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Objective: To assess the knowledge, attitude and practices of menstrual hygiene among the college going adolescent girls. Materials and methods: The study was done among the adolescent girls of age group 18-20 years from Government residential college of Nagunoor, Karimnagar district, Telangana.300 girls from the above mentioned college were selected.Data collection was done using a semistructured questionnaire with a total number of 30 questions from June 25, 2018 to July 15, 2018. Results: Meanage of menarche in the study subjects was 11.7 years.47.7% of participants had some knowledge about menstruation before menarche, and the most common source of information was either mother(58 cases i.e. 40.5%) or teacher(34 cases i.e. 23.7%) .83% cases thought that menstruation is a physiological process and 7.3% cases thought it to be pathological.40% cases used sanitary pads during menstruation. Amongst the girls using clothes, 52%girls cleaned the clothes with soap and water.75% of the girls were not allowed to attend religious functions. 60% of them were not allowed to do household works. Conclusion:Menstrual hygiene is amatter that has to be dealt with at all levels. Though the basic awareness regarding menstrual process is satisfactory, but still many social taboos are linked with it. Health policy makers should build up a way to tackle with these problems so that adolescent girls can have the access tohealthy menstrual practices