Depends, I will have a talk with the sub about her feelings about it and then decide accordingly.
Most common is to avoid anything with penetration. But technically if she is fine with it that isn't a must from my side. To avoid mess the shower is a good idea though.
Especially while using a tampon playing with the clit for example is still an option of course
For some the nipples can also get very sensitive and painful in that case reducing or pausing nipple play might be needed
Same for cramps, it simply might mean to take a pause with some things and me giving them a massage or bringing a hot water bottle instead
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