The effects of menstruation have been extensively studied in those with psychiatric disorders. However, there is very little in the literature concerning the effects of menstruation on those with learning disability. We investigated the effects of menstruation on aggressive incidents in women, in a large hospital for people with learning disability. We also considered the effects of medication, epilepsy, and the degree of learning disability. The results suggest that there was no significant increase in aggressive incidents pre‐ or perimenstrually, but that those with primary amenorrhoea have significantly higher rates of aggressive incidents. The possible reasons and implications of these findings are discussed.