Sanitary napkins are essential menstrual products, with their development focused on improving comfort, absorbency, and overall user experience. This review examines the evolution of sanitary napkins, particularly in terms of thermal comfort and moisture management properties. Sanitary napkins have evolved significantly over the years, with advancements aimed at enhancing comfort, absorbency, and overall user experience. This comprehensive review explores the latest developments in sanitary napkins, focusing on thermal comfort, moisture management, and the incorporation of sustainable materials. Innovations include the use of breathable and hypoallergenic fabrics, advanced superabsorbent polymers (SAPs), and biodegradable components, addressing both user comfort and environmental concerns. The integration of smart technologies, such as thermochromic indicators and real-time monitoring sensors, represents a growing trend towards personalized and responsive menstrual products. Additionally, the review highlights the importance of addressing period poverty through affordable and accessible menstrual hygiene solutions. The continued evolution of sanitary napkins is driven by a commitment to improving menstrual health, comfort, and sustainability, paving the way for future innovations in the industry.