-commercial purposes.


Reference

Coakley, T. M., Randolph, S., Shears, J., Beamon, E. R., Collins, P., & Sides, T. (2017). Parent–youth communication to reduce at-risk sexual behavior: A systematic literature review. Journal of Human Behavior in the Social Environment, 27(6), 609 624. See Journal

Coast, E., Lattof, S. R., & Strong, J. (2019). Puberty and menstruation knowledge among young adolescents in low- and middle-income countries: A scoping review. International Journal of Public Health, 64(2), 293–304. See Journal

Javidi, H., Verlenden, J. V., Chen, X., et al. (2025). Parent-teen sexual health communication and teens’ health information and service seeking. JAMA Network Open,8(11),e2541712. JAMA Network 

Nattabi, J., Nabunya, P., Kizito, S., et al. (2023). The impact of parent–adolescent communication on reduction of sexual risk possibility among adolescents. Archives of Sexual Behavior. 

Sievwright, K. M., Moreau, C., Li, M., et al. (2023). Adolescent–parent relationships and communication: Consequences for pregnancy knowledge and family planning service awareness. Journal of Adolescent Health, 73(1), S43–S54. 

Zapf, H., Boettcher, J., Fjermestad, K., et al. (2023). A systematic review of the association between parent–child communication and adolescent mental health. Child and Adolescent Mental Health

 

Volunteer With Us

Get started now