Do you have a disability, or do you know someone with a physical or intellectual disability?
What does "disability" actually mean? By definition, it refers to "a physical, mental, cognitive or developmental condition that impairs, restricts or hinders a person's ability to carry out certain tasks or actions, or to take part in typical everyday activities and interactions".
And that means this: although menstruation works more or less the same way for everyone, not everyone can follow the same intimate care advice. Because we're all different.
The spectrum of physical disabilities is extremely broad, and it would take some time to list every possible form. A few examples include: multiple sclerosis, paraplegia, epilepsy, visual impairment, cerebral palsy, limb amputation and many more.
For some people with a disability, managing menstruation poses no problem at all; for others, a simple action (such as changing a tampon) demands far more effort than we can imagine. 
Down's syndrome, Prader-Willi syndrome, developmental delays and other conditions bring with them a host of difficulties that can turn menstruation into a stressful experience. On top of that, learning materials tailored to different learning needs are usually nowhere to be found.
Those without a disability quickly get used to menstruation and eventually manage it on "autopilot". But when you consider all the steps involved (tracking your cycle, having period products to hand, changing those products, knowing about risks such as toxic shock syndrome, easing cramps and much more), it becomes clear just how difficult it all can be.
What does the research say?
Many of these individuals report dysmenorrhoea (painful periods), menorrhagia (heavy menstrual bleeding), difficulties with menstrual hygiene, as well as premenstrual syndrome symptoms. But the challenges don't end there.
People with such disabilities frequently come up against a range of barriers, including:
If you find this perspective hard to grasp, picture the following: you have a disability and no sensation below the waist. You can't tell when you're bleeding, and you feel uncomfortable asking someone else to help you insert a tampon. What do you do? Exactly… organising and managing your period becomes a real puzzle you have to solve.
The first and perhaps simplest thing we can all do is talk openly about the menstrual cycle and about the issues facing people with disabilities, in order to break down stigma. Ask your friends questions, educate yourself, and raise awareness among those around you about topics that are far too rarely discussed. You can recommend resources, cycle-tracking apps and organic period products to anyone who needs them – and most importantly, you can change your own attitude towards disability and menstruation!
ENROUSH's mission includes caring for EVERYONE who menstruates – we make life easier for all during "that time of the month", through: