Menstrual cramps. If you’ve ever had them, you know they can range from mildly annoying to utterly debilitating. When cramps hit, it’s natural to question everything about your period routine — including your choice of menstrual products. One common concern is whether tampons might make those monthly aches even worse. The answer? It’s complicated. Let’s unpack this together and see what science (and experience!) can tell us about the relationship between tampons and menstrual cramps.
What causes menstrual cramps?
Before diving into the tampon debate, it helps to understand why cramps happen in the first place. Menstrual cramps, medically known as dysmenorrhea, are caused by contractions in the uterus that help shed its lining. These contractions are driven by prostaglandins, hormone-like chemicals that help trigger the process. The higher your prostaglandin levels, the stronger those contractions (and the cramps) tend to be.
This process is a normal part of menstruation, but for some, it can feel anything but normal. If you’ve ever been curled up with a heating pad and wondering why your uterus hates you, you’re not alone.
How tampons can impact menstrual cramps
Here’s where things get tricky. While some people notice that their cramps feel worse when they use tampons, others feel no difference — or even experience relief. So, why the discrepancy? The truth is that every body is different, and the way tampons interact with your menstrual cycle depends on a variety of factors.
Why tampons might make cramps worse
If you feel like your cramps ramp up every time you use tampons, there are a few possible explanations:
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Tension in the vaginal muscles: Inserting a tampon can sometimes cause your vaginal muscles to tense up, especially if it’s not inserted correctly or if you’re feeling anxious about the process. This extra muscle tension can make cramping feel more intense.
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Absorbency mismatch: Using a tampon that’s too absorbent for your flow can create unnecessary pressure inside the vagina. This sensation might amplify discomfort, particularly if you already have strong cramps.
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Sensitivity to materials: While rare, some people may have a sensitivity or mild reaction to the materials used in tampons, such as the fibers or chemicals. This could contribute to inflammation or irritation, which may feel like worse cramping.
Why tampons might actually help
On the flip side, many people find tampons provide a surprising amount of relief. Here’s why:
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Psychological comfort: Tampons offer a sense of cleanliness and freedom, especially if you’re active. Feeling confident that you won’t leak can ease stress and, in turn, help reduce your overall perception of pain.
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Gentle pressure relief: Some users report that the light pressure of a properly inserted tampon can provide subtle relief, similar to how applying light pressure to your abdomen during cramps can soothe the pain.
The key to tampon comfort: Proper use
If you’re using tampons, there are a few tips to help make them as comfortable as possible:
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Choose the right absorbency: Always use the lowest absorbency necessary for your flow. A tampon that’s too large can cause discomfort and unnecessary pressure.
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Master the insertion: A tampon should sit high enough in the vagina that you don’t feel it at all. If you feel discomfort or notice it shifting, it might not be inserted correctly. Try adjusting your angle or position to make insertion easier.
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Stick to the 4-8 hour rule: Regularly changing your tampon not only prevents leaks but also reduces the risk of issues like Toxic Shock Syndrome (TSS), a rare but serious condition.
Not a fan of tampons? Explore alternatives
If tampons don’t work for you — or you suspect they’re making your cramps worse — you have plenty of other options.
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Pads: A tried-and-true option, pads offer external protection without inserting anything into the body.
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Menstrual cups: These reusable, silicone cups collect blood instead of absorbing it. Some users say cups reduce cramping because they don’t dry out the vaginal walls the way tampons can.
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Period underwear: Comfortable and low-maintenance, these are a great choice for lighter flows or as backup to another method.
The key is to experiment and figure out what makes you feel the most comfortable and confident.
When to seek medical advice
While mild to moderate cramps are considered a normal part of menstruation, pain that’s severe or disrupts your daily life isn’t something you should just “tough out.” If your cramps are intense, regardless of whether you use tampons, it’s important to consult a healthcare provider, as conditions like endometriosis, adenomyosis, or uterine fibroids may be causing the pain and could require treatment.
So, do tampons make cramps worse? It really depends on the individual. For some, tampons might amplify discomfort, while for others, they’re a lifesaver (or simply a non-issue). The key is to listen to your body and prioritize your comfort. Periods are a natural part of life, and managing them comfortably is essential. Whether you prefer tampons, pads, cups, or period underwear, the best choice is the one that empowers you to move through your day with ease and confidence. Don’t be afraid to experiment, adjust, and advocate for your needs — because you know your body best, and you deserve to feel your best.
Kristyn Hodgdon is the Co-Founder and Chief Creative Officer at Rescripted.
