Postpartum Changes and Tampon Use: What Every Mum Should Know

Childbirth is a transformative experience both emotionally and physically. One common but often overlooked change is how your body adjusts to using tampons after having children. This is something I hear women regularly ask me in clinic. Many women find that tampons no longer feel the same or may even fall out. If this sounds familiar, you’re not alone, and there are solutions to help you feel comfortable and confident again.

Why Does This Happen?

After giving birth, your body undergoes significant changes that can impact how tampons fit and stay in place:

1. Pelvic Floor Weakness:

During pregnancy and delivery, your pelvic floor muscles stretch to support your growing baby and assist in childbirth. This can weaken the muscles that help keep tampons securely in place.

2. Vaginal Anatomy Changes:

Childbirth can also change the shape and elasticity of the vaginal canal, which may make tampons feel less secure or lead to discomfort during use.

3. Pelvic Organ Prolapse:

In some cases, pelvic organ prolapse (when pelvic organs shift downward) can contribute to tampons slipping out.

What Can You Do?

The good news is that there are practical steps you can take to address these changes:

1. Strengthen Your Pelvic Floor

Pelvic floor exercises, also known as Kegels, are a simple and effective way to rebuild muscle strength. By regularly engaging in these exercises, you can improve muscle tone and support for your pelvic organs. If you’re unsure how to start, consider consulting a pelvic health physical therapist for guidance.

2. Choose the Right Tampons

Not all tampons are created equal, and finding the right one for your postpartum body can make a big difference. Heres what to keep in mind:

• Size and Absorbency: Start with a smaller size or lighter absorbency tampon and adjust as needed.

• Organic Options: Consider tampons made with 100% organic cotton, which are free from synthetic materials and chemicals. These can be gentler on sensitive tissue.

• Applicator Design: Experiment with different applicator types (plastic, cardboard, or digital insertion) to find what feels most comfortable.

3. Seek Professional Advice

If tampons continue to feel uncomfortable or fall out, it is a good idea to see a healthcare provider. They can check for conditions like pelvic organ prolapse or other postpartum concerns and recommend treatments or interventions tailored to your needs.

Are All Tampons Made the Same?

While all tampons must meet standardised absorbency requirements, their materials and designs vary widely:

• Organic vs. Conventional: Organic tampons use natural cotton and avoid synthetic additives, while conventional options may include rayon and other synthetic fibers.

• Applicator Styles: Some brands focus on ergonomic designs for easier insertion, while others prioritise eco-friendly materials like cardboard.

• Absorbency Variations: Even within the same brand, tampons are designed for different levels of menstrual flow, so finding the right fit is key.

Take Time to Adjust

It is important to remember that postpartum recovery is a journey. Your body has been through incredible changes, and it is okay to take time to find what works best for you. Whether its strengthening your pelvic floor, trying new tampon brands, or consulting a specialist, there is no one-size-fits-all solution - but there is a solution for you.

*** please note that it is advised that tampons are not used until your 6 week postnatal check because of the increased risk of an infection. The bleeding after childbirth is called loch, and you should use maternity pads for this. *******