China’s Booming Breast-Massaging Business Not Without Risk
New mothers struggling with breastfeeding problems increasingly turn to one of China’s many breastfeeding massage companies. But the myriad unskilled swindlers profiting from the unregulated booming breast-massaging business can seriously worsen the problems breastfeeding moms are facing.
New mothers struggling with breastfeeding problems increasingly turn to one of China’s many ‘breastfeeding massage’ companies. But the myriad unskilled swindlers profiting from the unregulated booming breast-massaging business can seriously worsen breastfeeding problems.
Breastfeeding moms dealing with difficulties in giving milk or suffering from inflamed breasts increasingly turn to ‘breastfeeding masseuses’ instead of going to the hospital, Xinhua news reports. But because breastfeeding massage companies are unregulated, masseuses often overcharge their clients, are unskilled and have no medical knowledge about breastfeeding massage – which may do more harm than good to new mothers.
High prices, high risks
According to Shanghai Daily, the price for a one-hour massage can be as high as 600 RMB (±US$100), and the safety risk is high.
Sina News recently reported on Weibo that a woman from Xiamen spent thousands of dollars on breastfeed massages to ensure a good milk flow for her baby, but then got mastitis due to improper treatment.
Students at a ‘breast-massage’ training center (催乳服务中心), image by 315org.
“If you come across unprofessional treatments, please file a complaint and demand compensation,” one netizen says: “Make sure other mothers are not harmed by these kinds of people!”
Breastfeeding versus baby formula
The World Health Organization recommends exclusive breastfeeding for the first six months and continuous breastfeeding for two years or longer to support the healthy growth and development of babies. But in China, only 30% of new Chinese moms achieve exclusive breastfeeding in the first six months – some of the world’s lowest breastfeeding numbers.
Exclusive breastfeeding is relatively unpopular in China due to a preference for baby formula. China’s breastfeeding percentages declined in the 1970s when baby formula producers such as Nestlé (雀巢奶粉) started promoting their products in Chinese hospitals, causing a surge in the popularity and use of milk powder. Over a third of China’s newborns are given baby formula as their first feed.
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According to Women of China, there are also other factors that contribute to China’s breastfeeding problem, such as the absence of a wide societal support system. This includes the short length of maternity leave in the private sector and the general lack of facilities to breastfeed.
All of these factors have made many new moms insecure about breastfeeding. Masseuse Shi Guilan says breastfeeding difficulties have become increasingly common due to stress. According to Shanghai Daily, there are mothers who feel more confident about feeding their babies after going to a breastfeeding masseuse.
Unregulated booming business
Although treatment helps some mothers, there are also many cases where it worsens their problems. According to Xinhua news, the profession of breastfeeding masseuse is not regulated, and therefore has no basic standards or supervision.
As Xinhua writes: “Most breastfeeding masseuses are middle-aged women with no higher education or medical training. They usually start distributing business cards to expectant mothers in hospitals once they finish a few courses and obtain the basic massage certificate. (…) They could solve the real problem, or make things worse. There is just no guarantee.”
Xinhua reports that some women needed surgery after their breast ducts were irreparably damaged by unskilled masseuses.
“Such a chaotic society, this needs to be investigated,” one worried netizen reacts.
Manya is the founder and editor-in-chief of What's on Weibo, offering independent analysis of social trends, online media, and digital culture in China for over a decade. Subscribe to gain access to content, including the Weibo Watch newsletter, which provides deeper insights into the China trends that matter. More about Manya at manyakoetse.com or follow on X.
China is facing a serious donkey shortage. China’s donkey population is far below market demand, and the prices of donkey-related products continue to rise.
Recently, this issue went trending on Weibo under hashtags such as “China Currently Faces a Donkey Crisis” (#我国正面临缺驴危机#).
The Donkey Branch of China’s Livestock Association (中国畜牧业协会驴业分会) addressed this issue in Chinese media earlier last week, telling China News Weekly (中国新闻周刊): “We have plenty of cattle and horses in China now — just not enough donkeys” (“目前我国牛马都不缺,就缺驴”).
China’s donkey population has plummeted by nearly 90% over the past decades, from 11.2 million in 1990 to just 1.46 million in 2023.
The massive drop is related to the modernization of China’s agricultural industry, in which the traditional role of donkeys as farming helpers — “tractors” — has diminished. As agricultural machines took over, donkeys lost their role in Chinese villages and were “laid off.”
Donkeys also reproduce slowly, and breeding them is less profitable than pigs or sheep, partly due to their small body size.
Since 2008, Africa has surpassed Asia as the world’s largest donkey-producing region. Over the years, China has increasingly relied on imports to meet its demand for donkey products, with only about 20–30% of the donkey meat on the market coming from domestic sources.
China’s demand for donkeys mostly consists of meat and hides. As for the meat — donkey meat is both popular and culturally relevant in China, especially in northern provinces, where you’ll find many donkey meat dishes, from burgers to soups to donkey meat hotpot (驴肉火锅).
However, the main driver of donkey demand is the need for hides used to produce Ejiao (阿胶) — a traditional Chinese medicine made by stewing and concentrating donkey skin. Demand for Ejiaohas surged in recent years, fueling a booming industry.
China’s dwindling donkey population has contributed to widespread overhunting and illegal killings across Africa. In response, the African Union imposed a 15-year ban on donkey skin exports in February 2023 to protect the continent’s remaining donkey population.
As a result of China’s ongoing “donkey crisis,” you’ll see increased prices for donkey hides and Ejiao products, and oh, those “donkey meat burgers” you order in China might actually be horse meat nowadays. Many vendors have switched — some secretly so (although that is officially illegal).
Efforts are underway to reverse the trend, including breeding incentives in Gansu and large-scale farms in Inner Mongolia and Xinjiang.
China is also cooperating with Pakistan, one of the world’s top donkey-producing nations, and will invest $37 million in donkey breeding.
However, experts say the shortage is unlikely to be resolved in the short term.
The quote that was featured by China News Weekly — “We have cows and horses, but no donkeys” (“牛马有的是,就缺驴”) — has sparked viral discussion online, not just because of the actual crisis but also due to some wordplay in Chinese, with “cows and horses” (“牛马”) often referring to hardworking, obedient workers, while “donkey” (“驴”) is used to describe more stubborn and less willing-to-comply individuals.
Not only is this quote making the shortage a metaphor for modern workplace dynamics in China, it also reflects on the state media editor who dared to feature this as the main header for the article. One Weibo user wrote: “It’s easy to be a cow or a horse. But being a donkey takes courage.”
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Breaking the Taboo: China’s Sanitary Pad Controversy Sparks Demand for Change
After realizing domestic sanitary pads were literally falling short, Chinese netizens are demanding greater awareness and improvements in long-overlooked issues of quality, affordability, and societal attitudes toward menstruation.
Sanitary pads have never been a bigger topic of debate on Chinese social media as it’s been over the past few weeks. What began with one blogger’s discovery of menstrual pads falling short of their advertised size has grown into a broader movement, demanding better-quality products and greater awareness of menstrual health.
Despite being a natural part of life for women around the world, menstruation remains a sensitive and taboo subject in many parts of China, particularly in more conservative, rural areas and smaller cities.
Essential feminine hygiene products like sanitary pads or tampons are often discreetly wrapped in dark plastic bags to avoid drawing attention.
However, this month, the silence was broken. “Sanitary pads” and related topics dominated online discussions, igniting a heated conversation that started with pad length but quickly expanded to include concerns about health, safety, and women’s rights.
EXPOSING THE “SHORTCOMINGS” IN SANITARY PADS
“Buy it if you want, or just don’t.”
In early November, a viral post on Xiaohongshu (later deleted) brought attention to a troubling issue. A woman who purchased sanitary pads online found them significantly shorter than advertised—a supposed 290mm pad measured only 250mm.
When she confronted the seller, they dismissed her concerns, citing a “normal 4% margin of error” and claiming, “If you order 290mm, we can only send 250mm—that’s the rule.”
The post struck a nerve. Netizens began measuring their own pads and discovered that many brands similarly fell short of their advertised lengths. This perceived deception ignited widespread outrage:
“They market themselves as designed for women, but even the lengths are misleading?”
“We pay the highest taxes for subpar products!”
The controversy soon spread to platforms like Douban and Weibo, where more and more people started comparing advertised versus actual pad lengths. The results revealed that many well-known brands consistently fell short, raising accusations of industry-wide cost-cutting.
Facing mounting pressure, several Chinese brands issued responses claiming their products adhered to the national standard that allows a ±4% length deviation. According to this standard, a 290mm pad can legally measure between 278mm and 302mm.
However, consumer measurements consistently showed pads at the lower limit—or even shorter. This raised suspicions that manufacturers were exploiting the -4% allowance as an industry norm to cut costs.
Some netizens compiled a crowdsourced chart comparing the advertised length, actual length, and cotton coverage of various brands. The findings revealed similar discrepancies across major brands.
Various brands’ responses to the controversy listed by blogger @妳健康富有.
Some brands, with size deviations as large as -15%, responded evasively to consumer concerns, claiming that such deviations are normal and do not affect usage. These responses only fueled further frustration among netizens, who accused the brands of dismissing their concerns. As one blogger (@你健康富有) remarked, the brands’ attitude couldn’t be clearer: “‘Buy it if you want, or just don’t.'”
BEYOND LENGTH: A DEEPER ISSUE
“Society tolerates or even reinforces menstrual stigma.”
While the pad length scandal initially focused on cost-cutting, the ensuing discussions uncovered far more serious concerns. A resurfaced video by documentary filmmaker and blogger Fourfire (四火, @为了玲飞护肤纪录片) revealed the industry’s dark side. The video exposed illegal factories recycling used materials, including shredded pads and diapers, into new sanitary products. These contaminated pads, sold cheaply on e-commerce platforms, have been linked to pelvic inflammation and other gynecological problems.
In the video, Fourfire urged women to stick to well-known brands and purchase from reputable retailers.
Still from the video by documentary filmmaker and blogger Fourfire (四火, @为了玲飞护肤纪录片)
But are pricier pads from major retailers truly safe? Quality issues with domestic brands have surfaced repeatedly, and this latest length discussion reignited those concerns. Consumer-created “red-flagged brands” for domestic pads feature numerous well-known brands with prior reports of containing maggots, mold, and other contaminants.
This renewed scrutiny prompted questions and discussions among female netizens. One user asked, “Is there any brand of sanitary pads that’s actually safe to use?” Among the hundreds of replies and shares, one prevailing sentiment emerged: “None of them.” Many users began to view previous quality issues not as isolated incidents but as indicative of broader problems within the industry.
Adding fuel to the fire, one blogger (@迷宝吃不饱) claimed that the national standards for sanitary pads in China allow a pH range of 4–9. This range aligns with standards for non-intimate textiles, such as jackets or curtains. Given that human skin is slightly acidic, with a pH between 4.1 and 5.8 (3.8–4.5 for intimate zones), products in close contact with the skin, such as sanitary pads, should ideally be designed to maintain the skin’s natural pH balance and prevent irritation.
This seemingly loose standard sparked further concerns among female consumers. Many began reflecting on their past experiences, sharing issues they’d faced while using sanitary pads—frequent inflammation, allergic reactions, itching, and other symptoms. Few had considered the possibility that these problems might be linked to the pads themselves.
In response, experts argued that the materials, hygiene, and sterilization of pads were far more critical than pH levels. However, in today’s China, where public trust in such authorities is relatively low (read: “Experts Are Advised Not to Advise“), this explanation not exactly reassured the public. Gynecologists and popular science influencers, such as Sixthfloor (@六层楼先生), pointed out that similar products like baby diapers and men’s sanitary pads are held to stricter production standards. This disparity naturally fueled suspicion and concern about women being disadvantaged and the role of societal taboos surrounding menstruation.
One Douban user commented: “Society tolerates or even reinforces menstrual stigma. The less we talk about sanitary pads, the easier it is for companies to profit from women.”
BREAKING THE SILENCE
“Decisions about menstrual products are being made by people who don’t menstruate.”
Sanitary pads in China are relatively expensive and not covered by health insurance. A single daytime pad from a common brand costs around 1 RMB ($0.15), while nighttime pads can be twice as expensive. Over a typical six-day period, a woman might spend 30-40 RMB ($4.15-$5.50) each month. Tampons, though less popular in China, are even more costly.
For women in impoverished or rural areas, this expense can be a significant burden. Many are forced to purchase low-cost, unregulated “three-no” products (no license, no standards, no brand), often manufactured by the shady companies exposed in Fourfire’s video. On Taobao, product reviews for these pads reveal heartbreaking stories. Some users recommend switching to safer, higher-quality options, but responses often reflect the harsh reality: “I don’t have a choice.”
Now, as major brands face public backlash, many women are turning to “medical-grade sanitary pads,” originally made for surgical recovery or heavy bleeding. According to the Sichuan Observation media channel (@四川观察), online searches for these products have jumped by over 3,000%. While safer, these pads are even more expensive.
The frustration is clear: “Do we really have to keep paying more for basic necessities just to protect our health? Why not just make regular sanitary pads safe and reliable? Is that too much to ask?”
So why is it so hard to produce affordable, safe sanitary pads without cost-cutting tricks? The answer may lie in a regulatory change made over a decade ago. In 2008, new national standards for sanitary pads eliminated quality grading classifications and reduced minimum requirements for the length of filling cotton. This gave manufacturers more freedom to cut costs, often at the expense of quality.
One glaring detail hasn’t gone unnoticed: the revised standards were drafted entirely by men. As one netizen commented, “Decisions about menstrual products are being made by people who don’t menstruate.” For women, the lack of female representation in an industry directly affecting them is both absurd and infuriating, highlighting a deeper issue of gender imbalance in industries and regulatory frameworks that shape women’s lives.
At the time of writing, distrust in domestic sanitary pad brands in China has reached a peak. Whether driven by exaggerated fears or valid concerns, one thing is clear: after years of menstrual stigma and neglect of women’s health issues, many women feel unheard and are now speaking out. This growing frustration has given rise to an online feminist movement, calling for accountability and demanding change from an industry—and a culture—that has long overlooked some of women’s basic rights.
GRASSROOTS EFFORTS FOR CHANGE
“Girls should never feel ashamed of their periods”
With policymakers mostly male, Chinese women have had to take matters into their own hands. Over the years, various incidents related to menstrual products have gone viral and triggered grassroots efforts to improve the status quo.
The last major public outcry about sanitary pads occurred in 2022 when a woman on a high-speed train discovered they weren’t available for purchase. She vented her frustration online, and the issue quickly gained traction. Many commenters, mostly men, argued that pads weren’t “essential items” and didn’t warrant taking up retail space onboard. The railway authority’s official response—categorizing sanitary pads as “personal items” that didn’t need to be sold—only intensified the outrage.
In the same year, a young woman in Covid quarantine in Xi’an went viral after she tearfully begged anti-epidemic staff for sanitary pads. When workers at her quarantine hotel told her there was nothing they could do, she asked, “So what? Does that mean I have to bleed a river of blood?”
For many women, these incidents highlighted how little society understands or respects their basic needs. In response, people organized online campaigns, flooded hotlines with complaints, and raised awareness about why menstrual products are essential. “Girls should never feel ashamed of their periods,” one netizen wrote.
Sometimes, progress is made. The woman in Xi’an’s quarantine later posted an update, saying she eventually received the menstrual pads she needed. And although pads are still not available on all high-speed trains, they are now provided on many routes—a small but meaningful step.
This time, the debate over pad quality has drawn even greater attention, involving public figures, celebrities, and even tech mogul and Xiaomi founder Lei Jun (雷军), with some hoping that a trusted brand like Xiaomi could play a role in making Chinese sanitary pads safer and more innovative. Women have launched cross-platform campaigns like #ShowYourSanitaryPads (#晒出你的卫生巾#), encouraging people to share posts on Weibo, Douban, and Xiaohongshu to call out brands for inaccurate sizing or poor quality.
Activists are also sharing step-by-step guides on filing formal complaints and advocating for stricter national production standards. The movement is gaining momentum, driven by a collective determination to demand safer, more reliable products.
On November 21, China News Weekly reported that a new national standard for sanitary pads is being drafted. CNR News also called for tighter industry oversight, signaling an urgent response to recent public criticism.
Yet, this response only scratches the surface of the deeper issues surrounding menstrual products in China. Challenges such as the high cost of pads, their limited availability in public spaces, and inadequate menstrual education persist. Will meaningful change continue to rely solely on grassroots efforts? Hopefully, this marks the beginning of a broader, systemic shift that not only addresses these immediate concerns but also redefines how society values and prioritizes women’s basic needs.
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edited for clarity by Manya Koetse
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