Tampons are designed as internal menstrual products, made of absorbent cotton, rayon, or a blend, and are used by many people who menstruate as a convenient alternative to external pads. The goal of using a tampon is to allow for comfortable, discreet protection during a menstrual cycle. While a user might expect some slight sensation during insertion, true pain or persistent discomfort when wearing a tampon is a common concern. This article will help differentiate between a minor, temporary sensation and the type of pain that may signal a need for an adjustment in technique or a visit to a healthcare provider.
Understanding Normal vs. Abnormal Sensation
A correctly inserted tampon should be unfelt; the user should not be constantly aware of its presence. The vaginal canal is highly flexible and has fewer nerve endings deeper inside, allowing the tampon to sit comfortably near the cervix. If positioned properly, the only expected sensation is minor pressure or awareness during insertion or removal.
Abnormal sensations include sharp, searing, or burning pain during insertion, removal, or while the tampon is worn. Feeling persistent pressure or the tampon sitting uncomfortably low near the vaginal opening signals improper placement. Any pain that prevents normal activities or is accompanied by unusual symptoms should be considered a warning sign.
Solvable Reasons for Discomfort
The most frequent causes of discomfort relate to user technique, the product itself, or the body’s temporary state, all of which are easily corrected.
Insertion Technique
One common mistake is the angle of insertion, as the vaginal canal slopes backward toward the lower back, not straight up. Aiming toward the back wall of the body rather than vertically allows the tampon to slide past the pubic bone and settle into the correct position high in the canal. The feeling of the tampon sitting too low is a clear sign it was not pushed deep enough past the muscle ring, and fully inserting it until it reaches the upper vagina will resolve the pressure sensation.
Absorbency and Flow
Pain is often caused by using an incorrect absorbency level for the menstrual flow. Using a “Super” absorbency tampon when the flow is light means the cotton fibers do not become fully saturated, leading to friction and dryness upon removal. Choosing the lowest effective absorbency prevents this painful dragging sensation and minimizes irritation. If the flow is very light, the lack of natural lubrication can cause pain. In these cases, switching to a pad or using a water-based lubricant can eliminate the discomfort.
Muscle Tension
Tension in the pelvic floor muscles can also make insertion difficult and uncomfortable. When a person is anxious or tense, the muscles surrounding the vaginal opening involuntarily tighten, constricting the space for the tampon. Taking a few deep breaths and consciously relaxing the body before and during insertion allows the muscles to loosen and makes the process smoother.
Medical Conditions That Cause Pain
If pain persists despite correcting technique, it may signal an underlying medical issue that requires professional evaluation.
Chronic Conditions
Conditions like vaginismus involve an involuntary spasm of the pelvic floor muscles, which can make any form of penetration painful or impossible. Endometriosis, where tissue similar to the uterine lining grows outside the uterus, can cause deep-seated pelvic pain that may be exacerbated by wearing a tampon.
Infections and Acute Issues
Persistent burning, stinging, or localized pain during wear can be a symptom of a vaginal infection, such as a yeast infection or bacterial vaginosis. These infections cause inflammation and irritation of the vaginal tissues, making contact painful. Severe, sudden pain accompanied by a high fever, vomiting, rash, or dizziness could indicate Toxic Shock Syndrome (TSS). TSS is a serious bacterial infection that requires immediate medical attention. If pain is sharp, chronic, prevents tampon use entirely, or is accompanied by unusual discharge or fever, consult a gynecologist for a proper diagnosis.