This systematic review assignment investigates the effectiveness of menstrual hygiene management (MHM) systems in developing nations, with a specific focus on adolescent girls in India. The study employs a systematic review methodology, analyzing research articles from databases like Google Scholar, PubMed, and Medline, to identify the positive impacts and complications associated with MHM. The research question explores how MHM reduces complications in adolescent girls. The search strategy included keywords related to MHM, developing nations, and adolescent health. Inclusion criteria involved studies published between 2015 and 2019 in English, focusing on MHM in developing countries, while exclusion criteria addressed abstract papers, articles published before 2015, and non-English publications. The review synthesizes findings from five relevant articles, highlighting the lack of MHM knowledge and awareness, particularly in India, due to cultural and religious restrictions. The review emphasizes the importance of education and awareness programs to improve MHM practices and overall health outcomes for adolescent girls. The conclusion underscores the necessity of effective MHM for adolescent girls' physical and mental health, advocating for its implementation in both developing and developed nations.