A retained tampon is a menstrual product that has been inserted but cannot be easily located or removed, often because it was forgotten. This situation is a relatively common occurrence and is almost always treatable. A tampon can become retained if a new one is inserted before the old one is removed, or if the string is pushed high into the vaginal canal during movement or intercourse. Understanding the signs and appropriate actions can quickly resolve the situation and prevent potential complications.
Recognizing the Signs of a Retained Tampon
The most immediate sign of a retained tampon is a distinct, foul, or pungent odor unlike a typical menstrual smell. This odor develops when the tampon remains in place longer than the recommended eight hours, allowing bacteria to multiply in the presence of blood and trapped moisture.
This odor is often accompanied by an unusual change in vaginal discharge. The discharge may become profuse and change color, appearing as gray, green, yellow, or dark brown. This discoloration and change in consistency indicate an irritation or infection from the foreign object residing in the vagina.
Physically, a retained tampon can cause localized discomfort or a feeling of pressure within the pelvic region. You may also notice an inability to locate the removal string, which can tuck itself up near the cervix, making the product feel lost. Trying to insert a new tampon or having discomfort during intercourse can also be a strong indication that an object is already occupying the vaginal space.
The temporal factor is another clue, especially if you are unsure about your last removal time. Tampons should not be left in for more than eight hours, and exceeding this timeframe increases the likelihood of retention and subsequent symptoms. If you suspect you may have forgotten to remove the product, an internal check is warranted.
Safe Self-Removal Techniques
If you suspect a tampon is retained but are not experiencing symptoms of a serious infection, you can attempt safe removal at home. First, ensure proper hygiene by thoroughly washing your hands with soap and water to prevent introducing new bacteria. Trim or file any long fingernails to avoid scratching sensitive vaginal tissues during the process.
Finding an optimal body position is important to shorten the vaginal canal and give you better access. Squatting with your knees apart or standing with one leg propped up on a toilet seat or bathtub edge are effective positions. Once positioned, try to relax your pelvic floor muscles, as tensing up will only make retrieval more difficult.
Gently insert one or two fingers into the vagina, sweeping in a circular motion to locate the string or the tampon itself. The tampon is likely lodged at the top of the vagina near the cervix, requiring you to reach deeply. Attempt to “bear down” with gentle abdominal pressure, similar to having a bowel movement, as this can help push the tampon lower for easier access.
If you locate the string, pull gently and steadily to remove the product completely. If the string is not found, try to locate the compressed cotton material of the tampon with your fingertips. Once located, use two fingers, such as the index and middle finger, to grasp the tampon and pull it out slowly and carefully.
After successful removal, inspect the product to confirm it is intact and that no material has been left behind. Only use your fingers for retrieval and never use tools like tweezers, which can cause injury or increase the risk of infection. If you cannot reach the tampon after several attempts, contact a healthcare professional.
When to Seek Emergency Medical Care
While self-removal is often successful, certain symptoms indicate a developing infection that requires immediate professional medical attention. The highest concern is the potential for Toxic Shock Syndrome (TSS), a rare but rapidly progressing illness caused by bacterial toxins. If you fail to remove the tampon or experience systemic symptoms, seek care immediately.
Signs of a systemic infection include a sudden onset of high fever, generally 100.4°F or higher. This often occurs alongside flu-like symptoms such as vomiting, diarrhea, and severe muscle aches. A sunburn-like rash, especially on the palms of the hands and soles of the feet, is another strong indicator of TSS.
Symptoms of shock, such as dizziness, confusion, or feeling faint, also warrant an emergency room visit. These symptoms suggest a serious reaction to the bacterial toxins in the bloodstream and require prompt treatment with antibiotics and supportive care. Do not attempt self-removal if you are experiencing any of these signs, as a medical professional needs to remove the tampon and manage the infection simultaneously.