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Since their invention, tampons have been the subject of moral panic, health scares, tax protests and ridiculous advertising.
There are many myths and misconceptions about tampons:
Can you lose your virginity by wearing a tampon?
Can a tampon fall out?
What happens if you leave a tampon in too long?
Read on for the answers.
Tampons and your body
Does it hurt to insert or remove a tampon?
It shouldn’t hurt. You might want to try different types of tampons—with or without an applicator—to see which you prefer. Sometimes it’s slightly uncomfortable to insert or remove a tampon simply because your vagina is dry, or your flow is very light.
Using a small amount of water-based lubricant should help relieve the dryness and make it easier for the tampon or applicator to slide in. If you notice a dry, uncomfortable feeling when removing your tampon, try switching to a lighter absorbency type. If you continue to experience vaginal pain when using tampons, see your healthcare provider.
Should I be able to feel a tampon inside me?
No. When a tampon is inserted correctly (pushed far enough in) you won’t be able to feel it. Tampons are designed to be worn in the upper part of the vagina, the part furthest away from the vaginal opening. If you can feel your tampon, try pushing it in a little further.
Can a tampon get “lost” inside me?
No. The cervix (at the end of the vagina) only has a tiny opening to allow blood or semen through. If you are having difficulty removing your tampon, try pushing—as if you were about to poop. It may help if you squat rather than sitting or standing. Move your fingers around the inside of your vagina and try to feel towards the top and back. Once you can feel the tampon or tampon string, grab it between your fingers and pull it out.
Can a tampon “fall out”?
Not usually. When a tampon is properly inserted (pushed in far enough), your vagina naturally holds the tampon in place, even if you are running or doing something active. If you are pushing hard while pooping, your tampon might fall out. If that happens, insert a new one.
Can I lose my virginity by inserting a tampon?
No. Virginity is not something physical or medical. It’s a cultural idea, about which many people have different definitions and opinions. Concepts of virginity are sometimes linked with the idea that your vaginal opening is covered by a membrane, often referred to as the hymen, that is “broken” by vaginal sex.
The vaginal corona (also known as the hymen) consists of thin folds of mucous tissue located 1–2 centimeters just inside the vaginal opening (1). Anna Knöfel Magnusson of the RFSU (the Swedish Association for Sexuality Education) wrote about it in the booklet Vaginal Corona: Myths surrounding virginity:
“Every corona looks different, and differs in size, colour and shape. It is slightly pink, almost transparent, and may resemble the petals of a flower, a jigsaw piece or a half-moon. In the vast majority of cases, it is elastic and stretchy. Very rarely, the mucous tissue folds may cover the entire vaginal opening. In that case, it might be necessary to see a gynecologist and have the vaginal corona opened to release menstrual blood, to enable insertion of a tampon or penetrative sex.” —Anna Knöfel, Vaginal Corona: Myths surrounding virginity
The vaginal corona can be gradually diminished by basic daily physical activity, not just by inserting things (like tampons, menstrual cups, toys, or fingers) into the vagina. The hormonal changes that occur as people mature through puberty can also change the shape and flexibility of the vaginal corona (2).
Regardless of whether you use tampons or not, your vaginal corona (if you had one to begin with) will wear away over time. The anatomy and purpose of the vaginal corona is not very well understood, and more research is needed.
Tampons and your health
Will tampons give me Toxic Shock Syndrome?
Probably not, but it’s good to be informed. Toxic Shock Syndrome (TSS) is a rare condition affecting around 1 in 100,000 menstruating people (3). More than half of reported TSS cases are associated with tampon use, but it can affect people of any age—including men and children. Wearing a tampon for a long duration of time (over 8 hours) is associated with TSS (4). The symptoms of TSS start suddenly and can get worse quickly.
TSS can be fatal if not treated promptly, so it’s important to know the symptoms (5,6):
A high temperature (fever) of 102.2F (39C) or above
Flu-like symptoms, such as a headache, chills, muscle aches, a sore throat and a cough
Feeling and being sick
Diarrhea
A widespread sunburn-like rash
The whites of the eyes, lips and tongue turning a bright red
Dizziness or fainting
Breathing difficulties
Confusion, drowsiness, loss of consciousness
TSS is a medical emergency. While these symptoms could be due an illness other than TSS, it's important to contact your healthcare provider or hospital as soon as possible if you have a combination of these symptoms. It's very unlikely that you have TSS, but these symptoms shouldn't be ignored. If you have severe symptoms or your symptoms are getting rapidly worse, then go to your nearest hospital or call for an ambulance immediately.
How can I reduce my chances of getting TSS?
Use lower-absorbency tampons and change them more often, and avoid leaving a tampon in for more than 8 hours. Alternately, you can use a different menstrual product, like pads or a menstrual cup. Menstrual cups are not considered a TSS risk. There has been only one documented case of TSS linked with using a menstrual cup, and this occurred when a woman scratched the inside of her vagina while inserting the cup (7).
Use Clue to track your period—and to get a reminder when your next one is due.
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Do tampons expire?
Yes. The shelf life of tampons is around five years, if they are kept in their packaging and stored in a dry environment. They are sanitary but not sterile, so if they are stored in a moist place—like your bathroom—bacteria and mold can grow.
The most important thing to pay attention to is the packaging: Do you have an “emergency tampon” that’s been rolling around inside your bag for weeks, and the wrapper is damaged? If so, don’t use it—a tampon that is moldy or dirty may cause a vaginal infection. If you notice any itching or irritation after using tampons, see your healthcare provider.
Is it OK to use tampons if you have an IUD?
Yes. Immediately after insertion of an IUD you may experience some bleeding—do not use tampons for this bleeding. After this insertion bleeding is finished, it’s fine to use tampons or a menstrual cup if you have an IUD. The IUD threads extend just a few centimeters from the cervix, so they should not interfere at all with tampon insertion and removal.
Article was originally published August 29, 2018