<![CDATA[Background: Menstrual hygiene remains a concern in Islamic boarding schools owing to limited access to information and the strong influence of inherited myths. A preliminary survey at the Darul Huffaz Islamic Boarding School revealed that some female students were reluctant to wash their hair during menstruation and lacked awareness of genital hygiene due to myth-based beliefs. A previous study in Bandar Lampung found that 60% of adolescent girls experienced itching during menstruation, and none had received specific education on menstrual hygiene. Objectives: This study aimed to examine female students’ knowledge, attitudes, and beliefs regarding menstrual hygiene behavior. Methods: This study employed a quantitative method with a cross-sectional design. A total of 211 female students were selected using a total sampling technique. Data were collected using Likert-scale and multiple-choice questionnaires and analyzed using the chi-square test. Results: 128 female students (75.3%) had good knowledge and hygiene practices, 119 (76.3%) had positive attitudes and good hygiene actions, and 136 (70.5%) were skeptical of myths and maintained good hygiene behavior. Statistical analysis revealed a significant relationship between knowledge (p=0.001; OR=3.529) and attitudes (p=0.000; OR=0.335) and menstrual hygiene behavior. In contrast, no significant relationship was found between belief in myths and hygiene practices (p=0.297). Conclusion: Female students had good knowledge and attitudes regarding menstrual hygiene behavior and held fewer myth-related beliefs, which helped prevent reproductive tract infections, irritation, and genital itching. Based on these findings, efforts are still needed to improve their knowledge and attitudes so that they do not easily believe in circulating menstrual myths.  ]]>
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