The shark myth, and the decompression question
Myth 1: sharks are attracted to menstrual blood. Sharks can detect blood at extraordinarily low concentrations — but menstrual blood is composed mostly of endometrial tissue, not the type of blood proteins that attract predator sharks (which respond to wounded-fish blood). The University of Florida's Shark Attack File explicitly states there's no evidence menstruation increases risk. What about decompression risk? Not proven either way. A DAN review of 956 women treated for DCI found many were menstruating at the time, especially those on the pill, but it had no comparison group; a 2003 study (Lee et al.) found more cases in the first week of the cycle. DAN's reading: a possible link, not proven. Hormonal contraception is not a dive contraindication. Full sources in our article on women, physiology and dive computers.
Practical management on a dive trip
Tampons or menstrual cups work fine under a wetsuit; either lasts a typical dive comfortably. Cups are the lower-environmental-impact choice (no waste). Period underwear (Thinx, Modibodi, etc.) works under wetsuits but adds bulk on the dive trip if you bring multiple pairs. Bring more than you think — laundry on Gili Air takes 24-48 hours. Painkillers (ibuprofen, paracetamol) before a boat ride if cramps are bad. If you have heavy cramps, sitting a day out is sensible — fatigue and concentration both matter underwater.