Many women reported they needed to have their attendant or husband assist them with their menstrual care needs. Problems women encountered include loose stools, bladder incontinence, chafing, and increase in spasms and cramping during their period. Other problems, noted in the literature, may include autonomic dysreflexia. There are also extra long pads that are available for heavy flow or nighttime use. One woman suggested placing the pad back a little further than you ordinarily would if you were up walking.
Some women also use an adult disposable diaper during their heavy flow to prevent accidents.
Some report using disposable sanitary panties that are reported to be leak proof. Some brands include Kotex, Sears, and Sani-Pant. Chafing can be an issue due to increased wetness if pads are not changed on a regular basis. It is important to change your tampon regularly to prevent toxic shock. Toxic shock can occur if a tampon is left in too long and can be life threatening.