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HEALTH

Spanish cabinet approves paid ‘menstrual leave’

Spain's cabinet on Tuesday approved a bill which grants paid medical leave for women who suffer from severe period pain, in what would be a first in Europe.

period products
Spain approves paid menstrual leave. Andy Buchanan / AFP

The bill entitles workers experiencing period pain to as much time off as they need, with the state social security system – not employers – picking up the tab for the sick leave.

As with paid leave for other health reasons, a doctor must approve the temporary medical incapacity.

The proposed legislation must still be approved by parliament, with a vote
not expected for months.

It was not clear whether Socialist Prime Minister Pedro Sánchez’s minority coalition government, which has made women’s rights a priority, has enough support in the assembly to pass it.

The proposal has split the coalition and even divided unions, with some
saying it could stigmatise women in the workplace and favour the recruitment of men.

But Equality Minister Irene Montero said the law will recognise a health problem that has been largely swept under the carpet until now.

“Periods will no longer be taboo,” she told a news conference after the cabinet approved the bill.

“We will be the first country in Europe to introduce a temporary sick leave that is fully financed by the state for painful and incapacitating periods,” she added.

‘No more hiding our pain’

“No more going to work with pain, no more taking pills before arriving at work and having to hide the fact on days we’re pain that makes us unable to work.”

Montero belongs to the far-left Podemos party, Sánchez’s junior coalition partner which has been the driving force behind the law.

Menstrual leave is currently offered only in a small number of countries across the globe, among them South Korea and Indonesia – and none in Europe.

The Spanish legislation is part of a much wider reproductive health reform which will include changes to the country’s abortion laws.

It will end the requirement for minors of 16 and 17 to obtain parental consent before terminating a pregnancy and include measures to boost access to abortion at private hospitals.

Spain decriminalised abortion in 1985 in cases of rape, if a foetus is malformed or if a birth poses a serious physical or psychological risk to the mother.

The scope of the law was broadened in 2010 to allow abortion on demand in the first 14 weeks of pregnancy, but access to the procedure is complicated by the fact that many doctors in public hospitals refuse to perform abortions.

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DRIVING

The illnesses and health conditions you can’t have when driving in Spain 

Spain has increased the number of illnesses and health conditions that will prevent people from legally driving or from renewing their licence from next year onwards. From mental disorders to cancer and heart problems, here’s the full list.

The illnesses and health conditions you can't have when driving in Spain 

The recent update of Spain’s Traffic Law means that from 2025 a greater number of people in Spain will not be able to get behind the wheel. 

Toughening conditions for drivers based on health conditions is a measure aimed at curbing traffic accidents and road deaths. 

In the words of Spain’s Traffic Authority the DGT, “in order to get behind the wheel safely, the driver needs perceptive, cognitive and motor skills”.

The DGT has divided the health conditions that are incompatible with driving into nine categories: vascular, cardiac, psychiatric, neurological, endocrine, digestive, respiratory, oncological, chronic and degenerative. 

It’s worth noting that the level of symptoms displayed and medical reports presented can influence the decision. Not all driving bans based on illness are permanent either.

However, if the detrimental medical conditions are confirmed and long-lasting, driving for that person becomes illegal in Spain. 

They will not be able to renew their licence either in some cases, or as we will see below, a certain amount of time after their operation or illness will have to pass first.

The penalties imposed by the DGT for those who flout the rules range from €6,000 to €200.

Below is a list of the health conditions that make driving illegal in Spain, or which will result in your licence being revoked, not renewed, or at the very least keep you off the road for a period of time.

Vascular diseases 

Large vessel aneurysm or dissection: a favourable report from a specialist will be required to renew your licence, valid for between 1 and 10 years. Six months after an operation, renewals are granted for between 1 and 2 years. Drivers considered still at risk of further vascular problems will be deemed unfit. 

Ischemic attack (mini-stroke): Someone who has suffered a mini-stroke will have to wait 6 months before applying to renew their licence.  

Heart disease

Arrhythmias and surgeries involving a pacemaker, heart valve prostheses and cardiac revascularization: People who fit any of these descriptions will not be able to drive until one month after the operation, in some cases three months.

Cardiac syncope in the last six months: These people’s licences cannot be renewed, except if there is a favourable report from the cardiologist.

Acute myocardial infarction (heart attack) : If you suffered a heart attack, you will not be able to drive until three months after it happened and you should also wait three months before renewing your licence. This may only be extended for two or three years.

Mental disorders

Dementia, anxiety disorder, personality disorder, depression, sleep disorders, obsessive compulsive or intellectual development disorders, ADHD and alcohol or drug dependence: People who have been diagnosed with any of these conditions will not be able to drive unless the disease manifests itself in a mild manner and there is a favourable medical report that deems them fit to drive.

Neurological diseases

Loss of consciousness in the last year: Drivers who have suffered this due to neurological reasons will be considered unsuited to drive.

Epilepsy: After the first seizure or only seizure, 6 months must pass and with a favourable report presented for the person to be allowed to drive. In this case, their licence will be valid for between 1 and 10 years depending on their circumstances.

Transient ischemic attack (mild stroke): The person must wait six months before getting a medical report which if favourable allows to renew their licence for a year. 

Endocrine diseases

Treatment for diabetes, hyperthyroidism or adrenal diseases: Depending on the severity of the condition, the person’s driving licence may not be renewed. 

Diabetes: Once again, a positive medical report will be needed to renew your licence for between 1 and 5 years. 

Hypothyroidism and parathyroid disease: A doctor will have to give you the go-ahead for you to be able to renew your licence.

Digestive diseases

Nephropathy (kidney disease): A certificate of good health from your doctor will be needed to renew for between 1 and 10 years.

Kidney transplant: If six months have elapsed since the transplant and there have been no subsequent problems, a favourable report from the nephrologist allows you to drive legally in Spain.

Respiratory diseases

Chronic dyspnoea (shortness of breath): People with this condition cannot renew their driving licences in Spain.

Obstructive sleep apnoea: You can renew your licence for up to three years, but you need the go-ahead from the doctor.

Cancer

Oncological diseases: if the oncologist’s report is favourable, the validity period of a licence for a cancer sufferer in Spain is one year. When there is no evidence of cancer and no active treatment, a driving licence can be renewed for five years.

Onco-haematological disorders: As a general rule, driving licences cannot be renewed until 10 years have passed since symptoms have completely remitted for any onco-haematological cancer. However, one and three-year renewals can be offered when the oncologist gives the go-ahead. 

Other chronic and degenerative diseases

Amyotrophic lateral sclerosis (ALS), Alzheimer’s, chronic obstructive pulmonary disease (COPD), muscular dystrophy, osteoporosis, Parkinson’s or rheumatoid arthritis: Spain’s DGT doesn’t allow drivers with any of these illnesses to get behind the wheel.

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