The fight for menstrual equity has evolved far beyond the simple demand for free tampons in school bathrooms, transforming into a comprehensive movement for justice that challenges how society treats all people who menstruate. At the recent “Periods on Campus” Symposium hosted by Monthly Dignity, Concordia University, and Douglas College at McGill University, activists, researchers, and entrepreneurs gathered to explore how the movement is centering inclusion and systemic change. The conference highlighted critical work being done to ensure trans and non-binary folks, people with disabilities, and diverse cultural communities are genuinely welcomed rather than invisibilized by traditional approaches to menstrual health. Justice-oriented innovators are now asking whether their solutions advance environmental sustainability, economic accessibility, and cultural responsiveness—moving beyond “performative solutions” toward real systemic change. This evolving movement demonstrates that menstrual equity isn’t just about periods, but about creating a world where everyone can participate fully in their communities regardless of their body or identity.