Tampons are absorbent products for menstrual flow, generally safe but often a concern if they become “stuck.” Though a tampon cannot truly get lost due to vaginal anatomy, it can shift, making retrieval challenging and causing anxiety or health concerns.
Recognizing a Stuck Tampon and Its Risks
If a tampon remains in the vagina beyond the recommended 4 to 8 hours, the body signals a problem. Signs include a foul vaginal odor, often most noticeable, and unusual vaginal discharge (brown, green, yellow, pink, or gray).
Beyond these signs, a retained tampon can lead to health issues. Localized irritation, itching, or swelling in the vaginal area may occur. Discomfort during urination or pelvic pain may develop. These symptoms stem from bacterial overgrowth, altering vaginal flora and potentially leading to bacterial vaginosis or yeast infections.
A more serious, though rare, complication is Toxic Shock Syndrome (TSS). This severe illness is caused by toxins from Staphylococcus aureus bacteria multiplying with a retained tampon. TSS symptoms appear suddenly, worsen quickly, often mimicking the flu, and include high fever (over 102°F or 38.9°C), headache, body aches, chills, nausea, vomiting, or diarrhea. A sunburn-like rash, dizziness, lightheadedness, or confusion can occur. Prompt medical attention is necessary, as untreated TSS can lead to organ failure.
Steps for Safe Removal
If a tampon feels stuck without signs of infection, self-removal is often possible. Wash hands thoroughly with soap and water to prevent introducing bacteria. Trimming fingernails helps avoid scratches inside the vaginal canal.
Finding a comfortable, relaxed position is beneficial, as pelvic muscle tension makes removal challenging. Squatting, sitting on the toilet, or standing with one foot elevated (e.g., bathtub edge) provides access. Gently bearing down, similar to a bowel movement, may help push the tampon lower, making it easier to reach.
Once in position, insert one or two clean fingers to feel for the tampon or string. If the string is located, gently pull to remove it. If the string is out of reach or the tampon has shifted, sweep fingers around the vaginal canal to locate it. Once found, gently grasp and pull it out. Only use fingers for removal; avoid other tools or objects, as they can cause injury or infection.
When to Consult a Doctor
While many can successfully remove a retained tampon, some situations require medical attention. If self-removal attempts are unsuccessful, seek help from a healthcare provider. They have the expertise and tools, like a small clamp, to safely remove the tampon, usually a quick, straightforward procedure.
If infection symptoms develop alongside a suspected retained tampon, medical consultation is important. These symptoms include fever, persistent unusual vaginal discharge or odor, severe abdominal or pelvic pain, or any signs resembling TSS. Seek prompt medical care for diagnosis and treatment, possibly including antibiotics. Healthcare providers are accustomed to such situations and offer assistance without judgment, prioritizing health.