Later an adhesive strip was placed on the bottom of the pad for attachment to the crotch of the panties, and this became a favoured method with women. A menstrual pad is a type of feminine hygiene product that is worn externally, unlike tampons and menstrual cups which are worn inside the vagina. If a woman does not have sanitary napkins on hand, she might use toilet paper as a temporary substitution. These are made from a number of types of fabric—most often cotton flannel, or hemp which is highly absorbent and not as bulky as cotton. Long pads are offered for extra protection or for larger people whose undergarments might not be completely protected by regular length pads, and also for overnight use. Menstrual pads of any type should not be flushed down the toilet as they can cause blockages. In first aid, they make excellent dressings for heavy bleeding due to their high absorbency if gauze is unavailable or inadequate.
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