Sustainable. Period.

I’ll start off by saying that I am a bit biased on this topic, since I made the switch to reusable menstruation products years ago. I started with one product at a time and introduced more as I became more aware of the environmental implications of my use of disposable period products and also as I became more independent and started to be able to afford buying the more expensive items. 

And before anyone says anything, I would never shame or judge anyone for not wanting to use and reusable menstruation products. It’s a personal choice and not one all women even get to have. But from a position of comfort, utility, and environmental implications, I am a strong supporter of these products.

But how much waste do conventional single use menstrual products actually produce? According to CSUSM (3) menstrual products produce over 200,000 tonnes of waste per year worldwide. Furthermore, most menstrual products are made of plastic and are non-biodegradable and take up to 800 years to decompose. Finally, single use menstrual products contain dangerous chemicals like pesticide reside, bleach, and phthalates that can cause harm to the body (toxic shock syndrome for example).

This post will discuss

  • Environmental impacts
  • Cost
  • Health
  • Comfort/reliability
  • Other considerations

Environmental Impacts

Pads

Pads are made of 7 main components: the surface cover, acquisition distribution layer, absorbent core, back sheet, release paper, adhesive and in some cases wings. The materials used comprise mostly of plastics such as polyethylene, cellulosic fibres such as rayon, viscose or cotton. Individuals use on average 16.5 per cycle, therefore 198 per year. It is estimated that one pad emits 0.029 kgCO2Eq/unit. Being the most common menstrual product, pads generate 21,000 tonnes of waste annually in the UK.

Tampons

Tampons are a bit simpler, made up of a surface material, absorbent core, string and in some cases wrappers or applicators that are made of either plastic or cardboard. The outer components are usually made from polyester, polyethylene, rayon or cotton. The absorbent core and string are typically composed of rayon or cotton and the wrapper is usually a film made of cellophane or polyethylene. Individuals use on average 16 tampons per cycle, therefore 191 per year and they emit 0.018 kgCO2Eq/unit. In the UK, tampons generate 5,854 tonnes of waste annually.

Menstrual Cups

Menstrual cups entered the market more recently and are made of medical grade silicone. If cared for properly, they can be used for up to 10 years. Individuals need only one menstrual cup and it will last them 10 years, so the yearly use of a menstrual cup is 0.1 and they emit 0.42 kgCO2Eq/unit. Menstruation cups produce only 0.2 tonnes of waste per year, making it the least wasteful menstruation product on the market.

Reusable Underwear

Reusable underwear are even more recent inventions and are designed to be washed and re-worn. Many companies recommend purchasing at least 5 pairs for a cycle including some pairs for heavier flow and some for light days, The absorbent part of the underwear is not recyclable and must be thrown out but the outer non-absorbent parts can be recycled in textile recycling centres. Reusable underwear emit around 0.11kgCO2Eq/unit. Waste from reusable underwear account for around 1,210 tonnes.

Table 1:

Table summary of menstruation products
ProductAmount used per cycleAnnual Product Use (APU)Estimated GHG emissions (kgCO2Eq/unit)MMP emissions (kg CO2-Equiv./year)
Pads16.51980.02921,049 (10 g/pad)
Tampons161910.0185,854 (5 g/tampon)
Menstruation Cup10.10.420.2 (15 g cup)
Reusable Underwear2 + 32.50.111,210 (60 g average)
Table taken from UK Study (1) but slightly edited

Although reusable products do produce less waste because they can be used for longer, they produce SIGNIFICANTLY less waste largely due to not being as widely used as their single-use counterparts which are more mainstream. Nevertheless, the authors of the study suggested that if all women switched from pads to reusable underwear and from tampons to menstrual cups 22,907 tonnes of waste would be avoided and so would the emission of 78,937tonnes of CO2.

Table 2

theoretical switch from single-use to reusable products
Waste after the switch (t/year)Potential Waste avoidable (t/year)Emissions after the switch (tCO2-Equiv./year)Potential avoidable emissions (tCO2-Equiv./year)
Pads to Underwear3,98717,0622,92458,120
Tampon to Cups95,84525720,818
Total annual3,99622,9073,18078,937
Table taken from UK Study (1) but slightly edited

Cost

The switch from single-use to reusable products is not only considerably helpful for the environment, but is also beneficial financially on an individual level. Although prices vary significantly around the world, there is a consensus that one could save money using reusable products, especially menstrual cups. Reusable underwear are on the more expensive side, but alternatives such as reusable pads or cheaper options may be available.

Table 3:

Cost of Menstrual products

ProductPrice per unit
(£)
Annual Product Use (APU)Lifetime Product UseAnnual Cost (£)Lifetime cost (37.5 y)
(£)
Single Use Pads0.14196 Units8499 Units27.861,045
Single Use Tampons0.10191 Units8221 Units19.00713
Reusable Cups21.990.1 Units4.3 Units2.2083
Reusable Underwear20.003.5 Units75 Units70.002,625
Table taken from UK Study (1) but slightly edited

Health

Coming soon

Comfort/reliability

Coming soon

Other considerations

Other things to consider includes (2)

  • Product availability
  • Access to sanitary environment and clean water
  • Peer-pressure/influence
  • Cultural/religious considerations
  • Personal preference

References

(1) An exploratory study of the impact and potential of menstrual hygiene management waste in the UK (2022)

(2) Menstruation: Environmental impact and need for global health equity (2022)

(3) CSUSM