Tampon Use: Answers to Common Gynecological Questions

Tampon issues

Doctor, I have a few questions, thank you! Recently, I have been experiencing ovulation bleeding and premenstrual spotting for the past few months.
I have seen a gynecologist who said it is normal, but due to my field of work, I need to go swimming 2 to 3 times a week.

1.
Regarding the light bleeding during ovulation and menstruation (sometimes there is no blood on the pad, only when I wipe after using the restroom, and after a few wipes, there is no blood; then after a while, it appears again), if I need to go swimming, should I use a tampon? (I have heard that if the blood flow is light, it might be difficult to insert, and removing it could scratch the vaginal mucosa? I have used tampons before but have not had sexual intercourse.) Do I need to use a tampon whenever there is bleeding, or is it okay not to use one for light spotting?
2.
When inserting a tampon, I feel a layer of tissue at the vaginal opening; is this the hymen? Does it need to be passed through to reach inside the vagina?
3.
Is it generally recommended to use pads or tampons? Are tampons more likely to cause infections? Where exactly should the tampon be inserted, near the pelvic bone?
4.
I often find that my period hasn't started before going swimming, but it begins immediately after getting out of the water.
If I don't use a tampon while swimming, could this lead to an infection? How can I prevent this?
5.
Sometimes when using a tampon with an applicator, I feel a slight discomfort; is this normal? Tampons with applicators often absorb water, but finger-inserted tampons can be placed deeper and may not absorb as much water.
Is this due to a high cervix (usually my entire finger plus the tampon can fit inside the vagina)?
Thank you, doctor, for answering my questions!

Juzi, 20~29 year old female. Ask Date: 2021/06/10

Dr. Zhang Kunmin reply Obstetrics and Gynecology

Hello, the usage time of tampons is related to individual menstrual flow and the chosen absorbency level.
Generally, they should be changed every 4 to 8 hours, and a single tampon should not be used for more than 8 hours! Before using a tampon, it is important to understand your body and follow the instructions carefully, ensuring that you are relaxed and breathing steadily.
The vaginal opening leads to the uterus, and tampons cannot go beyond that point.
If you are too tense or have a low menstrual flow, it may make it difficult to remove the tampon.
When removing a tampon, try to relax and exhale while gently pulling the string at a diagonal forward angle.
Using tampons can make it more convenient for women to engage in activities during their menstrual period, allowing for bathing, swimming, and other outdoor activities, while keeping the vulva dry and breathable, thus reducing the feeling of heat and the chance of odor.
When used properly, tampons do not increase the risk of vaginal infections.
Improper usage habits are the real culprits for infections, such as not washing hands before use, not changing the tampon after 8 hours, not replacing it immediately after swimming or bathing, or storing tampons in a damp place leading to mold.
There are two types of tampons: applicator and non-applicator.
For non-applicator tampons, you need to insert your finger into the tampon and then insert it into the vagina to about two finger lengths deep.
For applicator tampons: after adjusting your position, follow these four steps to insert the tampon: hold the outer tube with your thumb and middle finger, insert the tube at a 45-degree angle towards the vagina until your thumb touches the vaginal opening, then use your index finger to push the inner tube until it overlaps with the outer tube, avoiding pulling on the string, and then remove both the inner and outer tubes together.
Thank you! Wishing you peace and health, Dr.
Zhang.

Reply Date: 2021/06/10

More Info

When it comes to understanding tampon use and addressing common gynecological questions, it's essential to clarify a few key points regarding menstrual health, tampon safety, and personal comfort.
1. Understanding Light Bleeding: It’s common for some individuals to experience light spotting during ovulation or just before their period. This can manifest as a small amount of blood that may not always be noticeable on a panty liner but can be seen when wiping. If you are planning to swim or engage in activities where you might be in water, using a tampon can be a practical solution. The general guideline is that if there is any bleeding, even if it is minimal, you can opt to use a tampon. However, if you feel uncomfortable or are concerned about irritation, you might choose to wait until the bleeding is more substantial.

2. Tampon Insertion and the Hymen: When inserting a tampon, you may feel a layer of tissue at the vaginal opening, which is often the hymen. The hymen can stretch and may not necessarily be a barrier, especially if you have previously used tampons. It’s important to angle the tampon towards your lower back for easier insertion. If you experience discomfort, it could be due to tension or incorrect positioning, and you should not force it.

3. Choosing Between Pads and Tampons: The choice between using pads or tampons often comes down to personal preference. Tampons can be more convenient for swimming and physical activities, but they do require proper insertion and care to avoid the risk of Toxic Shock Syndrome (TSS), a rare but serious condition. As for infections, tampons do not inherently cause infections if used correctly. It’s crucial to change tampons every 4-8 hours and to use the lowest absorbency necessary for your flow.

4. Swimming and Menstrual Flow: If you find that your period starts while you are swimming, it’s generally safe to continue swimming without a tampon, as the water pressure can help prevent menstrual flow. However, if you are concerned about hygiene or comfort, using a tampon is advisable. To prevent infections, ensure that you change your tampon promptly after swimming and maintain good hygiene practices.

5. Discomfort with Tampon Use: Feeling a slight discomfort or pressure when inserting a tampon is not uncommon, especially if you are new to using them. If you experience pain, it may indicate that the tampon is not positioned correctly or that you are using a higher absorbency than necessary. If discomfort persists, consider consulting a healthcare provider for advice tailored to your situation.

6. High Cervix and Tampon Use: If you find that you can insert your finger and the tampon quite deeply without discomfort, it may indicate that you have a higher cervix. This is normal and varies from person to person. The key is to ensure that the tampon is inserted comfortably and securely, without causing pain.

In summary, using tampons during your menstrual cycle, especially when engaging in activities like swimming, is generally safe and can be convenient. It’s important to listen to your body, choose the right absorbency, and maintain good hygiene practices. If you have ongoing concerns or experience significant discomfort, it’s always best to consult with a healthcare professional for personalized advice.

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