I had the opportunity to try a belted pad, and while I thought the shape and fit were good, one thing it seemed to me was that it needed elastic to not only make it more underwear-like and snug fitting, but because I found having to undo a hook and eye everytime I wanted to go to the toilet was a bit tedious
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So some women change to tight fitting underpants while they have their period, but some prefer to wear belted pads so they can still wear their normal underwear.
Also, some women find for nighttime a belted pad or holder keeps the pad in place more effectively than a pad in underwear does.
And it's not common for women in developing countries to wear underpants at all... so when people send out cloth pads to places like Africa, they have to include underpants, or send belted pads.
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