Pre-Menstrual Bleeding and Tampon Use: Key Insights

Intermenstrual bleeding, tampons?

I would like to ask the doctor a few questions: Recently, I have been experiencing premenstrual bleeding for the past few months (about 3-5 days of light brown discharge, which becomes darker and more abundant as I approach my period, eventually turning black).
However, after an ultrasound examination, the doctor indicated that everything is healthy and there are no issues! (Blood tests on the second day of my period also showed no problems).
I have not engaged in sexual intercourse.
1.
Due to my university major, I often need to go swimming.
The doctor prescribed ovulation medication, but I still experience premenstrual bleeding.
Should I return for a follow-up to change my medication?
2.
If I need to swim and experience light premenstrual bleeding, should I use a tampon? Could it be too dry and difficult to remove, potentially causing mucosal injury? Or is it better to use a tampon regardless of the amount of bleeding?
3.
When using a tampon with an applicator, it seems to absorb water (I ensure it is positioned correctly), but when I insert it with my middle finger (up to the second knuckle), it seems to prevent water absorption.
Could this indicate a high cervix?
4.
When inserting the tampon, I feel like it passes through a layer of tissue before reaching the vagina.
Is this the hymen? Should the tampon be positioned near the pelvic bone?
5.
Is it generally recommended to use tampons?
6.
Many of my classmates also find that their period starts after swimming.
Is this just a coincidence, or can water induce menstruation? When underwater, it is impossible to take any measures (like inserting a tampon), and I only realize my period has started after I come out of the water!
7.
Since the premenstrual bleeding also consists of dark blood, how should I calculate the days of my menstrual cycle? Should I consider the day with the heaviest flow as the second day, count back to the first day, and classify everything before that as premenstrual bleeding?

Dora, 20~29 year old female. Ask Date: 2021/06/25

Dr. Wu Xianghui reply Obstetrics and Gynecology

1.
Abnormal bleeding is a common gynecological issue; however, if there is no improvement after medical treatment, it is recommended to consult a specialist in obstetrics and gynecology for examination and evaluation.

2.
For women with no sexual experience, using tampons carries a risk of damaging the hymen.

3.
Women with no sexual experience cannot undergo a vaginal examination to assess the condition of the vagina and cervix.

4.
The menstrual cycle is influenced by various psychological and physiological factors.
A normal menstrual cycle ranges from 21 to 42 days, and the duration of menstruation varies by age, typically lasting about 3 to 10 days.
If the cycle is consistently outside this normal range, it is advisable to consult a specialist in obstetrics and gynecology for examination and evaluation.

5.
If symptoms persist, seeking a second opinion from another obstetrician-gynecologist is recommended.

Reply Date: 2021/06/25

More Info

Understanding pre-menstrual bleeding and its implications can be quite complex, especially when considering factors like tampon use and menstrual health. Based on your description, it seems you are experiencing pre-menstrual spotting, which is characterized by light bleeding that occurs a few days before your actual menstrual period. Here are some insights and answers to your questions:
1. Pre-Menstrual Bleeding: The occurrence of pre-menstrual bleeding can be attributed to various factors, including hormonal fluctuations, stress, or even the use of certain medications like ovulation pills. Since your ultrasound and blood tests have come back normal, this suggests that there may not be any underlying structural issues. However, if the bleeding continues or worsens, it may be worth discussing with your healthcare provider about adjusting your medication.

2. Tampon Use During Light Bleeding: When it comes to using tampons during light pre-menstrual bleeding, it is generally safe to use them as long as you feel comfortable. If the bleeding is very light, you might consider using panty liners instead. Tampons can be used, but if you find that they are difficult to remove due to dryness, it may be better to wait until your flow increases. Using a tampon during light bleeding should not cause harm, but it’s essential to ensure that you are comfortable and that the tampon is not left in for too long.

3. Water Exposure and Tampons: Regarding your concern about using tampons while swimming, it is important to note that tampons are designed to absorb menstrual flow and should not absorb water if inserted correctly. If you are using a tampon and are concerned about water absorption, ensure that it is positioned correctly. If you feel that the tampon is too far up or uncomfortable, it may be worth checking the insertion technique.

4. Anatomy and Tampon Insertion: The sensation of passing through a layer of tissue when inserting a tampon is likely the hymen, which is a thin membrane that partially covers the vaginal opening. Tampons should be inserted at an angle towards the lower back, and they should sit comfortably within the vaginal canal without causing pain. If you feel discomfort, it may be worth consulting with a healthcare provider for guidance on proper insertion techniques.

5. Regular Use of Tampons: Using tampons regularly is a personal choice and can be convenient for many individuals. However, it is essential to practice good hygiene and change tampons every 4-8 hours to reduce the risk of Toxic Shock Syndrome (TSS), a rare but serious condition associated with tampon use.

6. Water and Menstrual Cycle: The idea that water can influence your menstrual cycle is largely anecdotal. While some women report that swimming or being in water seems to trigger their periods, there is no scientific evidence to support that water exposure directly causes menstruation. It could be coincidental timing or related to other factors such as physical activity or stress levels.

7. Tracking Your Cycle: When tracking your menstrual cycle, the first day of your period is typically considered the first day of heavy bleeding. If you experience pre-menstrual bleeding, you can note it but consider the first day of your actual period as the start of your cycle. If the pre-menstrual bleeding is consistent and bothersome, it may be worth discussing with your healthcare provider for further evaluation.

In summary, while pre-menstrual bleeding can be concerning, it is often a normal part of the menstrual cycle. If you continue to experience issues or have further questions about your menstrual health, it is advisable to consult with your healthcare provider for personalized advice and potential treatment options.

Similar Q&A

Understanding Pre-Menstrual Bleeding: Causes and Concerns

Hello doctor, I experience bleeding 1 to 2 days before my menstrual period, accompanied by a dull discomfort in my lower abdomen. The blood is dark red in color, but my period arrives on time. I usually have menstrual cramps and have not engaged in sexual intercourse. What could ...

Dr. Zhang Kunmin reply Obstetrics and Gynecology
Hello, the factors that can affect the menstrual cycle or cause bleeding outside of menstruation are numerous, including environmental factors, lifestyle, stress, emotional instability, diet, age, lesions in the uterus or cervix, and pregnancy, among others. It is advisable to co...

Understanding Light Spotting Before Menstruation: Causes and Concerns

If you notice a small amount of blood or spotting before your menstrual period is due, it could be due to several reasons. This could be implantation bleeding, which occurs when a fertilized egg attaches to the lining of the uterus, or it might be related to hormonal fluctuations...

Dr. Yang Wangjun reply Obstetrics and Gynecology
Hello: Abnormal vaginal bleeding should first rule out miscarriage due to pregnancy, and then a pelvic examination should be performed to check for vaginal lacerations, cervical polyps, or endometrial polyps causing the bleeding. Cervical erosion can also lead to postcoital bleed...

Understanding Premenstrual Spotting: Causes and When to Seek Help

Hello Doctor, I have been experiencing premenstrual bleeding for a year now, with light bleeding occurring 5 to 7 days before my period. When I wipe after using the restroom, there is blood, but there is not much on the panty liner. If I stay seated for a while, a few drops of bl...

Dr. Cao Guotao reply Obstetrics and Gynecology
Hello, it seems you may have a progesterone imbalance. You can take progesterone supplements or use birth control pills to help regulate it. Wishing you good health!

Understanding Mid-Cycle Bleeding: Causes and Concerns for Women

I would like to ask you why I experience one or two days of bleeding during my menstrual cycle, particularly around the ovulation period. Sometimes, I even need to use sanitary pads, as panty liners are not sufficient. Is this an abnormal situation? Could it affect my ability to ...

Dr. Zhao Chengxiang reply Obstetrics and Gynecology
Bleeding between menstrual periods is mostly ovulatory bleeding, caused by hormonal changes during the ovulation phase. However, it is still important to visit a gynecologist to rule out other factors that may cause abnormal bleeding.