A retained tampon is a common and fixable occurrence. The tampon cannot actually become lost inside the body, as the cervix forms a physical barrier that prevents objects from entering the rest of the abdomen. The primary concern is the length of time the object remains inside the vaginal canal, which necessitates prompt action.
Menstrual Flow Dynamics When a Tampon is Present
The core question of whether bleeding will continue if a tampon is retained is answered with a clear yes. Menstrual flow originates from the uterus, and the vaginal canal is where the tampon is lodged. The tampon’s absorbent material has a finite capacity, and once it is fully saturated, it can no longer absorb additional fluid.
Once saturated, fresh menstrual blood follows the path of least resistance, bypassing the tampon. This blood then exits the body, often appearing as spotting or a lighter flow than expected. This altered flow can sometimes lead to confusion about whether the period has ended or if a tampon is still present.
Identifying Symptoms of a Retained Tampon
While continued bleeding may be confusing, there are several distinct physical signs that indicate a tampon has been retained. The most noticeable indicator is a strong, foul, or unusual odor emanating from the vaginal area. This odor is often the first symptom noticed and results from the presence of old blood and bacteria accumulating around the tampon material.
Another common sign is an unexplained vaginal discharge that is often discolored. This discharge can appear brown, green, yellow, pink, or gray, depending on how long the tampon has been retained. The retention of the tampon can also cause discomfort or mild pressure in the pelvic or lower abdominal region.
The inability to locate the tampon string is a key sign, as the string may have been drawn into the vagina. The tampon can become wedged high up near the cervix, sometimes turning sideways, making the string difficult to find even with manual exploration.
Safe Removal Attempts and When to Seek Medical Help
If you suspect a tampon is retained and you are not experiencing severe symptoms, a safe self-removal attempt is the first course of action. Begin by thoroughly washing your hands with soap and water to prevent introducing new bacteria into the vaginal canal. It is helpful to trim fingernails to avoid accidental scratches or irritation to the sensitive tissue.
Find a comfortable position, such as squatting, sitting on the toilet with your feet slightly elevated, or standing with one leg on a raised surface. Gently bear down, similar to how you would during a bowel movement, as this action can help push the tampon lower in the vaginal canal and make it easier to reach. Relaxing the pelvic floor muscles is important, as tension will make the process more difficult.
Carefully insert one or two fingers into the vagina and sweep the area in a circular motion, reaching toward the top where the tampon is likely lodged. If you locate the tampon, grasp it gently between two fingers or use a thumb and forefinger to pull it out slowly. After removal, inspect the tampon to ensure it is intact and that no material remains inside.
If self-removal is unsuccessful, or if you begin to experience signs of infection, you must seek medical attention without delay. Immediate professional help is necessary if you notice a sudden high fever, typically 104°F or higher. The presence of flu-like symptoms such as achy muscles, sore throat, or general malaise also warrants an urgent medical visit.
These severe signs are indicative of potential Toxic Shock Syndrome (TSS), a rare but rapidly progressing bacterial infection. Other symptoms of TSS include vomiting, diarrhea, dizziness, or confusion. A distinguishing symptom is a red, sunburn-like rash, which may appear on the palms of the hands and soles of the feet.
TSS requires prompt treatment with fluids and antibiotics, and delaying care can lead to serious complications, including organ failure. If you cannot remove the tampon yourself, or if you have any of the infection symptoms listed, contact a healthcare provider, urgent care clinic, or emergency room immediately. Healthcare professionals are equipped to remove the retained object safely using instruments like a speculum and can assess for any signs of developing infection.