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When Arunachalam Muruganantham hit a wall in his research on creating a sanitary napkin for poor women, he decided to do what most men typically wouldn’t dream of. He wore one himself—for a whole week. Fashioning his own menstruating uterus by filling a bladder with goat’s blood, Muruganantham went about his life while wearing women’s underwear, occasionally squeezing the contraption to test out his latest iteration. It resulted in endless derision and almost destroyed his family. But no one is laughing at him anymore, as the sanitary napkin-making machine he went on to create is transforming the lives of rural women across India.

Right now, 88% of women in India resort to using dirty rags, newspapers, dried leaves, and even ashes during their periods, because they just can’t afford sanitary napkins,according to “Sanitation protection: Every Women’s Health Right,” a study by AC Nielsen.Typically, girls who attain puberty in rural areas either miss school for a couple of days a month or simply drop out altogether. Muruganantham’s investigation into the matter began when he questioned his wife about why she was trying to furtively slip away with a rag. She responded by saying that buying sanitary napkins meant no milk for the family.

“When I saw these sanitary napkins, I thought ‘Why couldn’t I create a low cost napkin for [my wife]?’” says Muruganantham. That thought kick-started a journey that led to him being called a psycho, a pervert, and even had him accused of dabbling in black magic.

He first tried to get his wife and sisters to test his hand-crafted napkins, but they refused. He tried to get female medical students to wear them and fill out feedback sheets, but no woman wanted to talk to a man about such a taboo topic. His wife, thinking his project was all an excuse to meet younger women, left him. After repeated unsuccessful research attempts, including wearing panties with his do-it-yourself uterus, he eventually hit upon the idea of distributing free napkins to the students and collecting the used ones for study. That was the last straw for his mother. When she encountered a storeroom full of bloody sanitary napkins, she left too.

Analyzing branded napkins at laboratories led to Muruganantham’s first breakthrough. “I found out that these napkins were made of cellulose derived from the bark of a tree,” he said. A high school dropout, he taught himself English and pretended to be a millionaire to get U.S. manufacturers to send him samples of their raw material.

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