Feminine hygiene

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Camelia Popular - sanitary napkin around 1942 from military stocks for nurses Camelia Popular sanitary napkins from stocks of the Wehrmacht Third Reich with acceptance stamping - Intim hygiene supply nurses around 1942 - content 10 pieces per pack - D.R. WZ No. 378543 and 386768 - Image 002.jpg
Camelia Populär - sanitary napkin around 1942 from military stocks for nurses

Feminine hygiene products are personal care products used during menstruation, vaginal discharge, and other bodily functions related to the vulva and vagina. Products that are used during menstruation may also be called menstrual hygiene products, including menstrual pads, tampons, pantyliners, menstrual cups, menstrual sponges and period panties. Feminine hygiene products also include products meant to cleanse the vulva or vagina, such as douches, feminine wipes, and soap.

Contents

Feminine hygiene products are either disposable or reusable. Sanitary napkins, tampons, and pantyliners are disposable feminine hygiene products. Menstrual cups, cloth menstrual pads, period panties, and sponges are reusable feminine hygiene products. [1]

Types

Menstrual hygiene products

A menstrual pad with wings Always Platinum 1.jpg
A menstrual pad with wings
The elements of a tampon with applicator. Left: the bigger tube ("penetrator"). Center: cotton tampon with attached string. Right: the narrower tube. Elements of a tampon with applicator.jpg
The elements of a tampon with applicator. Left: the bigger tube ("penetrator"). Center: cotton tampon with attached string. Right: the narrower tube.
Reusable cloth menstrual pad with Kokopelli motif. Clothpad.jpg
Reusable cloth menstrual pad with Kokopelli motif.
A menstrual cup Coupe-menstruelle.jpg
A menstrual cup
Menstrual panty Sanitary panty.jpg
Menstrual panty

Disposable:

Reusable:

Areas of concern:

Cleansing products

Risks

The different products may carry some health risks, some of which might be proven, others speculative. [13] [14] [15]

The vulvovaginal area

The vulva acts as the initial defense line, shielding the genital tract from infections. Often, contaminants accumulate in the folds of the vulva, and factors like increased moisture, sweating, menstruation, and hormonal fluctuations can impact the growth and balance of microbial species, potentially leading to odor and vulvovaginal infections. [12]

Distinct from other skin areas, vulvar skin exhibits variations in hydration, friction, permeability, and visible irritation. It is more susceptible to topical agents compared to forearm skin due to increased hydration, occlusion, and friction. The non-keratinized vulvar vestibule is likely more permeable than keratinized skin. Notably, genital skin is unique with a thin stratum corneum and large hair follicles, making it easier for microbes and substances to permeate. [12]

The vagina, a fibromuscular canal extending from its external opening in the vulva to the cervix, is primarily composed of smooth muscle covered by a non-keratinized epithelial lining. This lining, until menopause, remains thick, kept moist by fluid from the vaginal wall and mucus from cervical and vestibular glands. [12]

Vaginal discharge

Before reaching puberty until after menopause, women typically experience a natural and healthy occurrence of vaginal discharge. [22] This discharge comprises bacteria, desquamated epithelial cells shedding from the vaginal walls, along with mucus and fluid (plasma) produced by the cervix and vagina. [23] Throughout the menstrual cycle, the quantity and consistency of the discharge undergo variations. At the start and end of the cycle when estrogen levels are low, the discharge is dense, adhesive, and unwelcoming to sperm. As estrogen levels increase before ovulation, the discharge gradually becomes clearer, more liquid, and stretchier. [12]

Discrepancies in various ethnic groups

Feminine hygiene presents discrepancies in various ethnic groups. Differences in feminine hygiene practices are often associated with varying cultural beliefs and religious customs. Research indicates that Afro-Caribbean immigrants, in contrast to Caucasian women, are more inclined to cleanse the vulva with bubble bath or antiseptic. [12] This practice aligns with the belief in the necessity of thorough body cleansing for health and well-being. Among Orthodox Jewish women, a ritual bath known as mikveh is performed after menstrual periods or childbirth to achieve ritual purity. In the Muslim faith, both men and women partake in a bathing ritual called full ablution (ghusl) after sexual intercourse or menstruation as a purification practice. In regions like Mozambique and South Africa, certain women opt for internal cleansing of their vaginas using substances such as lemon juice, saltwater, or vinegar with the intention of eliminating vaginal discharge and "treating" sexually transmitted diseases. [12]

A research study involving 500 women in Iran revealed a notable association between bacterial vaginosis and inadequate menstrual and vaginal hygiene practices. Additionally, findings from a household survey conducted by Anand et al. indicated that women employing unhygienic methods during menstruation—excluding sanitary pads or locally prepared napkins—were 1.04 times more likely to report symptoms of reproductive tract infections. Furthermore, these women were 1.3 times more likely to experience abnormal vaginal discharge, encompassing symptoms like itching, vulvar irritation, lower abdomen pain, pain during urination or defecation, and low back pain. In another investigation, findings revealed that women engaging in the use of bubble bath on the vulva exhibited a twofold increase in the likelihood of experiencing bacterial vaginosis, in contrast to those who refrained from using this product. [12] Furthermore, the occurrence of bacterial vaginosis was three times greater among women who applied antiseptic solutions to the vulva or within the vagina. Additionally, the frequency of bacterial vaginosis was six times higher in women utilizing a douching agent. When it comes to bacterial vaginosis, African American women are 2.9 times more likely to be diagnosed with bacterial vaginosis compared to women of European ancestry, possibly due to variations in their "normal" vaginal flora. [12]

Menstrual hygiene: the adolescent girl

To observe the menstrual hygiene in adolescent girls, a study was conducted in a secondary school in Singur West Bengal. Conducted as a descriptive, cross-sectional study involving 160 girls in West Bengal, the findings revealed that a significant portion of respondents became aware of menstruation before menarche, with mothers being the primary source of information. While the majority recognized menstruation as a physiological process, knowledge and usage of sanitary pads were limited. Most girls employed soap and water for cleaning purposes, and a considerable percentage observed various restrictions during menstruation. [24] Among the 160 respondents, 108 (67.5%) girls were aware of menstruation before experiencing menarche. Mothers were the primary source of information for 60 (37.5%) girls. A majority, 138 (86.25%), considered menstruation a physiological process. Only 78 (48.75%) girls were familiar with the use of sanitary pads during menstruation. In terms of practices, merely 18 (11.25%) girls used sanitary pads during menstruation. For cleaning purposes, 156 (97.5%) girls utilized both soap and water. Regarding restrictions, 136 (85%) girls adhered to various restrictions during menstruation. [24]

Society and culture

According to the World Health Organization, as of 2018 there are about 1.9 billion women who are of reproductive age. [25] In low-income countries, women's choices of menstrual hygiene materials are often limited by the costs, availability and social norms. Not only are women's choices limited but, according to the WHO and Unicef, 780 million people do not have access to improved water sources and about 2.5 billion people lack access to improved sanitation. The lack of proper hygiene leads to a harder time for women to manage feminine hygiene. [26] [27] [25] [28]

Costs and tax

Menstrual hygiene product dispenser Menstrual hygiene product dispenser.jpg
Menstrual hygiene product dispenser

Tampon tax is a shorthand for sales tax charged on tampons, pads, and menstrual cups. The cost of these commercial products for menstrual management is considered to be unacceptably high for many low-income women. At least half a million women across the world do not have enough money to adequately afford these products. This can result in missing school or even dropping out. In some jurisdictions similar necessities like medical devices and toilet paper are not taxed. Several initiatives worldwide advocate to eliminate the tax all together. In some countries, such petitions have already been successful (for example parts of the UK and the United States). [29] [30] [31]

Access to products in prisons

The Federal Bureau of Prisons in the United States announced that women in its facilities would be guaranteed free menstrual pads and tampons. In section 411 of the First Step Act which was passed on May 22, 2018 states, "The Director of the Bureau of Prisons shall make the healthcare products described in subsection (c) available to prisoners for free, in a quantity that is appropriate to the healthcare needs of each prisoner". [32]

Other social views

Some girls and women may view tampons and menstrual cups as affecting their virginity even though they have not engaged in sexual intercourse. [4]

For those with autism, using pads before menstruation begins may help reduce sensory issues associated with menstrual hygiene products. Prior education and practice may help familiarize an individual with body changes and the process of using products associated with menstruation. [33]

Menstruation may occur despite paralyzation; product use depends on the individual's personal preference. [34]

History

An early commercial menstrual product in the form of a menstrual belt. Illustration from 1911. Monatsbinden.gif
An early commercial menstrual product in the form of a menstrual belt. Illustration from 1911.
Instructions on how to fold a piece of fabric to be used as a menstrual pad. At the bottom, how to fasten the pad with cord to the waistband is demonstrated. From the German book The woman as a family doctor, 1911. Die Frau als Hausarztin (1911) 151 Periodenbinde.png
Instructions on how to fold a piece of fabric to be used as a menstrual pad. At the bottom, how to fasten the pad with cord to the waistband is demonstrated. From the German book The woman as a family doctor, 1911.

In ancient Egypt, the Roman Empire and Indonesia, various natural materials – wool, grass, papyrus – were used as tampons. In ancient Japan, the tampon was made of paper and held in place by a special binder called kama, and was changed up to 12 times a day. [35]

In 18th-century Sweden, women in common society were not known to use feminine hygiene products and visible period stains on clothing did not attract much attention. A common expression for menstruation during this period was to "wear the clothes" or "wear the särk", a chemise-like undergarment. [36]

It is likely that pieces of cloth or special rags were used to collect the menstrual fluid. However, there are few records of menstrual pads from the pre-industrial era. [37] As artifacts, the various types of menstrual pads have not been preserved or survived in any particular sense, as the cloths used were discarded when they became worn out or the need for them ceased with menopause. However, as technology evolved, commercial hygiene products were introduced in the form of the menstrual pad, also known as the sanitary napkin. In Sweden, this happened at the end of the 19th century and has been linked to an increased focus on cleanliness, personal hygiene and health that occurred in the early part of the 20th century in the wake of urbanization. [38] By the end of the 19th century, the first commercial sanitary napkin had also been introduced on the American market by Johnson & Johnson. It was a variant of the menstrual pad made of flannel. [39]

Advertisements and product information for sanitary pads are the primary source of knowledge about the history of sanitary pads. [40]

Homemade knitted menstrual pad Hemstickad sanitetsbinda.jpg
Homemade knitted menstrual pad

Early 20th-century commercial products

Sanitary napkins could be made of woven cotton, knitted or crocheted and filled with rags. [41] They could be homemade for personal use or mass-produced and sold, such as in towns that had a textile industry. [42]

The menstrual receptacle was the very earliest hygiene product to be launched as menstrual protection in Sweden, as early as 1879. It was made of rubber, like many of the hygiene articles of the time, and resembled a bowl-shaped casing that would sit on the outside of the abdomen. The menstrual receptacle is not considered to have gained much popularity. [43]

The first half of the 20th century also saw the development of early intravaginal menstrual products similar to the menstrual cup, with an early patent dating from 1903. [44]

Menstrual belts were another form that menstrual protection took and began to appear in the late 19th century. They were made so that the pad itself was contained in a special holder that was fastened around the waist with a belt. The pads in these designs are referred to as "suction pads" in Swedish patent documents, such as the "Suction pad for menstruation" patent from 1889. [45] The price for a menstrual belt could be between 2.75 – 3.50 SEK and pads had to be purchased for about 4–5 SEK each, depending on the size of the pack. From the price information available, menstrual protection was likely a costly purchase that was not available to everyone. [38]

The sanitary belt can be seen as a modern version of the menstrual belt, but more like a girdle. The function of the belt is to hold the pad in place while giving the user greater freedom of motion. [46] In Sweden, the product was introduced in the 1940s and was in use until the 1960s. [47] In the 1970s, the adhesive strip on the underside of the pad was introduced, allowing it to be attached to the underwear and held in place without the use of a girdle, safety pin or belt. [48]

Historical types of menstrual hygiene products

See also

Related Research Articles

<span class="mw-page-title-main">Tampon</span> Feminine hygiene product to absorb menstrual flow by insertion into the vagina

A tampon is a menstrual product designed to absorb blood and vaginal secretions by insertion into the vagina during menstruation. Unlike a pad, it is placed internally, inside of the vaginal canal. Once inserted correctly, a tampon is held in place by the vagina and expands as it soaks up menstrual blood. However, in addition to menstrual blood, the tampon also absorbs the vagina's natural lubrication and bacteria, which can change the normal pH, increasing the risk of infections from the bacterium Staphylococcus aureus, which can lead to toxic shock syndrome (TSS). TSS is a rare but life-threatening infection that requires immediate medical attention.

Vaginitis, also known as vulvovaginitis, is inflammation of the vagina and vulva. Symptoms may include itching, burning, pain, discharge, and a bad smell. Certain types of vaginitis may result in complications during pregnancy.

<span class="mw-page-title-main">Menstrual cup</span> Menstrual hygiene device, an elastomeric cup worn inside the vagina to catch menstruum

A menstrual cup is a menstrual hygiene device which is inserted into the vagina during menstruation. Its purpose is to collect menstrual fluid. Menstrual cups are made of elastomers. A properly-fitting menstrual cup seals against the vaginal walls, so tilting and inverting the body will not cause it to leak. It is impermeable and collects menstrual fluid, unlike tampons and menstrual pads, which absorb it.

<span class="mw-page-title-main">Menstrual pad</span> Absorbent item worn in the underwear

A menstrual pad, or simply a pad, is an absorbent item worn in the underwear when menstruating, bleeding after giving birth, recovering from gynecologic surgery, experiencing a miscarriage or abortion, or in any other situation where it is necessary to absorb a flow of blood from the vagina. A menstrual pad is a type of menstrual hygiene product that is worn externally, unlike tampons and menstrual cups, which are worn inside the vagina. Pads are generally changed by being stripped off the pants and panties, taking out the old pad, sticking the new one on the inside of the panties and pulling them back on. Pads are recommended to be changed every 3–4 hours to avoid certain bacteria that can fester in blood; this time also may differ depending on the kind worn, flow, and the time it is worn.

<span class="mw-page-title-main">Pantyliner</span> Absorbent material used for feminine hygiene

A pantyliner is an absorbent piece of material used for feminine hygiene. It is worn in the gusset of a woman's panties. Some uses include: absorbency for daily vaginal discharge, light menstrual flow, tampon and menstrual cup backup, spotting, post-intercourse discharge, and urinary incontinence. Panty liners can also help with girls who are having discharges and about to start their cycle. Pantyliners are related to sanitary napkins in their basic construction—but are usually much thinner and often narrower than pads. As a result, they absorb much less liquid than pads—making them suitable for light discharge and everyday cleanliness. They are generally unsuitable for menstruation with medium to heavy flow, which requires them to be changed more often.

<span class="mw-page-title-main">Kotex</span> Brand of menstrual hygiene products

Kotex is an American brand of menstrual hygiene products, which includes the Kotex maxi, thin and ultra-thin pads, the Security tampons, and the Lightdays pantiliners. Most recently, the company has added U by Kotex to its menstrual hygiene product line. Kotex is owned and managed by Kimberly-Clark, a consumer products corporation active in more than 80 countries.

Vulvitis is inflammation of the vulva, the external female mammalian genitalia that include the labia majora, labia minora, clitoris, and introitus. It may co-occur as vulvovaginitis with vaginitis, inflammation of the vagina, and may have infectious or non-infectious causes. The warm and moist conditions of the vulva make it easily affected. Vulvitis is prone to occur in any female especially those who have certain sensitivities, infections, allergies, or diseases that make them likely to have vulvitis. Postmenopausal women and prepubescent girls are more prone to be affected by it, as compared to women in their menstruation period. It is so because they have low estrogen levels which makes their vulvar tissue thin and dry. Women having diabetes are also prone to be affected by vulvitis due to the high sugar content in their cells, increasing their vulnerability. Vulvitis is not a disease, it is just an inflammation caused by an infection, allergy or injury. Vulvitis may also be symptom of any sexually transmitted infection or a fungal infection.

Always is an American brand of menstrual hygiene products, including maxi pads, ultra thin pads, pantyliners, disposable underwear for night-time wear, and vaginal wipes. A sister company of Procter & Gamble, it was first invented and introduced in the United States in 1983 by Tom Osborn, a mid-level employee at Procter & Gamble, then nationally in May 1984. By the end of 1984, Always had also been introduced internationally in the United Kingdom, Canada, France, Germany, Arab world, Pakistan and Africa. Despite the Always' pads runaway international success, Procter & Gamble almost fired Tom Osborn twice in the early 1980s as he was developing this product.

<span class="mw-page-title-main">Vaginal discharge</span> Medical condition

Vaginal discharge is a mixture of liquid, cells, and bacteria that lubricate and protect the vagina. This mixture is constantly produced by the cells of the vagina and cervix, and it exits the body through the vaginal opening. The composition, amount, and quality of discharge varies between individuals and can vary throughout the menstrual cycle and throughout the stages of sexual and reproductive development. Normal vaginal discharge may have a thin, watery consistency or a thick, sticky consistency, and it may be clear or white in color. Normal vaginal discharge may be large in volume but typically does not have a strong odor, nor is it typically associated with itching or pain. While most discharge is considered physiologic or represents normal functioning of the body, some changes in discharge can reflect infection or other pathological processes. Infections that may cause changes in vaginal discharge include vaginal yeast infections, bacterial vaginosis, and sexually transmitted infections. The characteristics of abnormal vaginal discharge vary depending on the cause, but common features include a change in color, a foul odor, and associated symptoms such as itching, burning, pelvic pain, or pain during sexual intercourse.

<span class="mw-page-title-main">Cloth menstrual pad</span> Cloth pads to prevent menstrual fluid from leaking onto clothes

Cloth menstrual pads are cloth pads worn in the underwear to collect menstrual fluid. They are a type of reusable menstrual hygiene product, and are an alternative to sanitary napkins or to menstrual cups. Because they can be reused, they are generally less expensive than disposable pads over time, and reduce the amount of waste produced.

<span class="mw-page-title-main">Culture and menstruation</span>

There are many cultural aspects surrounding how societies view menstruation. Different cultures view menstruation in different ways. The basis of many conduct norms and communication about menstruation in western industrial societies is the belief that menstruation should remain hidden. By contrast, in some hunter-gatherer societies, menstrual observances are viewed in a positive light, without any connotation of uncleanness.

A vaginal disease is a pathological condition that affects part or all of the vagina.

<span class="mw-page-title-main">Douche</span> Device used to introduce a stream of water into the body

A douche is a device used to introduce a stream of water into the body for medical or hygienic reasons, or the stream of water itself. Douche usually refers to vaginal irrigation, the rinsing of the vagina, but it can also refer to the rinsing of any body cavity. A douche bag is a piece of equipment for douching—a bag for holding the fluid used in douching. To avoid transferring intestinal bacteria into the vagina, the same bag must not be used for an enema and a vaginal douche.

<span class="mw-page-title-main">Lil-lets</span>

Lil-lets is a brand providing feminine hygiene products that operates principally in the UK, Ireland and South Africa. Since 2000, the company has restructured through two management buyouts (MBO) to become a business crossing all sectors of the feminine hygiene market, including tampons, sanitary napkins, pantyliners and intimate care. They also do programmes for schools that teach young girls the changes that occur when they begin to menstruate.

<span class="mw-page-title-main">Arunachalam Muruganantham</span> Indian social entrepreneur

Arunachalam Muruganantham also known as Padman is a social entrepreneur from Coimbatore in Tamil Nadu, India. He is the inventor of a low-cost sanitary pad-making machine and is credited for innovating grassroots mechanisms for generating awareness about traditional unhygienic practices around menstruation in rural India. His mini-machines, which can manufacture sanitary pads for less than a third of the cost of commercial pads, have been installed in 23 of the 29 states of India in rural areas. He is currently planning to expand the production of these machines to 106 nations. The movie Period. End of Sentence. won the Academy Award for Best Documentary for the year 2018. The 2018 Hindi film Pad Man was made on his invention, where he was portrayed by Akshay Kumar.

Judith Esser-Mittag, commonly known as Judith Esser, was a German gynecologist. Her extensive studies of the female anatomy helped her to create an environmentally friendly tampon with no applicator.

<span class="mw-page-title-main">Tampon tax</span> Value-added tax or sales tax charged on feminine hygiene products

Tampon tax is a popular term used to call attention to tampons, and other feminine hygiene products, being subject to value-added tax (VAT) or sales tax, unlike the tax exemption status granted to other products considered basic necessities. Proponents of tax exemption argue that tampons, sanitary napkins, menstrual cups and comparable products constitute basic, unavoidable necessities for women, and any additional taxes constitute a pink tax.

<span class="mw-page-title-main">Menstrual hygiene management</span> Access to menstrual hygiene products and disposal of used products

Menstrual hygiene management (MHM) or menstrual health and hygiene (MHH) refers to access to menstrual hygiene products to absorb or collect the flow of blood during menstruation, privacy to change the materials, and access to facilities to dispose of used menstrual management materials. It can also include the "broader systemic factors that link menstruation with health, well-being, gender equality, education, equity, empowerment, and rights". Menstrual hygiene management can be particularly challenging for girls and women in developing countries, where clean water and toilet facilities are often inadequate. Menstrual waste is largely ignored in schools in developing countries, despite it being a significant problem. Menstruation can be a barrier to education for many girls, as a lack of effective sanitary products restricts girls' involvement in educational and social activities.

<span class="mw-page-title-main">Period underwear</span> Menstrual garment

Period underwear are absorbent garments designed to be worn during menstruation. Period underwear is designed like conventional underwear but it is made up of highly absorbent fabrics to soak up menstrual blood. Most commercially manufactured period underwear makes use of microfiber polyester fabric. It is recommended that period underwear should be changed every 8-12 hours to avoid leakage and infection.

<span class="mw-page-title-main">Period poverty</span> Economic justice issue related to female periods

Period poverty is a term used to describe a lack of access to proper menstrual products and the education needed to use them effectively. In total, there are around 500 million women and girls that cannot manage their periods safely due to lack of menstrual products and for fear of shame. The American Medical Women's Association defines period poverty as "the inadequate access to menstrual hygiene tools and educations, including but not limited to sanitary products, washing facilities, and waste management". The lack of access to menstrual hygiene products can cause physical health problems, such as infections and reproductive tract complications, and can have negative social and psychological consequences, including missed school or work days and stigma.

References

Notes

  1. Nicole, Wendee (March 2014). "A Question for Women's Health: Chemicals in Feminine Hygiene Products and Personal Lubricants". Environmental Health Perspectives. 122 (3): A70–A75. doi:10.1289/ehp.122-A70. PMC   3948026 . PMID   24583634.
  2. 1 2 3 Schaefer, Valorie Lee, et al. The Care & Keeping of You 1: The Body Book For Younger Girls. American Girl, 2018.
  3. 1 2 3 4 5 Natterson, Dr. Cara, and Josée Masse. The Care and Keeping of You 2 The Body Book for Older Girls. American Girl Publishing, 2012.
  4. 1 2 3 4 5 6 7 Stewart, Elizabeth Gunther. (2002). The V book : a doctor's guide to complete vulvovaginal health. Bantam Books. ISBN   9780307492449. OCLC   773813783.
  5. 1 2 3 "How Do I Use Tampons, Pads, Period Underwear & Menstrual Cups? | Facts & Info". www.plannedparenthood.org. Archived from the original on 2019-10-29. Retrieved 2019-11-18.
  6. Kim, Naeun (2015-11-10). "Soaking It Up With Menstrual Sea Sponges". Vice. Archived from the original on 2019-11-18. Retrieved 2019-11-18.
  7. "Toxic Shock Syndrome | Facts & Info". www.mayoclinic.org. Archived from the original on 2022-09-28. Retrieved 2022-09-28.
  8. Benton, Emilia (2019-10-16). "These Are The Feminine Wipes Gynos Actually Recommend". Women's Health. Archived from the original on 2019-11-18. Retrieved 2019-11-18.
  9. "Feeling Fresh". kidshealth.org. Archived from the original on 2018-11-08. Retrieved 2018-11-07.
  10. "Douching | Womenshealth.gov". womenshealth.gov. 2017-02-21. Archived from the original on 2018-11-07. Retrieved 2018-11-07.
  11. Branch, Francesca; Woodruff, Tracey J.; Mitro, Susanna D.; Zota, Ami R. (December 2015). "Vaginal douching and racial/ethnic disparities in phthalates exposures among reproductive-aged women: National Health and Nutrition Examination Survey 2001–2004". Environmental Health. 14 (1). doi: 10.1186/s12940-015-0043-6 . ISSN   1476-069X. PMC   4502470 .
  12. 1 2 3 4 5 6 7 8 9 10 Chen, Ying; Bruning, Elizabeth; Rubino, Joseph; Eder, Scott E (December 2017). "Role of female intimate hygiene in vulvovaginal health: Global hygiene practices and product usage". Women's Health. 13 (3): 58–67. doi: 10.1177/1745505717731011 . ISSN   1745-5065. PMC   7789027 .
  13. "Are panty liners beneficial or harmful? I alternative to panty liners". UTI prevention I Vaginal care I Ezspur. Archived from the original on 2018-11-18. Retrieved 2018-11-18.
  14. "Cloth Pad Pros & Cons". Reusable Menstrual Products. 2016-11-23. Archived from the original on 2018-11-18. Retrieved 2018-11-18.
  15. "Should We Really Be Using Feminine Care Wipes for Down There?". InStyle.com. Archived from the original on 2018-11-18. Retrieved 2018-11-18.
  16. Klebanoff MA, Nansel TR, Brotman RM, Zhang J, Yu KF, Schwebke JR, Andrews WW (February 2010). "Personal Hygienic Behaviors and Bacterial Vaginosis". Sexually Transmitted Diseases. 37 (2): 94–99. doi:10.1097/OLQ.0b013e3181bc063c. PMC   2811217 . PMID   19823112.
  17. "Douching". Pffice on Women's Health. Archived from the original on 2020-12-26. Retrieved 2020-12-23.
  18. Pallett, Abitha (December 14, 2020). "Keeping the Vagina and Vulva Clean". YourPeriodCalled. Archived from the original on 2021-03-01. Retrieved 2020-12-14.
  19. Cottrell, Barbara Hansen (March 2010). "An Updated Review of Evidence to Discourage Douching". MCN: The American Journal of Maternal/Child Nursing. 35 (2): 102–107. doi:10.1097/NMC.0b013e3181cae9da. ISSN   0361-929X.
  20. "Lawsuit Investigation Looks at PFAS Levels in Menstrual Underwear". www.classaction.org. 2020-08-26. Archived from the original on 2023-01-17. Retrieved 2023-01-25.
  21. US EPA, OA (2021-10-14). "Our Current Understanding of the Human Health and Environmental Risks of PFAS". www.epa.gov. Archived from the original on 2023-01-24. Retrieved 2023-01-25.
  22. Sim, M; Logan, S; Goh, Lh (June 2020). "Vaginal discharge: evaluation and management in primary care". Singapore Medical Journal: 297–301. doi: 10.11622/smedj.2020088 . PMC   7905126 .
  23. Venugopal, Swetha; Gopalan, Kannan; Devi, Asha; Kavitha, A (2017). "Epidemiology and clinico-investigative study of organisms causing vaginal discharge". Indian Journal of Sexually Transmitted Diseases and AIDS. 38 (1): 69. doi: 10.4103/0253-7184.203433 . ISSN   0253-7184. PMC   5389219 .
  24. 1 2 Dasgupta, A; Sarkar, M (2008). "Menstrual hygiene: How hygienic is the adolescent girl?". Indian Journal of Community Medicine. 33 (2): 77. doi: 10.4103/0970-0218.40872 . ISSN   0970-0218. PMC   2784630 .
  25. 1 2 "Tackling the taboo of menstrual hygiene in the European Region". www.euro.who.int. Archived from the original on 2021-09-22. Retrieved 2021-03-03.
  26. UNESCO (2014). Puberty Education & Menstrual Hygiene Management - Good Policy and Practice in health Education - Booklet 9 Archived 2015-04-02 at the Wayback Machine . United Nations Educational, Scientific and Cultural Organization, Paris, France, p. 32
  27. Kaur, Rajanbir; Kaur, Kanwaljit; Kaur, Rajinder (2018). "Menstrual Hygiene, Management, and Waste Disposal: Practices and Challenges Faced by Girls/Women of Developing Countries". Journal of Environmental and Public Health. 2018: 1730964. doi: 10.1155/2018/1730964 . ISSN   1687-9805. PMC   5838436 . PMID   29675047.
  28. "Global WASH Fast Facts | Global Water, Sanitation and Hygiene | Healthy Water | CDC". www.cdc.gov. 2018-11-09. Archived from the original on 2021-03-02. Retrieved 2021-03-03.
  29. "Could this be the first country to end 'period poverty'?". www.msn.com. Archived from the original on 19 April 2018. Retrieved 2 May 2018.
  30. Nosheena Mobarik (3 October 2018). "Mobarik: UK one step closer to ending the tampon tax". Conservatives in the European Parliament. Archived from the original on 14 April 2019. Retrieved 15 October 2018.
  31. "Women get their periods every month — and it's incredibly expensive". USA TODAY. Archived from the original on 2021-01-25. Retrieved 2018-10-15.
  32. "Text - H.R.5682 - 115th Congress (2017-2018): FIRST STEP Act". 2018-05-23. Archived from the original on 2018-12-22. Retrieved 2018-11-13.
  33. Lyons, Tony. (2015-04-14). 101 Tips for the Parents of Girls with Autism : the Most Crucial Things You Need to Know About Diagnosis, Doctors, Schools, Taxes, Vaccinations, Babysitters, Treatment, Food, Self-Care, and More. Simon and Schuster. ISBN   9781629148427. OCLC   1054370720.
  34. Farrell, Kate, et al. Period: Twelve Voices Tell the Bloody Truth. Feiwel and Friends, an Imprint of Macmillan Publishing Group, LLC, 2018.
  35. Delaney, Janice; Lupton, Mary Jane; Toth, Emily (1988). The Curse: A Cultural History of Menstruation. University of Illinois Press. p. 138. ISBN   978-0-252-01452-9.
  36. Malmberg 1991, pp. 60–61.
  37. Malmberg 1991, p. 66.
  38. 1 2 Malmberg 1991, p. 158.
  39. Wysocki, Susan (1997-11-01). "New Options in Menstrual Protection on ADVANCE for Nurse Practitioners". Archived from the original on 2009-05-24. Retrieved 2017-06-11.
  40. Malmberg 1991, p. 114.
  41. "Dambinda" (in Swedish). Digitalt Museum. Retrieved 2015-02-01.
  42. Malmberg 1991, p. 148.
  43. Malmberg 1991, p. 138–139.
  44. "Catamenial sack". Google Patents . 1903. Archived from the original on 2016-06-17. Retrieved 2023-03-09.
  45. "Sugdyna för menstruationer" (PDF). Swedish Intellectual Property Office (in Swedish). 1889. Archived (PDF) from the original on 2023-03-21. Retrieved 2023-03-09.
  46. "Sanitetsgördel". Digitalt Museum (in Swedish). Archived from the original on 2016-01-27. Retrieved 2015-12-12.
  47. "Sanitetsgördel". Digitalt Museum (in Swedish). Archived from the original on 2016-01-27. Retrieved 2016-01-08.
  48. Bobel, Chris (2010). New Blood - Third-Wave Feminism and the Politics of Menstruation. Rutgers University Press. p. 46. ISBN   9780813547541.
  49. 1 2 3 4 Stein, Elissa (2009). Flow : the cultural story of menstruation . St. Martin's Griffin. ISBN   9780312379964. OCLC   946560416.
  50. 1 2 3 4 5 6 7 8 9 10 11 ONEILL, THERESE. (2018). UNMENTIONABLE : the victorian lady's guide to sex, marriage, and manners. BACK BAY Books LITTLE BRN. ISBN   978-0316357906. OCLC   1003312707.

Sources