When inserted correctly, tampons should be barely noticeable or at least comfortable for the duration of their use.

Of course, everybody is different. Some people might feel a tampon more than others. But while those people might be able to feel the tampon inside of them, at no point should it feel uncomfortable or painful.

There are a few reasons why you might have tampon-related discomfort. For example, the tampon:

  • may have been inserted at an awkward angle
  • may not be inserted deep enough into the vaginal canal
  • may be longer or thicker than needed for your level of menstrual bleeding

Most tampon packages include a pamphlet with an anatomical illustration that you can reference during insertion.

You’ll want to find a comfortable position that allows easy access to your vaginal area. Typically, this is either sitting, squatting, or standing with one foot resting on the side of the tub or toilet seat.

Take a few deep breaths to help relax and unclench your muscles. When you’re ready to get started:

  1. Use clean hands to remove the tampon from its wrapper or package.
  2. Use one hand to hold the tampon by its applicator and the other to gently open the labia (the folds of skin around the vulva) to reveal your vaginal opening.
  3. Gently insert the tampon into your vaginal canal and push the “plunger” to release the tampon from the applicator.
  4. If the tampon isn’t far enough inside, you can use your pointer finger to push it up into your vaginal canal. The string is the only part of the tampon that should hang outside of the vaginal opening.

Don’t worry if your first try isn’t the most comfortable. If you’re just beginning to use tampons, you might have to try a few times before you get into a good rhythm.

Your tampon will typically move around to a more comfortable position as you walk and go about your day, so walking around can also help with any discomfort upon original insertion.

Tampons with cardboard applicators are usually eco-friendly and less expensive than other options. However, they aren’t always comfortable, particularly when bleeding is light or spotty.

Tampons with plastic applicators tend to slide into the vaginal canal with less friction. You can even apply a small amount of lubricant to the outside of the applicator to aid in insertion.

Applicator-free tampons are also an option if you prefer to use your fingers for insertion.

Your tampon size depends entirely on how heavy your flow is. Everyone’s period is unique, and you’ll probably find that some days are heavier than others.

The first few days of your period are typically heavier, and you might find that you soak through a tampon faster. If you’re soaking through a regular-sized tampon quickly, you might consider using a super or super plus tampon.

Toward the end of your period, you might find that your flow is lighter. This means you might only need a light or junior tampon.

Light or junior tampons are also great for beginners, as their small profile makes them slightly easier to insert and remove.

If you’re still unsure of what absorbency to use, there’s an easy way to check. If the tampon has many white, untouched areas after 4 to 8 hours of use, try a lower absorbency tampon.

On the other hand, if you bleed through it all, go for a heavier absorbency.

It might take some playing around to get the absorbency right. If you’re worried about leakage while you’re still learning your flow, use a panty liner.

The same rule of thumb goes for removal: Take a few deep breaths to relax your body and unclench your muscles.

To remove the tampon, pull down on the string. There’s no need to rush the process. To make it more comfortable, you’ll want to keep a steady breath and pull gently.

Dry tampons that have absorbed less blood or have not been in for a long time can be more uncomfortable to remove. This is expected because they aren’t as lubricated as tampons that have absorbed more blood.

For starters, there are pads (sometimes referred to as sanitary napkins). These stick to your underwear and catch menstrual blood on a padded surface. Some options have wings that fold under your underwear to prevent leaks and stains.

Most pads are disposable, but some are made from organic cotton materials that can be washed and reused. This type of pad typically doesn’t adhere to the underwear and instead uses buttons or snaps.

More sustainable options include period underwear (aka period panties), which use an ultra-absorbent material to catch period blood.

Finally, there are menstrual cups. These cups are made from rubber, silicone, or soft plastic. They sit inside the vagina and catch menstrual blood for up to 12 hours at a time. Most can be emptied, washed, and reused.

If pain or discomfort persists, it might be time to contact a medical professional. The Food and Drug Administration (FDA) suggests talking with a doctor if you have unusual discharge when trying to insert, wear, or remove a tampon.

Immediately remove the tampon and consult a healthcare professional if you experience:

  • fever of 102°F (38.9°C) or higher
  • vomiting
  • diarrhea
  • dizziness
  • fainting

These could be signs of toxic shock syndrome (TSS), a rare but serious bacterial infection.

Persistent pain, stinging, or discomfort when inserting or wearing a tampon can also indicate things like:

A gynecologist will be able to do a pelvic exam to determine what’s causing your symptoms.

Tampons shouldn’t be painful or uncomfortable. They should be barely noticeable while worn. Remember: Practice makes perfect. So, if you insert a tampon and it doesn’t feel comfortable, remove it and try again.

There are always other menstrual products to consider, and if pain persists, a healthcare professional can help.