Palesa Pads are extremely hygienic, but it is important to keep them clean. A person wears a pair of panties and washes them multiple times before replacing them. The concept of cloth pads is the same. Dirty panties can lead to infections and so can dirty pads. It's important to remove all marks from pads and panties to keep them hygienically clean. Pads and panties should never be worn twice in a row without washing and should never be shared with anyone, not even a close family member. We have found that the young girls are thrilled to find that they no longer experience a smell during menstruation once they have moved to Palesa Pads.