In 1902 Rusinska married Nikola Rusinov. Rusinov took part in the unsuccessful Ilenden Rising. They were not arrested but moved to Bulgaria where Rusinska returned to teaching in the village of Skravena. They had three children. The Balkan Wars morphed into the First World War, and whilst her husband volunteered to fight as Bulgarian soldier in the Maleshevo region, she again taught children, this time in Berovo, until 1918.