Comatose women LTC question

I just thought of a question that I plan on asking my teacher, but also thought I'd toss out here: when you have a female pt in LTC who is comatose or incapable of ADLs, how do you deal with menstruation? I'm assuming pads.

I was thinking about the family who had their daughter's doc perform a hysterectomy to keep her small so they could continue home care. It's called the Ashley Treatment in the news now. Last year another family wanted it done for their daughter (15y, with CP) so she doesn't have to deal with the "indignity" of menstruation.

I understand it can be messy, but someone with CP is not incapable of understanding the process. She's not mentally delayed, fps, at least according to the articles I've seen.

Aaaaanyway, what's the protocol where you work?