This study investigated the physiological and psychological effects of sanitary napkins (SN) on women in hemorrhage treatment during the menstrual phase. Mesh and non-woven napkins were employed, and the effects were studied during the follicular and menstrual phases; mesh SN presented a higher textural surface-roughness. In both phases, the increases in systolic and diastolic blood pressure were significantly dependent on the application intervals. The low-frequency component of systolic blood pressure variability significantly increased, while the salivary secretion rate decreased with the use of mesh SN during the follicular phase compared with non-woven SN. In addition, the heart rate during the menstrual phase significantly increased in subjects after the replacement of mesh SN compared with non-woven SN. In cases of wearing the unpleasant mesh SN, electroencephalography (EEG) manifested bilateral enhancements in beta and alpha2 waves in the frontal areas increased arousal level during both phases. From the above findings, napkin use increased physiological loading and wearing napkins with higher textural surface-roughness tended to increase activities of the autonomic nervous system and brain arousal level.

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