Sick leave for disabling menstruation
Independent, non-governmental site
The calculator has disabling menstruation and 3 days selected: change the date to November and watch the first day change.
Your pay for 3 days of leave
€108
Ordinary illness · September 2026 base (rule in force until 30 November 2026: the previous month)
| Daily regulatory base | €60 |
| Statutory benefit | €108 |
| Paid by the INSS or mutua | €108 |
| Without leave you would have earned (gross) | €180 |
Gross amounts: the benefit is subject to income tax and contributions. Nothing you type leaves your browser.
| Days | Dates | % | Who pays | Amount |
|---|---|---|---|---|
| 1-3 | 29 Oct 2026 – 31 Oct 2026 | 60% | INSS or mutua (advanced by the employer) | €108 |
Prepared by Radif Partners · Method · Rules and agreements read in the BOE on 29 October 2026
Secondary disabling menstruation is a period that stops you working because it is caused by a diagnosed condition, such as endometriosis, fibroids or pelvic inflammatory disease. It is a special situation of temporary incapacity: it needs no contribution days and each leave is a new process, never counted as a relapse of the previous one. What changes on 1 December 2026 is the first day. Until 30 November 2026, the benefit is paid from the first day of leave. From 1 December, the employer pays the first day as wages and the benefit starts the day after. With an 1800 euro base, a 3-day leave pays €108 of benefit in November and €132 of benefit plus the first day's wage in December. A 3-day ordinary illness pays nothing.
Before and after 1 December
Article 169.1.a) of the General Social Security Act has listed secondary disabling menstruation among the special situations since 2023. Royal Decree-law 31/2026 keeps it, but from 1 December 2026 article 173.1 starts the benefit the day after the leave and puts the first day's wage on the employer. The table compares a three-day leave on the same base.
| Item | Until 30-11-2026 | From 1-12-2026 | Ordinary illness |
|---|---|---|---|
| Day 1 | €36.00 | €60.00 (wage) | €0 |
| Days 2 and 3 | €72.00 | €72.00 | €0 |
| Total | €108.00 | €132.00 | €0.00 |
In both cases the benefit is paid by the INSS or the mutua from the start: there is no employer band for days 4 to 15. The rate is that of ordinary illness, 60% up to day 20, which in practice covers nearly all such leave, since it usually lasts only a few days.
Your two-day leave
Your pay for 2 days of leave
€72
| Daily regulatory base | €60 |
| Statutory benefit | €72 |
| Paid by the INSS or mutua | €72 |
| Without leave you would have earned (gross) | €120 |
No qualifying period and no relapse
Article 172 requires no contribution days for this situation, so you are entitled to the benefit from your first contract. And article 169.2 expressly rules out treating disabling menstruation leave as a relapse of another, so each episode counts separately. Agreements that top up ordinary illness usually apply to this leave too, since it is temporary incapacity from common causes; check yours. The other special situations, such as pregnancy termination or organ donation, are in special situations, and the December change in the 2026 reform.
How to get it
The leave is signed by your primary care doctor or the specialist who follows your condition, like any other sick leave. You do not need to apply for anything with your employer or with Social Security: the note carries the code for the special situation, and with it the INSS knows the benefit is paid by the body from the start and with no prior contributions required. If the leave lasts more than a day, the doctor sets the expected length as for any short process. Keep your notes: if your payslip does not reflect the days correctly, they are the evidence of which situation was declared and from which date. The same applies if you change jobs, since each episode is a separate process.