Safe Period Products: What to Use and How to Use Them

From tam­pons to peri­od under­wear to men­stru­al cups, here’s what you need to know about using peri­od prod­ucts safely.

Did you know that the aver­age woman spends 3,500 days of her life menstruating?

In the US, that trans­lates to using an aver­age of 10,000 peri­od prod­ucts through­out their lifetime.

The good news is that after those first few awk­ward peri­ods, using peri­od prod­ucts often becomes sec­ond nature. You might grab your tam­pon or pad with­out a sec­ond thought.

But with 10,000 prod­ucts used through­out your life, it might be worth it to take a step back and think about safe­ty. Many peri­od prod­ucts are safe – but only if they’re used correctly.

Here’s what you need to know about safe peri­od prod­ucts and how to best use them.

Get to Know Your Peri­od Products

Depend­ing on the type of prod­uct you use, there may be unique safe­ty con­cerns. Your first step toward stay­ing safe is doing a lit­tle back­ground research.

Before you get start­ed, famil­iar­ize your­self with the types of prod­ucts avail­able. Tam­pons and pads are among the more stan­dard prod­ucts, but the world of peri­od prod­ucts is con­stant­ly grow­ing. Some options that have gained pop­u­lar­i­ty include:

  • Men­stru­al cups are small, flex­i­ble cups that are insert­ed into your vagi­na to catch and col­lect blood. Many are made to be emp­tied, cleaned, and reused. Cups should be ster­il­ized between periods.
  • Men­stru­al discs are insert­ed in the space behind your cervix and pubic bone, where they catch and store blood. Like cups, they should be washed between each use and ster­il­ized between periods.
  • Peri­od under­wear is under­wear made of mate­r­i­al that absorbs your peri­od blood with­out leaking.

Also read: Men­stru­al Cycle Tracking

Be Espe­cial­ly Care­ful About Prod­ucts That Go Inside Your Body

Tam­pons, men­stru­al cups, and men­stru­al discs all go direct­ly into your vagi­na. While going this route can be good news for panty lines, it can be bad news for your health if you don’t use them safely.

One of the most con­cern­ing risks is tox­ic shock syn­drome (TSS). TSS occurs when bac­te­ria pro­duce tox­ins that make their way into your blood­stream. While rare, TSS is crit­i­cal to pre­vent. Untreat­ed, it can lead to life-threat­en­ing com­pli­ca­tions like shock or organ failure.

Any­thing that stays in your vagi­na for too long can increase your risk of TSS. If you use prod­ucts like tam­pons, cups, or discs, pay atten­tion to how long they’ve been in. The FDA rec­om­mends chang­ing your tam­pon every 4 to 8 hours, and not wear­ing the same one for more than 8 hours to decrease your risk of TSS. They also rec­om­mend wear­ing the low­est absorben­cy tam­pon avail­able. Men­stru­al cups and discs shouldn’t be used for more than 12 hours.

Also read: Guid­ing You from Puber­ty to Menopause

You Bet­ter Shop Around (For Peri­od Underwear)

One con­cern that peo­ple have about peri­od under­wear is that it isn’t san­i­tary, and that sit­ting” in blood can cause health problems.

If you’re think­ing about using peri­od under­wear, rest assured that they’re gen­er­al­ly san­i­tary. The most impor­tant thing is that you wash them prop­er­ly. If not wash­ing by hand, wash them on their own, rather than in a load with oth­er cloth­ing. Use unscent­ed and dye-free deter­gent, avoid fab­ric sheets or soft­en­ers, and do an extra rinse cycle to make sure that there isn’t laun­dry deter­gent left on them, which could irri­tate your skin.

When shop­ping for peri­od under­wear, look for a pair that:

  • Is made with breath­able fab­rics, like hemp or cot­ton. These are less like­ly to trap mois­ture, decreas­ing your risk of a bac­te­r­i­al infection.
  • Does not con­tain sil­ver nano­ma­te­ri­als. Sil­ver nanopar­ti­cles are some­times added to peri­od under­wear because they are antibac­te­r­i­al. How­ev­er, it’s pos­si­ble that these par­ti­cles could kill off the healthy bac­te­ria in your vagina.
  • Fits well. While not dan­ger­ous, under­wear that’s too loose can put you at risk for leaks.

Also read: Why is My Peri­od So Painful?

Only Buy Sin­gle-Use Tampons

Reusable tam­pons can be either cloth or cro­cheted. The idea is that the mate­ri­als allow you to wash them, reduc­ing waste from dis­pos­able tam­pons. But while reusable tam­pons are a well-inten­tioned attempt to be envi­ron­men­tal­ly friend­ly, they’re not friend­ly for your body.

There are a few rea­sons to avoid reusable tampons:

  • They increase your risk for fun­gal, bac­te­r­i­al, or yeast infections.
  • They may put you at a high­er risk for TSS.
  • Cer­tain ones (espe­cial­ly cro­cheted ones) are more dif­fi­cult to thor­ough­ly wash, mean­ing bac­te­ria can get stuck in them.

Look Out For Per- and Poly­flu­o­roalkyl Sub­stances (PFAS)

PFAS, also known as for­ev­er chem­i­cals,” are com­pounds that are stick‑, stain‑, and water-resis­tant. This makes them ide­al for prod­ucts like pads or peri­od under­wear, but there are some down­sides to them. Since the chem­i­cals are very dif­fi­cult to break down, they can accu­mu­late in your blood or organs. Even­tu­al­ly, this buildup could lead to prob­lems with your immune sys­tem, high cho­les­terol, and even an increased risk of cancer.

We’re exposed to PFAS con­stant­ly. They’re often found in drink­ing water, car­pet­ing, or clean­ing prod­ucts. How­ev­er, unlike these prod­ucts, peri­od prod­ucts are made for extend­ed con­tact with your gen­i­tals and skin. This expo­sure makes researchers more con­cerned than they are about PFAS in con­sumer products.

Recent research has been a bit alarm­ing for peo­ple who are con­cerned about PFAS. Analy­sis of sev­er­al stud­ies has shown that 22% of tam­pons, 48% of pads and panty lin­ers, and 65% of peri­od under­wear con­tain PFAS.

It’s not always easy to avoid PFAS, espe­cial­ly since there are more than 12,000 types. How­ev­er, you can check out sites, like Bet­ter Goods and Mama­va­tion, that have researched and ranked some of the best prod­ucts for stay­ing PFAS-free.

Also, be wary if a prod­uct is only labeled PFOA-free.” PFOA is just one type of PFAS, so a prod­uct that only spec­i­fies PFOA may still have oth­er harm­ful chemicals.

Ask Ques­tions

With so many peri­od prod­ucts, and with new ones con­stant­ly hit­ting the mar­ket, decid­ing on the best one or know­ing how to use them safe­ly can get a lit­tle con­fus­ing. Don’t hes­i­tate to reach out to your provider if you have any ques­tions. And if talk­ing about it makes you feel awk­ward, remem­ber that there’s noth­ing to be embar­rassed about. Your provider is there for you – period.

Ques­tions about peri­od prod­ucts? Sched­ule an appoint­ment with a Duly Health and Care OBG­YN to dis­cuss the best options.

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  • I am committed to establishing a caring and safe environment for every patient. My background as a labor and delivery nurse has equipped me with significant knowledge in obstetrics. I am passionate about improving women's health and providing thorough care that meets their reproductive, obstetric, and gynecological needs.