There is no state-wide sex education curriculum to which school systems in North Carolina must adhere. Reproductive health education programs are only required to teach students information that has been considered “factually accurate or pathological information” related to the human reproductive system. Many curricula used in the state do not discuss the stigma or the many psycho-social aspects of menstruation for young girls. Not only is there a lack of depth to the curriculum as it stands, but parents can also opt their child out of the classes. This lack of focus on menstruation is a manner that stigma is produced and reproduced,impacting the self-esteem, academic achievement, health, and dignity of menstruating young girls and adolescents.