A tampon is a small, cylindrical plug of absorbent material inserted into the vagina to absorb menstrual fluid. Starting to use tampons can feel confusing, especially for a first-time user, but the goal is to choose a product that offers reliable protection and comfort. The “size” refers strictly to its absorbency level, determined by the heaviness of the menstrual flow, not its physical length or width. Beginners should always start with the smallest and least absorbent option available.
Understanding Tampon Absorbency Ratings
Beginners should start with the lowest absorbency option, typically labeled “Lite,” “Junior,” or “Slender.” These tampons are physically smaller in diameter than higher-absorbency options, making insertion and removal easier and more comfortable. Absorbency, measured in grams of fluid, determines how much menstrual flow the product can manage safely.
The United States Food and Drug Administration (FDA) requires manufacturers to standardize absorbency ratings, which range from Lite (6 grams or less) to Ultra (15–18 grams). The principle is to always use the lowest absorbency that manages the flow for the recommended wear time. Tampon absorbency is related to flow, not the user’s age or body size, and the vagina can accommodate different sizes.
To gauge the appropriate absorbency, observe how quickly a tampon becomes saturated. If a Lite tampon leaks after only two or three hours, the flow is likely heavier, and the user should move up one absorbency level to a Regular. Conversely, if a tampon is still mostly white and feels dry or uncomfortable upon removal after four to six hours, the absorbency is too high for the current flow, and a smaller size should be used.
It is common for the menstrual flow to change throughout the cycle, meaning a person may need different absorbencies on different days. Many people experience a heavier flow on the first two days and a lighter flow toward the end, requiring a Super tampon initially and then switching to a Lite or Regular tampon later in the week. By paying attention to the saturation level and comfort, a beginner can quickly determine the correct absorbency for each day of their period.
Step-by-Step Guide for First-Time Use
Before insertion, wash your hands thoroughly with soap and water to maintain hygiene. For beginners, tampons with an applicator (plastic or cardboard) are recommended because they assist in placing the tampon deeply within the vaginal canal. The applicator consists of an outer barrel and a smaller inner plunger, which contains the tampon.
Finding a comfortable and relaxed position is the next step, which may involve sitting on the toilet with knees apart, standing with legs slightly bent, or propping one foot up on a stable surface. Relaxing the muscles is important because tension can make insertion difficult or painful. Locate the vaginal opening, which is situated between the opening for urine and the anus.
Hold the applicator at the grip area and place the tip into the vaginal opening. The most effective angle is often toward the small of the back, not straight up, as the vaginal canal is angled. Gently slide the applicator in until the fingers holding the grip touch the body. Then, use the index finger to push the inner plunger completely into the outer barrel, which pushes the soft tampon into place.
Once the tampon is inserted, gently slide the entire applicator out and dispose of it in the trash; never flush the applicator or the tampon itself. The string should be left hanging outside the body for easy removal later. If the tampon is inserted correctly, it should be completely unnoticeable and should not cause any discomfort during movement or activity. To remove the tampon, pull the string slowly and gently at the same angle used for insertion. If there is resistance or dryness, it is a sign that the tampon was not fully saturated, and a lower absorbency should be used next time.
Tampon Safety and Health Facts
The primary safety concern is Toxic Shock Syndrome (TSS), a rare but serious illness caused by the toxins of certain Staphylococcus or Streptococcus bacteria. While TSS can occur in anyone through skin wounds or other infections, the risk of menstrual TSS is increased when using higher absorbency levels or when tampons are left in for extended periods.
Prevention of TSS requires using the lowest absorbency necessary for the current flow and changing the tampon frequently. Tampons should be changed at least every four to eight hours, and never worn for more than eight hours. Changing the tampon regularly prevents the vaginal environment from becoming conducive to bacterial overgrowth and toxin production.
Symptoms of TSS can come on suddenly and resemble the flu, including a high fever (at least 102°F), a sunburn-like rash, vomiting, diarrhea, and feeling lightheaded or faint. Because the condition progresses quickly, it requires immediate medical attention. If any of these symptoms appear while wearing a tampon, the tampon should be removed right away, and a healthcare professional should be contacted immediately.
It is best practice to alternate between tampons and sanitary pads, especially overnight, to reduce the time a tampon is in place. Always wash hands before and after handling a tampon. Following these hygiene and absorbency guidelines minimizes the low risk of TSS and ensures comfortable, safe use.