August 18, 2025

Marketing the unmentionable by tackling stigma in menstrual cup adoption: A case study of Sirona Hygiene Private Ltd.

Tulsi Jayakumar

For decades, conversations about menstruation in India have been hushed, hidden behind layers of stigma and discomfort. Yet, in the quiet spaces of these silences lies an economic opportunity—and a profound social challenge. The story of Sirona Hygiene and its menstrual cup is not just about selling a product; it is about shifting mindsets, challenging cultural taboos, and redefining how businesses approach sensitive categories. In today’s world, where inclusive innovation and purpose-driven brands matter more than ever, this case study offers lessons that extend far beyond feminine hygiene.

The core idea: Selling change, not just a product

At first glance, the menstrual cup is a simple innovation: a sustainable, cost-effective, and eco-friendly alternative to pads and tampons. But in India, where menstruation is still cloaked in myths and shame, Sirona Hygiene was never just marketing silicone cups. They were asking women to embrace a different relationship with their bodies, to reject entrenched discomfort, and to openly discuss what had long been unspeakable.

This reveals a central insight: in taboo markets, the challenge is rarely about product functionality. It’s about breaking cultural silence and creating safe spaces for conversation. For Sirona, success depended not on shouting louder than competitors but on patiently chipping away at decades of stigma.

Key insights that challenge assumptions

1. Awareness does not equal adoption.
Many women exposed to the idea of menstrual cups still hesitated to try them. The resistance was not ignorance, but fear—fear of insertion, of safety, of ‘what people will say.’ This challenges the common marketing assumption that once people know about a product, they will naturally adopt it. In taboo categories, knowledge alone is not enough.

2. Cost is not always a barrier.
A single cup is cheaper over time than disposable pads, but the upfront cost seemed high to many. Yet even when affordability was addressed, adoption lagged. This shows that psychological and cultural barriers can outweigh economic logic.

3. Social proof matters more than advertising.
Sirona discovered that word-of-mouth, peer testimonials, and doctor endorsements were far more powerful than conventional advertising. When women saw other women speaking openly and positively about the cup, it legitimised their curiosity and lowered their resistance.

Practical implications

The Sirona case offers lessons that stretch far beyond feminine hygiene:

  • For businesses: Entering a taboo market requires patience and a different toolkit. Instead of mass advertising, strategies like community engagement, influencer education, and grassroots advocacy prove far more effective. It is not about selling quickly, but about nurturing trust.
  • For policymakers: Menstrual health is a public health issue. The case highlights how policy can play a role—by supporting awareness campaigns in schools, subsidising sustainable menstrual products, and normalising open conversations. Policy action could multiply the impact of private innovation.
  • For society: The case forces us to ask: Why does stigma around menstruation still persist so strongly? Normalising dialogue does not just open new markets—it empowers women to make healthier, more sustainable choices without shame.

Why this matters today

Globally, consumers are demanding more from brands than just products—they expect empathy, authenticity, and social responsibility. Sirona’s journey shows that businesses can thrive when they align commercial goals with social good. In fact, the very act of breaking a taboo can become a source of competitive advantage.

In an era where sustainability, gender equality, and inclusivity dominate conversations, Sirona’s menstrual cup is not just a niche innovation—it is a lens into how brands can lead social change while building market share.

Takeaways and reflections

The story of Sirona Hygiene reminds us of three enduring truths:

  1. Markets are not just economic—they are cultural. Selling in taboo spaces requires engaging with values, fears, and traditions, not just price points and features.
  2. Education is a long-term investment. Awareness campaigns, community conversations, and social proof may not pay off immediately, but they build the foundation for sustainable adoption.
  3. Purpose drives relevance. When brands tackle real social barriers, they gain legitimacy and loyalty that no advertising spend can buy.
  4. So the next time we think about marketing a ‘difficult’ product—whether it’s sustainable food, mental health services, or renewable energy—we should remember Sirona’s lesson: success lies not in selling harder, but in listening deeply, engaging patiently, and daring to break the silence.

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About the faculty

Tulsi Jayakumar Executive Director, Centre for Family Business and Entrepreneurship (CFBE)

Tulsi Jayakumar

Tulsi Jayakumar holds a Ph.D. from the University of Rajasthan, with doctoral research focused on the practice, reporting, and communication of Corporate Social Responsibility (CSR) in Indian firms. She has completed triple master’s degrees in Business Administration, Philosophy, and Arts from acclaimed institutions in India.

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