Solo Travel Health: Periods & Prescriptions

Updated for 2026 — Accurate as of February 2026.

There are certain travel topics that every solo female traveler needs information about but that most travel guides are too squeamish to address directly. Managing your period on a twelve-hour bus ride through rural Guatemala. Getting your birth control prescription filled in a country where you do not speak the language. Dealing with a UTI in Thailand when you are five hours from the nearest hospital. These are not glamorous topics, but they are the realities of female travel, and pretending they do not exist does women a disservice.

I have managed every one of these situations on the road, sometimes gracefully and sometimes with all the dignity of a person frantically Googling “pharmacy near me” at 11 PM in a foreign city. This guide is the information I wish I had before my first trip: practical, specific, and stripped of euphemism.

According to a 2025 survey by the Solo Female Travelers Network, health concerns related to menstruation, medication access, and reproductive health are among the top five worries for women planning international trips. Yet only 12% of general travel guides address these topics in meaningful detail. This article exists to fill that gap.

Managing Your Period Abroad

Menstrual Product Availability by Region

Not all menstrual products are available everywhere. Knowing what to expect before you travel saves stress and emergency pharmacy runs.

Region	Pads	Tampons	Menstrual Cups	Period Underwear
Western Europe	Widely available	Widely available	Available (pharmacies, online)	Online only
Eastern Europe	Widely available	Available (cities)	Rare	Very rare
Southeast Asia	Widely available	Hard to find outside major cities	Very rare	Not available
South Asia (India, Nepal, Sri Lanka)	Widely available	Very hard to find	Very rare	Not available
East Asia (Japan, Korea, Taiwan)	Widely available	Available but less common	Rare	Online only
Latin America	Widely available	Available in cities	Rare	Very rare
Middle East	Available	Hard to find	Very rare	Not available
Sub-Saharan Africa	Available in cities	Hard to find	Very rare	Not available

The Case for a Menstrual Cup

A menstrual cup is, in my opinion, the single most practical menstrual solution for long-term travel. One cup lasts up to 10 years, eliminates the need to find specific products in foreign pharmacies, reduces waste, and can be worn for up to 12 hours. You never run out of supplies because you only need one.

Using a menstrual cup while traveling:

• Empty and rinse with clean water (bottled water if tap water is not safe)
• Sterilize between cycles by boiling in a pot for 5 minutes or using sterilizing tablets (Milton tablets work well and are lightweight)
• Store in its breathable cotton bag between uses
• Carry wet wipes for situations where water access is limited (overnight buses, camping)

Brands I recommend: DivaCup, Lunette, and MeLuna. If you have not used one before, practice at home for a few cycles before traveling.

Period Underwear as Backup

Period underwear (Thinx, Modibodi, Knix) is excellent as a backup layer or for light-flow days. It takes longer to dry than regular underwear, which is a consideration in humid climates or when you have limited laundry access. Pack 2-3 pairs and hand-wash daily.

Managing Your Period on Long Travel Days

Long bus rides, flights, and train journeys require planning. Here is my approach:

• Use a menstrual cup or tampon rather than a pad for extended sitting. More comfortable and less likely to leak during hours of sitting.
• Carry a small kit in your day bag: spare menstrual products, wet wipes, a zip-lock bag for used products (when bins are not available), ibuprofen, and a change of underwear.
• Wear dark clothing on heavy-flow travel days. Black leggings are your friend.
• Request an aisle seat on flights and buses so you can access the bathroom without climbing over people.
• Time your pain medication. Take ibuprofen 30 minutes before you expect cramps to start, not after they are already intense. Proactive dosing is more effective than reactive.

Altitude and Menstruation

High altitude can affect your menstrual cycle. Many women report earlier or delayed periods, heavier flow, or increased cramping at altitudes above 3,000 meters. This is thought to be related to changes in progesterone levels and reduced oxygen.

Practical tips:

• Bring extra menstrual supplies when trekking at altitude (Nepal, Peru, Bolivia)
• Pack more pain medication than you think you need
• Stay hydrated, which helps with both altitude acclimatization and cramp management
• Do not assume your period will arrive on schedule at altitude

Period Stigma in Different Cultures

In some cultures, menstruation carries stigma or taboos. In parts of Nepal, India, and some conservative Muslim communities, menstruating women may be considered impure. This rarely affects tourists directly, but it can influence product availability and attitudes. In these regions, dispose of products discreetly and be aware that discussing menstruation openly may be uncomfortable for locals.

Prescription Medications Abroad

Before You Travel

Get a 90-day supply. Most insurance plans and pharmacies will fill a 90-day prescription for travel purposes. Request this from your doctor with a letter explaining you are traveling internationally.

Carry a doctor’s letter. For any prescription medication, carry a letter from your doctor stating:

• Your name
• The medication name (both brand and generic/chemical name)
• The dosage
• The medical reason for the prescription
• The doctor’s contact information

This letter serves two purposes: it helps at border crossings if customs questions your medication, and it helps local pharmacists understand what you need if you run out.

Know the generic name. Brand names vary by country. Paracetamol (UK/Australia) is Tylenol (US) is Acetaminophen (generic). Write down the chemical/generic name of every medication you take.

Check legality. Some medications that are legal in your home country are controlled or illegal in other destinations. Codeine is restricted in Japan and some Middle Eastern countries. Adderall (amphetamine) is illegal in many Asian countries. Certain antidepressants require documentation in some countries. Check the embassy website of your destination country or contact them directly.

Birth Control

Oral contraceptives: Available over the counter (without prescription) in many countries including most of Latin America, Southeast Asia, and parts of Europe. In the US, UK, and Australia, they require a prescription. Carry your specific brand’s generic name and dosage information.

The pill and time zones: Crossing time zones affects pill timing. If you take your pill at 8 AM at home and fly 12 hours east, your “8 AM” is now their 8 PM. The simplest approach is to adjust by one hour per day until you reach local time. Set phone alarms.

IUD/Implant: If you use a long-acting contraceptive, this is the easiest option for travel. No daily management, no refills, no timezone adjustments. If your IUD or implant is due for replacement during your trip, have it done before you leave.

Emergency contraception: Plan B (levonorgestrel) is available over the counter in most Western countries, and in many pharmacies worldwide. Ella (ulipristal) requires a prescription in most places. Know the local brand names before you need them.

Condoms: Widely available worldwide. Quality varies. Bring a supply from home if you have a preferred brand or if you are traveling to regions where quality control is inconsistent.

Antibiotics and Common Travel Illnesses

In many countries (Southeast Asia, Latin America, India, parts of Africa), antibiotics are available over the counter without a prescription. While this is convenient, it is also a reason to be cautious. Self-diagnosing and self-treating can be dangerous. However, knowing what to ask for in common situations is practical.

UTIs: Extremely common in female travelers (dehydration, heat, new bacteria, infrequent bathroom access). Trimethoprim or Nitrofurantoin are standard treatments. Available over the counter in many countries. Carry a course from home as a backup.

Symptoms: Burning urination, frequent urge to urinate, lower abdominal pain, cloudy or bloody urine.

Prevention: Stay hydrated. Urinate frequently (do not hold it). Urinate after sex. Wipe front to back. Consider cranberry supplements.

Yeast infections: Also common, especially in hot, humid climates. Fluconazole (single oral dose) or clotrimazole (topical cream) are standard treatments. Available over the counter in most countries.

Traveler’s diarrhea: Affects 30-70% of travelers to developing countries. Mild cases resolve with rest, hydration, and oral rehydration salts (ORS). Severe cases may require Loperamide (Imodium) for symptom relief or a course of Azithromycin or Ciprofloxacin. Carry these medications from home.

Building Your Travel Health Kit

Every solo female traveler should carry a personal health kit. Here is what I recommend:

Essential Kit

Item	Purpose	Quantity
Ibuprofen (400mg)	Pain, cramps, inflammation	20+ tablets
Paracetamol/Acetaminophen	Pain, fever	20+ tablets
Oral rehydration salts	Dehydration from diarrhea/heat	6+ sachets
Loperamide (Imodium)	Acute diarrhea	10 tablets
Antihistamine (cetirizine/loratadine)	Allergies, insect bites	10 tablets
Antiseptic cream	Minor cuts, scrapes	1 tube
Band-aids/plasters	Blisters, small wounds	10+
Sunscreen SPF 50+	Sun protection	1 bottle
Insect repellent (DEET 30%+)	Mosquito-borne diseases	1 bottle
Hand sanitizer	Hygiene when water unavailable	1 bottle

Women-Specific Additions

Item	Purpose	Notes
Menstrual cup or preferred products	Period management	Enough for full trip duration
UTI treatment (trimethoprim)	Urinary tract infection	Get a course from your doctor before travel
Yeast infection treatment (fluconazole)	Yeast infection	Single-dose pill, get from doctor
Birth control supply	Contraception	90-day supply plus buffer
Pregnancy test	Peace of mind	Lightweight, inexpensive
Cranberry supplements	UTI prevention	D-mannose supplements also effective

Prescription Backup

Item	Purpose	Notes
Doctor’s letter	Medication documentation	Include generic names and dosages
Prescription copies	Refill if needed abroad	Digital copies in email work
Extra medication	Buffer supply	Always carry 2+ weeks extra
Travel insurance details	Emergency medical coverage	Print and digital copies

Finding Medical Care Abroad

Pharmacies

Pharmacies are your first line of defense for minor health issues abroad. In many countries, pharmacists have significant medical training and can recommend treatments for common conditions.

Tips:

• Google Translate’s camera function can translate medication packaging in real time
• Write down the generic name and dosage of what you need. Show it to the pharmacist
• In countries where pharmacists speak limited English, a multilingual medical phrase card (available as free PDFs from the International Association for Medical Assistance to Travellers) is invaluable

Doctors and Clinics

For non-emergency medical issues, your hotel or hostel can usually recommend a local doctor or clinic. In major cities across Asia and Latin America, private clinics catering to foreigners offer English-speaking doctors at reasonable prices ($30-80 per consultation).

International clinic networks:

• International SOS (global, corporate-focused)
• Bangkok Hospital (Thailand, excellent quality)
• Bumrungrad International (Bangkok, world-class)
• Apollo Hospitals (India, extensive network)

Emergency Services

Know the emergency number for every country you visit. 112 works across the EU and in many other countries. Save local emergency numbers in your phone before arriving.

Travel Insurance: Non-Negotiable

Travel insurance is essential for solo female travelers. A medical emergency abroad without insurance can result in bills of $10,000-100,000+. Medical evacuation alone can cost $50,000-200,000.

What to look for in a policy:

• Medical coverage of at least $100,000 (higher for the US, where hospital costs are extreme)
• Medical evacuation coverage
• Trip cancellation and interruption
• Coverage for pre-existing conditions (if applicable, requires disclosure)
• Coverage for adventure activities if you plan to do them

Recommended providers for solo female travelers:

• World Nomads: Best for adventure travelers, covers a wide range of activities
• SafetyWing: Best for digital nomads and long-term travelers, monthly subscription model
• Allianz Global Assistance: Good all-around coverage, competitive pricing
• True Traveller: Popular with UK-based travelers, competitive for long trips

Mental Health on the Road

Physical health gets most of the attention in travel health guides, but mental health is equally important, especially for solo travelers.

Common challenges:

• Loneliness, especially during the first week of a trip
• Anxiety about safety, navigation, and the unknown
• Decision fatigue from constant travel logistics
• Homesickness
• Overwhelm from constant stimulation and new environments

Strategies:

• Maintain routines: same morning coffee ritual, regular exercise, consistent sleep schedule
• Stay connected with home through regular calls/messages (but not so much that you are not present)
• Journal: processing experiences in writing reduces anxiety and enhances enjoyment
• Build in rest days: not every day needs to be an adventure
• Seek help if needed: teletherapy services (BetterHelp, Talkspace) work internationally with a Wi-Fi connection

If you take psychiatric medication (SSRIs, SNRIs, benzodiazepines, etc.), carry extra supply, carry a doctor’s letter, and research legality in your destination countries. Some psychiatric medications are controlled substances in certain countries.

Final Thoughts

Your body does not stop being female when you travel. Periods, prescriptions, UTIs, and health anxieties travel with you, and pretending otherwise leads to preventable stress and avoidable suffering. The solution is not to let health concerns stop you from traveling. The solution is to prepare thoroughly, pack intelligently, and know your options in every destination.

The women who travel most confidently are not the ones with the strongest immune systems. They are the ones with the best-stocked health kits and the least shame about using them.

You Might Also Like

• Travel Insurance for Solo Women
• Packing Checklist for Solo Female Travelers
• First Solo Trip Anxiety Guide