Concerns About Using Sanitary Pads in Public Restrooms - Obstetrics and Gynecology

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Issues related to sanitary pads?


Hello, doctor.
I would like to ask you about using public restrooms during my menstrual period.
I have a habit of using two pads because I'm concerned about leakage to the back.
However, it's not easy to position them properly, and sometimes the length of the pads touches the edge of the toilet.
Could this cause an infection or lead to any issues in the genital or anal area? Thank you for your response, doctor.

Karen, 40~49 year old female. Ask Date: 2017/11/06

Dr. Huang Jianzhong reply Obstetrics and Gynecology


During menstruation, when using public restrooms, I have a habit of using two pads because I'm afraid of leakage towards the back.
However, it's not easy to position them properly, and sometimes the length of the pads can touch the edge of the toilet.
Will this cause an infection or lead to any issues in the genital or anal area? Answer: It should not cause an infection.

Reply Date: 2017/11/06

More Info


Using sanitary pads in public restrooms during menstruation is a common concern, especially regarding hygiene and the potential for infections. It’s understandable to be cautious about how sanitary products are used, particularly in less-than-ideal restroom conditions.
First and foremost, it’s important to recognize that sanitary pads are designed to absorb menstrual flow and provide a barrier between your body and any potential contaminants. However, when using them in public restrooms, there are a few considerations to keep in mind to minimize any risk of infection or discomfort.

1. Hygiene Practices: Before handling any sanitary products, ensure that your hands are clean. Wash your hands thoroughly with soap and water before and after changing your pad. If soap and water are not available, using hand sanitizer can be a good alternative.

2. Placement of Pads: When applying two pads for extra protection, it’s crucial to ensure they are positioned correctly. If the pads are too close to the edge of the toilet seat, they may come into contact with surfaces that could harbor bacteria. Ideally, try to position the pads so that they are fully within the bounds of your underwear, away from the toilet edge. If you find it difficult to manage, consider using a single, more absorbent pad or a menstrual cup, which can provide better protection without the need for multiple pads.

3. Risk of Infection: While the risk of infection from using a pad that has touched the toilet seat is relatively low, it is not zero. Bacteria can be present in public restrooms, and if a pad comes into contact with contaminated surfaces, there is a possibility of transferring bacteria to the vaginal or anal area. This can lead to conditions such as bacterial vaginosis or urinary tract infections (UTIs). To mitigate this risk, avoid touching the pad to any surfaces other than your underwear and dispose of used pads properly in designated waste bins.

4. Skin Irritation: Using two pads may lead to increased friction and moisture, which can cause skin irritation or rashes in the genital area. If you notice any discomfort, consider switching to a different type of pad that may be more suitable for your skin type, or consult with a healthcare provider for recommendations.

5. Monitoring Symptoms: After using public restrooms, be vigilant about any unusual symptoms such as itching, burning, or unusual discharge. If you experience any of these symptoms, it may be wise to consult a healthcare professional for evaluation.

In summary, while using sanitary pads in public restrooms can be done safely with proper hygiene practices, it’s essential to be mindful of how you handle and position them. If you have ongoing concerns about infections or discomfort, consider discussing these with a healthcare provider who can offer personalized advice and alternatives that may better suit your needs.

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