What some women and girls have to put in their underwear each month

We asked photographic artist Maisie Cousins to interpret the lengths that some people in the UK have to go to because of their periods.

Poverty, homelessness or stigma forces some women and girls to come up with makeshift sanitary products.

Her photographs here are in contrast to the sanitised images of periods often seen in advertising and media.

Here are some of the items that a 2018 survey by charity Plan International found that women and girls use instead of traditional sanitary products.

In the struggle to buy tampons and towels, toilet roll is a common low-cost replacement.

From wrapping whole rolls around their pants, to taping in tissues, the survey found that 40% of women under 21 have resorted to doing this.

After tissue, socks are the second most commonly used item.

Fabrics provide a more absorbent, washable fix.

Rags are often used, with one girl saying she had to use a vest to manage her period.

The disposable nature of newspapers and paper has also led to them being used as a substitute.

Sometimes, there is no option but to bleed straight into the underwear.

For these girls, an extra layer of pants is used as a last resort to stop leaks.