I use these with leak proof panties. They are amazing together for incontinence. For the first time in years I no longer feel like Im sitting on paper or worse. I have tried everything made for incontinence and this is finally an answer. I keep a mini washer by my sink to keep the used ones and once week fill it with water and a little soap, rinse and spin dry in big washer,hang to dry and brand new clean, comfortable, real cloth comfort.And a money saver too booth.