A Woman’s Guide to Menstrual Health After Spinal Cord Injury

Hey, sister! Let’s talk about something we all experience but might not always chat about, our periods. Menstrual health can feel like a bit of a mystery after a spinal cord injury (SCI), but understanding how your body might change can help you feel more confident and in control. This isn’t about worrying over every little thing, it’s about knowing your options and taking charge of your health.

Of course, always speak with your GP or gynaecologist for personalised advice. But consider this your friendly guide to navigating menstrual health post-SCI.

What Happens to Your Period After an SCI?

First things first — it’s completely normal for your period to stop temporarily after a spinal cord injury. Your body has been through a significant shock, and it may take some time to reset. For many women, menstruation resumes within 3 to 6 months. Others may wait up to a year. And yes, it might not be as regular as it once was, but that’s okay. Your body is finding its new rhythm.

Some signs that your period is returning might include:

  • Increased muscle spasms
  • Mild headaches
  • Back pain
  • Symptoms of autonomic dysreflexia if you have a high-level injury

You might not feel menstrual cramps the same way you did before, especially if you have reduced sensation. But with time, you’ll learn to recognise your body’s signals.

Can You Get Pregnant After an SCI?

Absolutely! A spinal cord injury doesn’t mean you can’t conceive or carry a healthy baby. In fact, some women find themselves unexpectedly pregnant before their periods return, so if you’re sexually active, it’s a good idea to consider contraception. Chat with your healthcare provider about the safest options for you

Managing Your Period: What Are Your Options?

The good news is that you still have plenty of choices when it comes to managing your menstrual flow. The key is finding what works best for your body and lifestyle.

Tampons

  • Some women find that straining during bladder management can accidentally dislodge tampons, so keep that in mind.
  • Many women prefer tampons for their discretion and convenience.
  • If you have good hand function, tampons without applicators may work well.
  • If dexterity is a challenge, applicator tampons could be easier to insert.
  • And remember, incorrect placement could trigger autonomic dysreflexia, if you experience sudden high blood pressure or headaches, remove the tampon immediately.

Pads

  • Adaptive underwear with built-in pads or side-fastening knickers can be a game changer when dressing independently.
  • Pads are often a practical choice, especially if you experience bladder or bowel incontinence.
  • They come in a variety of absorbencies and can provide reassurance against leaks.

Menstrual Cups and Period Pants

  • Some women love menstrual cups for their eco-friendliness and long wear time.
  • Period pants offer another worry-free option, providing leak protection without the need for additional products

Premenstrual Tension (PMT) and Emotional

SCI or not, PMT can throw us for a loop. You might notice mood swings, fatigue, or even increased spasms. Plus, many women report that bladder and bowel management can become trickier before and during their periods due to fluid retention.

Here’s how to support yourself during this time:

  • Consider supplements like vitamin B6 or magnesium for hormonal balance (always check with your doctor first).
  • Stay hydrated, reducing fluids can actually worsen symptoms.
  • Try gentle movements or adaptive exercises to ease discomfort.
  • Practise stress management techniques like deep breathing or guided relaxation.

When to Seek Medical Advice

Your period is like a monthly report card on your overall health. While changes are expected after SCI, it’s important to flag anything unusual to your healthcare provider, such as:

  • Heavy or prolonged bleeding
  • Severe abdominal pain
  • Signs of infection like foul-smelling discharge or fever
  • Missed periods that are unrelated to injury or pregnancy

Finding Support Through HerSpine Solutions

Sister, you don’t have to navigate this alone. At HerSpine Solutions, we know how valuable it is to connect with other women who understand your experiences.

HerSpine

Communities

Offer a judgment-free space to ask questions, share tips, and learn from others.

HerSpine

Services

Can point you to health professionals who specialise in SCI care.

HerSpine

Stories

Where real women share their journeys, the highs, the lows, and everything in between.

Thriving Through Every Cycle

Menstrual health is an important part of your overall well-being. While an SCI might change how you experience your period, it doesn’t change the fact that your body is powerful and resilient. Take the time to learn your body’s new rhythms, lean on your support network, and never hesitate to ask for help.

And remember, HerSpine Solutions is always here to empower you every step of the way.

You’re not just surviving. You’re thriving.