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Period Pain Relief

Period Pain Relief: Can Cold Exposure Help?

Introduction

For many women, menstruation is a natural and inevitable part of life. Yet, along with its regularity comes a monthly visitor that isn’t quite as welcome: period pain. Medically known as dysmenorrhea, this discomfort often arrives hand-in-hand with menstruation, bringing with it a range of symptoms that can vary from mild to debilitating.

The prevalence of period pain means that countless individuals seek effective ways to alleviate their discomfort and go about their daily lives with greater ease. While over-the-counter painkillers and trusty hot water bottles have long been go-to remedies, there’s a growing curiosity surrounding alternative approaches to managing period pain.

In recent years, one such method has piqued interest – cold exposure. The idea of using cold temperatures to relieve pain may seem unconventional, but it has gained attention in the realm of natural health and wellness. Can exposing the body to cold, through techniques like cold packs or ice baths, provide a welcome respite from menstrual pain? This blog aims to explore this intriguing question.

Join us as we delve into the science behind cold dipping, the potential benefits it offers for period pain relief, and the various techniques you can consider. We’ll also discuss alternative non-medical approaches and emphasise the importance of consulting with healthcare professionals. By the end, you’ll have a better understanding of whether cold exposure might be a chilly but effective ally in the battle against period pain.

Understanding Period Pain

What is Period Pain?

Period pain, scientifically referred to as dysmenorrhea, is a common and often unwelcome visitor in the lives of many women. It’s that discomfort, aches, and cramps that accompany menstruation, typically occurring in the lower abdomen but sometimes radiating to the lower back and thighs. For some, it’s a minor inconvenience; for others, it can be excruciating, interfering with daily activities and quality of life.

Common Symptoms

Cramping: Menstrual cramps are a hallmark of period pain. They occur as a result of the uterus contracting to help shed its lining.

Lower Abdominal Pain: A dull, throbbing ache or sharp, stabbing pain in the lower abdomen is a frequent complaint.

Backache: Some women experience pain in the lower back, which often accompanies abdominal discomfort.

Headaches and Fatigue: Period pain can be accompanied by headaches, fatigue, and general malaise, making it an all-encompassing experience.

Causes of Period Pain

Period pain isn’t just your body’s way of being difficult; it has real biological causes. Understanding these underlying factors can shed light on why so many women experience it:

Hormonal Changes: The menstrual cycle involves fluctuations in hormone levels, particularly prostaglandins, which are responsible for uterine contractions. Higher levels of prostaglandins can lead to more intense contractions and more significant pain.

Uterine Contractions: During menstruation, the uterus contracts to shed its lining. These contractions can cause pain when they are too strong or prolonged.

Other Factors: In some cases, conditions like endometriosis or fibroids can exacerbate period pain. Emotional and psychological factors can also play a role, as stress and anxiety can amplify pain perception.

The Significance of Finding Relief

For those who experience severe period pain, finding effective relief is a matter of significant importance. It’s not just about comfort; it’s about the ability to go about daily life, work, study, or engage in social activities without being sidelined by pain. Many women are keen to explore alternatives to the conventional pain relief methods, which often come with side effects or may not provide adequate relief.

In the following sections, we’ll explore one such alternative: cold exposure. We’ll investigate whether exposing the body to cold temperatures can offer a refreshing and novel approach to managing the discomfort of period pain. Before we dive into the cold, though, let’s examine the more traditional methods of tackling this monthly challenge.

Traditional Methods for Period Pain Relief

When it comes to managing period pain, many women turn to tried-and-tested methods that have been relied upon for generations. These conventional approaches offer varying degrees of relief and comfort during menstruation. Here, we’ll explore some of the traditional methods for alleviating period pain:

Over-the-Counter Painkillers

One of the most common go-to options for period pain relief is over-the-counter (OTC) painkillers. These medications, such as ibuprofen or paracetamol, can help reduce pain, inflammation, and discomfort. They work by inhibiting the production of prostaglandins, the hormone-like substances responsible for uterine contractions and pain.

Pros:

Readily available and easy to use.

Can provide relatively fast relief.

Cons:

May have side effects such as stomach irritation or drowsiness.

Prolonged or excessive use can have health implications.

Hot Water Bottles and Heating Pads

Hot water bottles and heating pads are beloved companions for many women during their periods. Applying heat to the lower abdomen or lower back can help relax the muscles, reduce cramping, and alleviate pain.

Pros:

Safe, non-invasive, and cost-effective.

Provides localised comfort.

Cons:

Offers temporary relief and may not work for everyone.

Requires continuous application to maintain its effect.

Relaxation Techniques

Stress and anxiety can exacerbate period pain, so relaxation techniques can play a vital role in managing discomfort. Practices such as deep breathing exercises, yoga, meditation, and mindfulness can help ease tension and reduce pain perception.

Pros:

Promotes overall well-being and mental health.

May complement other pain relief methods.

Cons:

Requires practice and consistency to achieve noticeable benefits.

Effectiveness can vary from person to person.

Dietary Adjustments

Some individuals find relief from period pain by making dietary adjustments. Consuming foods rich in anti-inflammatory compounds, such as omega-3 fatty acids (found in fatty fish) and antioxidants (found in fruits and vegetables), may help reduce inflammation and pain.

Pros:

Encourages a healthy diet with potential long-term benefits.

Supports overall health and well-being.

Cons:

May take time to see noticeable improvements.

Dietary changes may not provide immediate relief.

While these traditional methods have been helpful for many women in managing period pain, they are not always effective for everyone. Furthermore, some individuals may be seeking alternative approaches that align with their preferences or lifestyle choices. This leads us to the question at the heart of this blog: Can cold exposure offer a unique and effective way to combat the discomfort of menstruation?

The Science of Cold Exposure

The idea of using cold temperatures to relieve pain may seem counterintuitive at first, but it’s a concept rooted in the principles of physiology and biology. Cold exposure, in various forms, has been used for centuries as a therapeutic tool, and its potential benefits for pain relief are now being explored more rigorously. Here, we’ll delve into the science behind cold dipping and how it may hold promise as a method to alleviate period pain.

How Cold Exposure Works

When you subject your body to cold temperatures, several physiological responses occur:

Vasoconstriction: Cold water exposure causes blood vessels near the skin’s surface to constrict or narrow. This reduces blood flow to the area, which can help reduce inflammation and swelling.

Numbing Effect: Cold temperatures can have a numbing effect on nerves, diminishing the perception of pain.

Endorphin Release: Exposure to cold can trigger the release of endorphins, which are natural painkillers produced by the body. Endorphins can create a sense of well-being and reduce discomfort.

Muscle Relaxation: Cold exposure can help relax muscles, reducing tension and cramping.

Cold Exposure and Inflammation

Inflammation is a key contributor to period pain. The uterine contractions that occur during menstruation can lead to an inflammatory response, causing pain and discomfort. Cold exposure’s ability to reduce inflammation is particularly relevant in this context. By constricting blood vessels and reducing blood flow, cold plunging may help mitigate the inflammatory response in the uterine area, offering relief from cramps and discomfort.

Cold Exposure Techniques

There are various techniques for applying cold exposure to the body, and some may be more suitable than others for period pain relief. Here are a few options:

Cold Packs: Applying a cold pack or ice pack to the lower abdomen or lower back can provide targeted relief. Ensure that the pack is wrapped in a cloth to prevent direct skin contact.

Cold Baths: Taking a cold bath or a cool shower may help relax muscles and reduce inflammation. Gradually immerse yourself in the cold water for the best results.

Cryotherapy: Cryotherapy involves exposing the body to extremely cold temperatures for a short period, often in specialised chambers. While this approach is more intense, it has gained popularity for its potential pain-relieving effects.

Individual Responses May Vary

It’s important to note that the effectiveness of cold plunging for period pain relief can vary from person to person. Some individuals may find it extremely beneficial, while others may not experience the same level of relief. Factors such as the severity of menstrual cramps, individual pain thresholds, and personal preferences play a role in how well cold exposure works.

Cold Exposure Techniques

Now that we’ve explored the science behind cold exposure and its potential benefits for period pain relief, let’s take a closer look at the various techniques you can consider if you’re interested in giving cold dipping a try. Remember that personal preferences and comfort levels vary, so it’s essential to choose a method that suits you best.

Cold Packs

Description: Cold packs, also known as ice packs, are readily available and simple to use. They consist of a gel or liquid-filled pouch that can be frozen and applied to the skin.

How to Use:

Place the cold pack in the freezer until it’s adequately chilled.

Wrap the cold pack in a thin cloth or towel to prevent direct contact with your skin.

Apply the wrapped cold pack to the lower abdomen or lower back, where you’re experiencing period pain.

Leave the cold pack in place for about 15-20 minutes or until you feel relief.

Cold Baths

Description: Taking a cold bath or a cool shower can be a refreshing way to relax muscles and potentially reduce inflammation.

How to Use:

Fill a bathtub with cold water or adjust the temperature of your shower to a cooler setting.

Gradually immerse yourself in the cold water. You can start with lukewarm water and gradually decrease the temperature.

Stay in the cold bath or shower for 10-15 minutes or until you feel relief.

Afterward, pat yourself dry with a towel and dress warmly.

Cryotherapy

Description: Cryotherapy involves exposing the body to extremely cold temperatures for a short period. While it’s less commonly used for period pain relief, some individuals find it effective.

How to Use:

Locate a cryotherapy facility or chamber near you, as cryotherapy typically requires specialised equipment.

Follow the instructions provided by the facility staff.

Typically, cryotherapy sessions last for a few minutes, during which you’ll be exposed to temperatures well below freezing.

Consult with the cryotherapy professionals about your specific needs and concerns.

Safety Precautions

When using cold exposure techniques, it’s crucial to prioritise safety:

Avoid Prolonged Exposure: Do not use cold exposure methods for extended periods, as this can lead to frostbite or skin damage.

Monitor Skin Sensation: Pay attention to your skin’s response. If you experience numbness, tingling, or discomfort, remove the cold pack, or exit the cold bath immediately.

Consult with a Healthcare Professional: If you have underlying medical conditions or concerns about using cold water exposure, consult with a healthcare provider before attempting these methods.

Do Not Use Direct Ice: Never apply ice or a cold pack directly to the skin without a barrier, as it can cause frostbite or cold burns.

Remember that everyone’s tolerance for cold is different, so adjust the intensity and duration of cold exposure according to your comfort level. It’s also advisable to try these techniques in a controlled environment, especially if you’re new to cold dipping.

Benefits and Risks

As with any therapeutic approach, it’s essential to consider both the potential benefits and associated risks when exploring cold dipping as a method for period pain relief. Let’s weigh the pros and cons to help you make an informed decision about whether to incorporate cold exposure into your pain management routine.

Benefits of Cold Exposure

Reduced Inflammation: Cold exposure’s ability to constrict blood vessels can lead to reduced inflammation in the pelvic area, potentially alleviating cramps and discomfort caused by period-related inflammation.

Muscle Relaxation: Cold dipping can help relax tense muscles, providing relief from muscle cramps and overall discomfort.

Natural Pain Relief: The release of endorphins triggered by cold dipping can act as a natural painkiller, offering a sense of well-being and comfort.

Non-Invasive: Cold exposure methods are generally non-invasive and do not involve the use of medications, making them a natural alternative for pain relief.

Risks and Considerations

Cold Sensitivity: Not everyone can tolerate cold temperatures comfortably. Some individuals may find cold dipping to be unpleasant or even painful.

Potential for Overexposure: Prolonged exposure to cold can lead to frostbite or skin damage. It’s crucial to follow recommended time limits and use protective barriers when applying cold packs.

Individual Variation: The effectiveness of cold dipping varies from person to person. While some individuals may experience significant relief, others may find it less effective or uncomfortable.

Not a Cure-All: Cold exposure may not completely eliminate period pain for everyone. It should be considered as one part of a holistic pain management approach rather than a standalone solution.

Consultation with Healthcare Provider: If you have underlying medical conditions or concerns about using cold exposure, consult with a healthcare provider before attempting these methods to ensure they are safe and appropriate for your situation.

Finding the Right Balance

The key to successfully incorporating cold plunges into your period pain relief routine is to strike the right balance. Start with short sessions and gradually increase exposure time if you find it beneficial. Always monitor your skin’s response and listen to your body.

Additionally, consider combining cold exposure with other pain management techniques, such as over-the-counter painkillers, relaxation exercises, or dietary adjustments. This holistic approach can provide comprehensive relief and help you better manage the discomfort of menstruation.

Ultimately, whether cold dipping is an effective tool for your period pain relief arsenal will depend on your individual preferences and how your body responds to this method. As you explore different approaches to managing period pain, remember to prioritise your comfort and well-being, seeking guidance from healthcare professionals when needed.

Other Non-Medical Approaches

While cold exposure is gaining attention as a potential method for period pain relief, it’s by no means the only non-medical approach available. Many individuals seek natural alternatives to manage their menstrual discomfort. Here, we’ll explore a range of non-medical techniques that you can consider incorporating into your period pain relief regimen:

Dietary Changes

Description: Adjusting your diet to include foods that are rich in anti-inflammatory compounds can potentially help reduce period-related inflammation and discomfort.

Dietary Tips:

Omega-3 Fatty Acids: Incorporate fatty fish like salmon, mackerel, or flaxseeds, which are high in omega-3 fatty acids known for their anti-inflammatory properties.

Antioxidants: Increase your intake of fruits and vegetables, particularly those rich in antioxidants like berries, leafy greens, and citrus fruits.

Herbal Teas: Some herbal teas, such as ginger or chamomile tea, may provide relief from cramps and relaxation.

Exercise and Movement

Description: Engaging in regular physical activity can help alleviate period pain by promoting blood circulation and reducing tension in the muscles.

Exercise Options:

Yoga: Gentle yoga poses can stretch and relax abdominal and lower back muscles, offering relief from cramping.

Aerobic Exercise: Activities like walking, swimming, or cycling can boost endorphin production and improve overall well-being.

Stretching: Incorporate light stretching exercises to ease muscle tension.

Stress Management

Description: Stress can exacerbate period pain, so stress management techniques are invaluable for many individuals.

Stress-Relief Practices:

Meditation: Regular meditation practice can help calm the mind and reduce stress levels.

Deep Breathing: Deep breathing exercises can be done anywhere and anytime to promote relaxation.

Mindfulness: Practicing mindfulness can enhance your awareness of physical sensations and reduce pain perception.

Herbal Remedies

Description: Some herbal remedies and supplements are believed to offer relief from period pain.

Herbal Options:

Ginger: Ginger has anti-inflammatory properties and is known for its potential to reduce menstrual cramps.

Dong Quai: This traditional Chinese herb is often used to alleviate menstrual pain.

Evening Primrose Oil: Some individuals take evening primrose oil supplements to manage PMS symptoms, including period pain.

Acupuncture

Description: Acupuncture involves the insertion of thin needles into specific points on the body and is believed to help regulate the flow of energy (qi) and alleviate pain.

How to Use:

Seek a qualified acupuncture practitioner who is experienced in treating menstrual issues.

Consult with the practitioner about your specific symptoms and concerns.

Heat Therapy

Description: Applying heat to the lower abdomen or lower back is a time-honoured method for reducing period pain.

How to Use:

Use a hot water bottle, heating pad, or warm towel.

Apply heat for 15-20 minutes at a time, as needed.

These non-medical approaches offer a range of options for managing period pain naturally. It’s important to remember that what works best for one person may not work as effectively for another, so you may need to experiment with different techniques to find the combination that provides the most relief for your individual needs.

Consultation with Healthcare Professionals

While exploring various non-medical approaches for period pain relief, it’s essential to recognise the significance of seeking guidance from healthcare professionals. Consulting with a qualified healthcare provider can help you make informed decisions about managing your menstrual discomfort. Here are some key reasons why this step is crucial:

Personalised Advice

Healthcare professionals, such as gynaecologists, can provide personalised advice based on your unique medical history and current health status. They can assess any underlying conditions that may be contributing to your period pain and recommend tailored treatment options.

Diagnosis and Evaluation

If you experience severe or debilitating period pain that significantly impacts your quality of life, it’s important to undergo a thorough evaluation. Healthcare providers can rule out underlying medical conditions such as endometriosis or fibroids, which may require specific medical interventions.

Medication Considerations

For some individuals, over-the-counter painkillers or prescription medications may be necessary to manage period pain effectively. Healthcare professionals can prescribe appropriate medications and advise on their safe use.

Monitoring and Follow-Up

Period pain management may require ongoing care and adjustments to your treatment plan. Healthcare providers can monitor your progress, address any concerns or side effects, and make necessary modifications to ensure your comfort and well-being.

Discussing Alternative Approaches

When considering non-medical approaches like cold plunging or herbal remedies, it’s crucial to consult with healthcare professionals. They can offer insights into the safety and potential effectiveness of these methods, as well as help you integrate them into your overall pain management strategy.

Ensuring Safety

Some non-medical approaches, such as acupuncture or dietary supplements, may interact with existing medications or conditions. Healthcare providers can evaluate the safety of combining these methods with your current medical regimen.

Psychological Support

Period pain can have a significant psychological impact on some individuals, leading to stress, anxiety, or depression. Healthcare professionals can provide mental health support and recommend strategies for managing the emotional aspects of menstrual discomfort.

Tracking and Documentation

Healthcare providers may encourage you to keep a menstrual pain diary, documenting the severity and duration of your symptoms. This can help in the diagnostic process and inform treatment decisions.

Incorporating non-medical approaches into your period pain relief routine is an excellent way to explore holistic solutions. However, it should complement, rather than replace, the guidance and care provided by healthcare professionals. Open communication with your healthcare team ensures that you receive comprehensive and coordinated care tailored to your specific needs.

Remember that managing period pain is a highly individualised journey, and what works best for one person may differ from another. By combining professional medical advice with non-medical approaches and closely monitoring your body’s responses, you can create a personalised pain management plan that promotes your overall well-being and comfort during menstruation.

Conclusion

As we draw our exploration of period pain relief to a close, it’s clear that managing menstrual discomfort is a multifaceted journey, and the right approach may vary from person to person. Period pain, or dysmenorrhea, is a common and sometimes debilitating condition that affects many women. While traditional methods such as over-the-counter painkillers and heat therapy have been go-to solutions, the search for alternative and natural approaches is ongoing.

Remember, there is no one-size-fits-all solution for period pain relief, and what works best for you may differ from what works best for someone else. It’s worth exploring various methods, seeking professional guidance, and carefully monitoring your body’s responses to create a holistic approach that enhances your comfort and quality of life during menstruation.

Crucially, throughout your journey to find effective period pain relief, consulting with healthcare professionals is paramount. Their expertise can help you rule out underlying medical conditions, provide personalised advice, and ensure your safety and well-being.

Ultimately, whether you choose cold exposure or another method, the goal remains the same: to find relief from period pain and regain the freedom to lead a fulfilling life, month after month. As you embark on your journey towards greater comfort and well-being, we hope this exploration has provided valuable insights to help you make informed decisions about managing your menstrual discomfort.

Thank you for joining us in this exploration of period pain relief. Your health and well-being are of utmost importance, and we wish you success in finding the solutions that work best for you.

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Martinique£57.93 £103.31 £132.93 £165.30 £192.49
Mauritania£55.60 £76.71 £100.33 £126.25 £149.25
Mauritius£55.60 £76.71 £100.33 £126.25 £149.25
Mexico£57.93 £103.31 £132.93 £165.30 £192.49
Micronesia£55.60 £76.71 £100.33 £126.25 £149.25
Moldova£47.19 £54.88 £59.56 £64.22 £71.74
Monaco£22.58 £26.07 £27.63 £29.18 £32.02
Mongolia£55.60 £76.71 £100.33 £126.25 £149.25
Montenegro£47.19 £54.88 £59.56 £64.22 £71.74
Montserrat£57.93 £103.31 £132.93 £165.30 £192.49
Morocco£38.23 £52.74 £66.42 £81.31 £93.43
Mozambique£55.60 £76.71 £100.33 £126.25 £149.25
Namibia£55.60 £76.71 £100.33 £126.25 £149.25
Nepal£38.23 £52.74 £66.42 £81.31 £93.43
Netherlands£22.58 £26.07 £27.63 £29.18 £32.02
New Caledonia£55.60 £76.71 £100.33 £126.25 £149.25
New Zealand£77.82 £107.91 £144.35 £185.25 £229.54
Nicaragua£57.93 £103.31 £132.93 £165.30 £192.49
Niger£55.60 £76.71 £100.33 £126.25 £149.25
Nigeria£55.60 £76.71 £100.33 £126.25 £149.25
North Macedonia£47.19 £54.88 £59.56 £64.22 £71.74
Norway£40.42 £49.06 £53.73 £58.38 £65.47
Oman£38.23 £52.74 £66.42 £81.31 £93.43
Pakistan£38.23 £52.74 £66.42 £81.31 £93.43
Palau£55.60 £76.71 £100.33 £126.25 £149.25
Palestine Authority£38.23 £52.74 £66.42 £81.31 £93.43
Panama£57.93 £103.31 £132.93 £165.30 £192.49
Papua- New Guinea£55.60 £76.71 £100.33 £126.25 £149.25
Paraguay£57.93 £103.31 £132.93 £165.30 £192.49
Peru£57.93 £103.31 £132.93 £165.30 £192.49
Philippines£42.18 £57.90 £72.51 £73.60 £109.34
Poland£23.55 £28.34 £30.98 £33.62 £37.23
Portugal£23.55 £27.25 £28.81 £30.35 £33.56
Puerto Rico£57.93 £103.31 £132.93 £165.30 £192.49
Qatar£38.23 £52.74 £66.42 £81.31 £93.43
Reunion Island£55.60 £76.71 £100.33 £126.25 £149.25
Romania£23.55 £28.34 £30.98 £33.62 £37.23
Rwanda£55.60 £76.71 £100.33 £126.25 £149.25
Saipan£55.60 £76.71 £100.33 £126.25 £149.25
Samoa, West£55.60 £76.71 £100.33 £126.25 £149.25
San Marino£23.55 £27.25 £28.81 £30.35 £33.56
Saudi Arabia£38.23 £52.74 £66.42 £81.31 £93.43
Senegal£55.60 £76.71 £100.33 £126.25 £149.25
Serbia£47.19 £54.88 £59.56 £64.22 £71.74
Seychelles£55.60 £76.71 £100.33 £126.25 £149.25
Singapore£35.00 £46.93 £57.90 £71.05 £82.36
Slovak Republic£23.55 £28.34 £30.98 £33.62 £37.23
Slovenia£23.55 £28.34 £30.98 £33.62 £37.23
South Africa£57.93 £103.31 £132.93 £165.30 £192.49
Spain£23.55 £27.25 £28.81 £30.35 £33.56
Sri Lanka£38.23 £52.74 £66.42 £81.31 £93.43
St. Kitts & Nevis£57.93 £103.31 £132.93 £165.30 £192.49
St. Lucia£57.93 £103.31 £132.93 £165.30 £192.49
St. Maarten (NL)£57.93 £103.31 £132.93 £165.30 £192.49
St. Martin (FR)£57.93 £103.31 £132.93 £165.30 £192.49
St. Vincent£57.93 £103.31 £132.93 £165.30 £192.49
Suriname£57.93 £103.31 £132.93 £165.30 £192.49
Swaziland£55.60 £76.71 £100.33 £126.25 £149.25
Sweden£23.55 £27.25 £28.81 £30.35 £33.56
Switzerland£40.42 £49.06 £53.73 £58.38 £65.47
Taiwan£42.18 £57.90 £72.51 £73.60 £109.34
Tanzania£55.60 £76.71 £100.33 £126.25 £149.25
Thailand£42.18 £57.90 £72.51 £73.60 £109.34
Togo£55.60 £76.71 £100.33 £126.25 £149.25
Tonga£55.60 £76.71 £100.33 £126.25 £149.25
Trinidad & Tobago£57.93 £103.31 £132.93 £165.30 £192.49
Tunisia£38.23 £52.74 £66.42 £81.31 £93.43
Turkey£47.19 £54.88 £59.56 £64.22 £71.74
Turks & Caicos Islands£57.93 £103.31 £132.93 £165.30 £192.49
Uganda£55.60 £76.71 £100.33 £126.25 £149.25
United Arab Emirates£38.23 £52.74 £66.42 £81.31 £93.43
United States of America£30.10 £45.00 £68.42 £93.47 £118.10
Uruguay£57.93 £103.31 £132.93 £165.30 £192.49
Uzbekistan£55.60 £76.71 £100.33 £126.25 £149.25
Vanuatu£55.60 £76.71 £100.33 £126.25 £149.25
Vatican City£23.55 £27.25 £28.81 £30.35 £33.56
Venezuela£57.93 £103.31 £132.93 £165.30 £192.49
Vietnam£42.18 £57.90 £72.51 £73.60 £109.34
Virgin Islands (GB)£57.93 £103.31 £132.93 £165.30 £192.49
Virgin Islands (USA)£57.93 £103.31 £132.93 £165.30 £192.49
Wallis & Futuna£55.60 £76.71 £100.33 £126.25 £149.25
Zambia£55.60 £76.71 £100.33 £126.25 £149.25
Zimbabwe£55.60 £76.71 £100.33 £126.25 £149.25