Through the ages women have used different forms of menstrual protection. Menstrual pads have been mentioned as early as the 10th century, in the Suda, where Hypatia, who lived in the 4th century AD, was said to have thrown one of her used menstrual rags at an admirer in an attempt to turn him off. The Museum of Menstruation has articles and photos of some early forms of menstrual protection, including among other things knitted pads and menstrual aprons. Women often used strips of folded old cloth (rags) to catch their menstrual blood, which is why the term "on the rag" is used to refer to menstruation.
Disposable menstrual pads appear to have been first commercially available from around 1888 with the Southall's pad. Disposable pads had their start with nurses using their wood pulp bandages to catch their menstrual flow, creating a pad that was made from easily obtainable materials and inexpensive enough to throw away after use. Kotex's first advertisement for products made with this wood pulp appeared in 1921. Several of the first disposable pad manufacturers were also manufacturers of bandages, which could give an indication of what these products were like.
Until disposable sanitary pads were created, cloth or reusable pads were widely used to collect menstrual blood. Women often used a variety of home-made menstrual pads which they crafted from various fabrics, leftover scraps, grass, or other absorbent materials, to collect menstrual blood. Many probably used nothing at all. Even after disposable pads were commercially available, for several years they were too expensive for many women to afford. When they could be afforded, women were allowed to place money in a box so that they would not have to speak to the clerk and take a box of Kotex pads from the counter themselves. It took several years for disposable menstrual pads to become commonplace. However, they are now used nearly exclusively in most of the industrialized world
The first of the disposable pads were generally in the form of a cotton wool or similar fibrous rectangle covered with an absorbent liner. The liner ends were extended front and back so as to fit through loops in a special girdle or belt worn beneath undergarments. This design was notorious for slipping either forward or back of the intended position.
Later an adhesive strip was placed on the bottom of the pad for attachment to the saddle of the panties, and this became a favoured method with women. The belted sanitary napkin quickly became unavailable after the mid-eighties.
The ergonomic design of the pad also changed through the 1980s to today. With earlier materials not being as absorbent and effective, and early pads being up to two centimetres thick, leaks were a major problem. Some variations introduced were quilting of the lining, adding "wings" and reducing the thickness of the pad by utilising products such as sphagnum. The ergonomic designs changed over the years; for example, the Australian Libra brand initially had a pad that was wider at the front, tapering at the back to provide a more aesthetic appearance; the current variation now has a wide dovetail at the back, giving functionality a higher priority.
Cloth menstrual pads made a comeback around the 1970s, with their popularity increasing in the late 80s and early 90s. Some popular reasons why women choose to switch to cloth menstrual pads include the following: comfort, savings over time, environmental impact, and health reasons.
There are many styles of cloth menstrual pads available today. Popular styles of cloth menstrual pads include all-in-one, or AIO pads, in which the absorbent layer is sewn inside the pad, 'inserts on top' style pads, which have absorbent layers that can be secured on top of the pad as needed, envelope or pocket style pads, which have absorbent layers that can be inserted inside the pad as needed, and a foldable style, in which the pad folds around the absorbent layers. Cloth menstrual pads can have waterproof lining, which provides more leak protection but may also be less breathable.
In underdeveloped countries, reusable or makeshift pads are still used to collect menstrual blood. Rags, soil, and mud are also reportedly used for collecting menstrual flow.
The ancient Egyptians invented the first disposable tampons made from softened papyrus. The ancient Greeks invented tampons made from lint wrapped around a small piece of wood, recorded in writing by Hippocrates in the fifth century B.C. Other materials used for the first tampons have included: wool, paper, vegetable fibers, sponges, grass, and later cotton.
As a medical device, the tampon, (from the French for plug, or stopper) has been around since the 19th century, when antiseptic cotton tampons treated with salicylates were used to stop the bleeding from bullet wounds, and there have been reports of modern menstrual tampons being used for the same purpose by soldiers in the Iraq War.
The applicator tampon with removal cord was invented in 1929 and submitted for patent in 1931 by Dr. Earle Haas, an American man from Denver, Colorado. Dr Hass later sold the patent of the applicator tampon to Gertrude Tendrich, who founded the Tampax Company for the mass production of the lengthways expanding tampon It is documented that Dr. Judith Esser-Mittag a gynaecologist developed, during her studies on the female anatomy, the digital design of tampon. In the late 1940’s, Dr. Carl Hahn, together with Heinz Mittag worked on the mass production of such a tampon. Dr. Hahn sold his Company which included the digital style tampon range to Johnson and Johnson in 1974.
Tampons come in various sizes, which are related to their absorbency ratings and packaging. The outward appearance of a tampon is similar for all brands, but once used some will perform differently to others. The two main differences are in the way the tampon expands when in use; for example Tampax tampons will expand, in the main lengthways, whilst OB and Lil-lets tampons will expand width-ways. All tampons have a cord for removal and some have an additional outer cover to aid insertion and withdrawal. Some women prefer to use a tampon which is contained within an applicator to further aid insertion. The majority of tampons sold are made of cotton, or rayon, or a blend of the two. Tampons are sold individually wrapped to keep them clean, and because the vagina is not a sterile body-cavity, and for the vast majority of ladies contains “good bacteria”, there is no need for any menstrual device to be sterilized.
The benefits of Tampons versus sanitary towels are a menstrual device worn completely inside the vaginal canal with the exception of the string. Thus they offer discretion and freedom to women allowing activities such as swimming to continue without interruption. It is usually not necessary to remove a tampon before urinating or having a bowel movement.
Unlike sanitary pads, menstrual blood is not exposed to the air with the use of tampons, so there is limited odour. There is no way to see that a woman is using a tampon when she is clothed, unlike sanitary pads, which have outlines that can sometimes be seen through fabric. As a disposable product, there is no need to wash anything in between use.

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