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Why does it hurt to put in a tampon for the first time?

Why does it hurt to put in a tampon for the first time?

If done correctly, it shouldn’t hurt or be uncomfortable to insert a tampon, but it’s super normal to have questions about using them. We created the TINA–Tampon Insertion Accessory to help reduce the guesswork around how to insert tampons correctly and comfortably!

The most important thing to remember is that you know your body best, so if you’re feeling pain or discomfort using tampons, listen to your body. Everyone is different, but when a tampon is inserted correctly (at the right angle, and at the right depth) you shouldn’t be able to feel it at all. If you do feel pain or discomfort when inserting a tampon for the first time, here are a few reasons why that may be happening.

Tampon Angle and Depth

The first time you insert a tampon it can be difficult to know how to position the tampon applicator correctly, and how far the tampon should go in.

Often, the tampon instructions will say something like “insert the tampon at a 45-degree angle, not straight up or straight back” but it can be really difficult to know what that means. A good way to visualize this is to picture the tampon pointing toward the middle of your lower back.

This is also why we designed the TINA–Tampon Insertion Accessory with an angled handle. The angled handle we designed takes the guesswork out of inserting a tampon at the correct angle. When holding TINA at your vaginal opening, you’ll notice the tampon is angled slightly upward. TINA will also make sure your tampon is inserted to the correct depth! When the tampon applicator is inserted into your vaginal opening and TINA’s petals are resting against your vulva, simply pull TINA’s handle all the way forward. (We have an instructional video on that!) TINA will prevent you from inserting a tampon too far or not far enough!

Vaginal Dryness

Tampons can be difficult to insert if you have a lighter menstrual flow (i.e. less period blood). This means there will be more friction which can cause the tampon to not fully insert and can make it more uncomfortable.

If your flow is lighter at the beginning or end of your period, try using “slim” or “light” tampons. (You can find more information on light tampons here with our Tampon Guide.)

You can also use a water-based lubricant on the tampon applicator to help with insertion.

TINA Tip: Don’t try to insert a tampon unless you’re on your period, it will be more difficult to insert and remove if there isn’t any blood for the tampon to absorb!

Cramps

Cramps are caused by a hormone called prostaglandin. They don’t occur in your vagina (where you insert a tampon) but deeper inside your body, in the uterus. That crampy feeling is actually the movement of the uterine muscles and blood vessels, to move the blood out of your body.

Putting in a tampon shouldn’t cause cramping or make the pain from cramps worse. You may notice cramps more on the first day of your period because that’s when your prostaglandin levels are the highest.

There are many different ways you can alleviate pain from period cramps, but if you’re feeling pain when inserting a tampon it may be caused by a pelvic floor condition, and should be checked out by your doctor.

Sharp Pain

If you feel a sharp pain when inserting a tampon, it may be caused by an underlying medical condition. (This could be anything from a urinary tract infection to a pelvic floor condition. If you feel a sharp pain when inserting a tampon, speak to a doctor so they can diagnose the condition.)

Here are some pelvic floor conditions that may cause pain when using tampons:

  • Vaginismus - This condition causes the vaginal muscles to contract painfully when a tampon is inserted.
  • Endometriosis - This condition causes pain and inflammation due to the tissue that normally lines the uterus growing outside of it, and can make tampons difficult or painful to insert.
  • Uterine Fibroids - This condition causes growths in the uterus that can result in pelvic pain and heavy bleeding, which can be made worse when inserting a tampon.

The most important thing is not to force the tampon in. Your body is trying to let you know it’s having a problem. If you feel a sharp pain, we recommend temporarily using a pad or period underwear and then talking to a doctor.


Remember: If your tampon feels uncomfortable…

  • Listen to your body: You should not feel the tampon once it’s in properly.
  • Your body is unique: The angle of your uterus may not be “standard,” so it may take time to learn how to put it in at the correct angle.
  • Go with your flow: Try different size tampons as your flow changes. If your menstrual flow is light, you may need extra lubrication to insert a tampon and use it comfortably.
  • Be patient and relaxed: Taking your time is a big help in using tampons, especially if you’re in the trial-and-error stage and they’re new to you. Doing some breathing exercises may help. You can find our guided meditation for relaxing your pelvic floor muscles before inserting a tampon.
  • Don’t be afraid to talk to a doctor or trusted adult! Keep track of the type of pain and where it’s located so you can describe it to your doctor and figure out the next best steps for you.

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