Pacific women's interest and participation in sports have increased rapidly throughout the decades. Recently, many have become competitive across a range of sports at regional, national, and international levels. Yet very little research is focused on Pacific sportswomen’s experiences, or how their cultural identities shape their performance, health, and well-being needs. This thesis focuses on Pacific sportswomen’s experiences of menstruation, and in so doing, makes an important contribution to both literature on Pacific sportswomen, and research on menstruation in sport. Research on sportswomen’s experiences of menstruation has grown significantly over recent years, but most of this research is conducted by white women on white sportswomen, with findings then generalized to all sportswomen. This thesis identifies a gap in literature, and the risks of excluding sportswomen’s cultural identities, practices, and values from research, policy, and practices focused on menstruation in sport. Adopting a Masi methodology, this project included three methods: a survey of 206 Pacific sportswomen; Talanoa sessions with 21 Fijian sportswomen, and interviews with 16 Pacific sportswomen living in Aotearoa New Zealand. This project aimed to listen to, learn from, and amplify sportswomen's experiences and their understandings of menstruation, cultural beliefs, and the taboos that influence their menstrual experiences. This is a thesis with publication; some chapters are published articles, and others are manuscripts undergoing review. First, the thesis systematically identifies the gap in the literature with a scoping review of research focused on menstruation in sport, that shows that % of research ignores women’s cultural or ethnic identities. This chapter identifies the need for more culturally responsive research methods and culturally safe practices from sports and health professionals working with sportswomen from diverse backgrounds. Following this, results from the survey are presented, highlighting the diversity of cultural knowledge and practices associated with menstruation across the Pacific the survey also reveals the different cultural stigmas, beliefs, taboos, traditions, menstrual health, and sports performance of elite Pacific sportswomen. The following two chapters focus on findings from Fijian sportswomen, and then Pacific sportswomen living in Aotearoa New Zealand, with both amplifying the voices and experiences of Pacific sportswomen and their challenges of gaining culturally informed menstrual health information and support in sporting environments. These chapters describe how culture intersects with gender and other key variables (i.e., socio-economic considerations), and how these influence sportswomen’s experiences of menstruation. Ultimately, this research makes an important contribution to research on menstruation in sport, highlighting the need for culturally responsive methodologies and approaches in research and practice. It provides new and current cultural knowledge that can be used to improve the health, performance, and social support structures for Pacific sportswomen. This knowledge can expand sports and health providers' understanding of Pacific sportswomen's culturally specific needs, knowledge, and values concerning menstruation. Finally, this research supports the development of sport in the Pacific by providing cultural knowledge on how to engage Pacific sportswomen in safe, respectful, and constructive conversations around menstruation in sport.