In many countries, if you can’t afford sanitary products, you improvise – these striking photos show how women around the world manage their periods.

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Millions of people around the world use various methods to manage their menstrual cycles each month. A new photo series from WaterAid showcases the different ways in which people manage their periods around the world.

There are different reasons why, whether it’s because they can’t afford period products, or for environmental, health or disposal reasons. Some of the ways in which people manage their periods include cloth pads, goatskin skirts, menstrual cups, cow patties, tampons and rags.