It is completely normal to feel a little intimidated when considering using a tampon for the first time. This method of menstrual protection can seem confusing, but the process is straightforward once you understand the simple mechanics of insertion. Your body is naturally designed to accommodate a tampon, and with a little practice and patience, it will quickly become an easy part of your routine. Remember that learning any new skill takes a few tries, so approach the experience with a calm, encouraging mindset.
Preparing for Tampon Use
Selecting the right product is an important first step, and for beginners, it is often best to start with a “Light” or “Junior” absorbency tampon. These tampons are designed to be slender, which makes the initial insertion more comfortable, regardless of your flow. Look for tampons that have a smooth plastic applicator, as these typically glide more easily than cardboard versions, simplifying the process for a first-time user.
Before unwrapping the tampon, always wash your hands thoroughly with soap to maintain proper hygiene. Once your hands are clean, unwrap the tampon, taking a moment to identify the parts: the outer tube, the inner plunger, and the removal string hanging from the end. If you drop the unwrapped tampon, discard it immediately and start with a fresh one to prevent introducing any bacteria.
Step-by-Step Insertion Guide
Finding a comfortable position that allows you to relax your muscles is the most important step before attempting insertion. Many people find success by sitting on the toilet with knees spread, standing with one foot propped up on a stool or the toilet seat, or squatting slightly. When the pelvic muscles are tense, the vaginal opening tightens, which can make insertion difficult or even painful. Taking a few deep breaths can help your body relax and prevent this involuntary tensing.
Gently spread the labia with one hand to locate the vaginal opening, which is positioned between the urethra and the anus. Hold the tampon applicator at the grip, where the outer tube meets the inner plunger, using your thumb and middle finger. Position the rounded tip of the applicator at the vaginal opening and begin to push the applicator gently inward.
The vaginal canal is angled backward toward your tailbone, which is why the angle of insertion is so important. You should aim the applicator toward your lower back, not straight up toward your stomach. Continue pushing the applicator until your thumb and middle finger are resting against the entrance of your vagina.
At this point, use your index finger to push the inner plunger completely into the outer tube. This action pushes the absorbent cotton tampon out of the applicator and into the correct position inside the vaginal canal. Once the plunger is fully pushed in, gently pull the entire applicator out, leaving the tampon and the removal string inside. The string should hang outside the body, and if the tampon is correctly placed, you should not be able to feel it at all.
Addressing Common Difficulties
If you feel discomfort or a painful sensation after insertion, the tampon is likely not inserted deeply enough, and it is still sitting in the lower, more sensitive part of the vaginal canal. If the tampon is not inserted past the concentration of nerves near the opening, it will feel noticeable and uncomfortable. In this case, you should remove the tampon and try again with a new one, focusing on pushing the applicator in until your fingers meet your body.
Difficulty pushing the plunger is often due to the tampon being at the wrong angle, or because your flow is too light, causing dryness. The correct angle allows the applicator to slide smoothly through the vaginal canal, so readjusting your position or the angle of the applicator can often resolve this issue. If dryness is the problem, you may need to wait for a heavier flow day to try again, or you may need to use a lower absorbency tampon.
It is common to not succeed on the first attempt, and getting frustrated only causes the pelvic muscles to tighten further, making the next attempt harder. If you are having trouble, take a break and try again later, or even on a different day of your cycle when your flow is heavier and provides natural lubrication. The vaginal canal is flexible, and the most common barrier to successful insertion is tension and an incorrect angle.
Safe Removal and Timing
For safety, a tampon must be changed regularly, and you should never leave one in for longer than eight hours. The recommendation is generally to change the tampon every four to eight hours, depending on your flow. Using the lowest absorbency necessary to manage your flow helps minimize the risk of Toxic Shock Syndrome (TSS).
TSS is a very rare but serious condition linked to the growth of certain bacteria, which can be encouraged by leaving a tampon in for extended periods or by using one that is more absorbent than needed. When it is time for removal, wash your hands, get into a comfortable position, and gently pull on the hanging string. The tampon will slide out easily, following the same angle you used for insertion.
A used tampon should always be disposed of in a waste bin, never flushed down the toilet, as they are not designed to dissolve and can cause plumbing issues. If the tampon feels dry or difficult to remove, it may mean you could have used a lower absorbency, but pulling gently and consistently will allow it to slide out.