IUD Experts Weigh In: Is It Safe to Use Tampons?

You've just had an IUD inserted—or you're thinking about it—and now you’re staring at that box of tampons with uncertainty. The question echoing in your mind is: Can you use tampons with an IUD?

It’s a common concern among menstruating individuals who choose IUDs for long-term birth control. Fortunately, top OB/GYNs and reproductive health experts agree: using tampons with an IUD is generally safe—but there are some important do's and don’ts you need to know.

In this expert-backed guide, we’ll explore everything from how IUDs and tampons work together, to safety tips, myths, and post-insertion care so you can confidently manage your period.

Understanding IUDs and How They Work

Before diving into tampon safety, it’s crucial to understand how an IUD functions.

An intrauterine device (IUD) is a small, T-shaped device inserted into the uterus to prevent pregnancy. There are two types:

• Hormonal IUDs (e.g., Mirena, Kyleena) release progestin to thicken cervical mucus and thin the uterine lining.

• Copper IUDs (e.g., Paragard) release copper ions, creating an environment that's toxic to sperm.

IUDs have strings that extend through the cervix into the vaginal canal. These strings are not there to cause issues—they help your doctor locate and remove the IUD when needed.

Can You Use Tampons with an IUD?

Yes, you can use tampons with an IUD. This is confirmed by the American College of Obstetricians and Gynecologists (ACOG) and other global health authorities. The presence of tampons in the vaginal canal does not interfere with the IUD in the uterus.

However, there are caveats—particularly during the first few weeks after insertion.

Key Considerations:

• Wait 24-48 hours after IUD insertion before using tampons to reduce the risk of dislodging the device.

• Use gentle technique when inserting and removing tampons to avoid pulling on the IUD strings.

• If you feel any resistance when removing a tampon, stop and consult your doctor.

What Experts Say: Doctor-Approved Advice

According to Dr. Emily Gordon, a board-certified OB/GYN:

"IUDs are placed deep in the uterus, while tampons remain in the vaginal canal. There's no direct contact unless someone pulls on the IUD strings, which is rare."

She adds that the only time tampon use may be discouraged is immediately after insertion, during the settling period.

Pro Tip:

If you're worried about accidentally tugging on the IUD string with a tampon, ask your provider to trim the string shorter—but not too short, as they need to remain accessible for removal.

Benefits of Using Tampons with an IUD

Wondering if you need to switch to pads? The good news is you don’t have to.

Here are the benefits of combining tampons with an IUD:

• Freedom and convenience: Tampons are discreet and allow active lifestyles.

• No interference with protection: They won’t reduce the IUD's effectiveness.

• Comfort: Many find tampons more comfortable than pads, especially for heavy periods.

Common Myths Debunked

Let’s clear up some misconceptions surrounding tampons and IUDs.

Myth #1: Tampons Can Pull Out the IUD

Truth: This is highly unlikely. The IUD is placed far up in the uterus and can’t be dislodged by a tampon unless you intentionally or accidentally tug the strings.

Myth #2: You Must Only Use Pads

Truth: You have full menstrual product freedom—tampons, menstrual cups, or pads—unless your doctor advises otherwise.

Myth #3: The IUD Strings Will Get Tangled

Truth: The strings are soft and usually curl up near the cervix. With careful tampon insertion, entanglement is very rare.

How to Use Tampons Safely with an IUD

To ensure both comfort and IUD safety, follow these practical tips:

1. Choose the Right Tampon Size

Avoid super or extra-large tampons unless necessary. A smaller size reduces pressure in the vaginal canal.

2. Insert at a Shallow Angle

Insert the tampon at a 45-degree angle, aiming towards the lower back, not upward. This avoids unnecessary friction.

3. Be Gentle When Removing

Don’t yank the tampon quickly. Gently pull the string straight down. If you feel any resistance or pain, stop and consult a healthcare provider.

4. Check the Strings Occasionally

Use clean fingers to check your IUD strings after your period. If you can’t feel them, or they feel longer than usual, schedule a checkup.

Post-Insertion Tampon Use: When to Resume

After IUD insertion, most providers recommend waiting 1–2 menstrual cycles before using tampons, but some say it’s safe after the first 48 hours if you’re not experiencing cramps or spotting.

Always follow your provider's advice. Everyone’s healing process is different.

When to Contact a Doctor

Seek medical attention if you experience:

• Severe cramps when removing a tampon

• Unusual vaginal discharge or odor

• Inability to feel IUD strings

• Missed periods (if using a copper IUD)

• Suspected IUD expulsion (you see or feel part of the IUD)

Final Thoughts: Take Charge of Your Period

So, can you use tampons with an IUD? The resounding answer is yes—with care and proper hygiene.

Your IUD and tampons can coexist safely, giving you both reliable contraception and period protection. When in doubt, consult your OB/GYN, but rest assured: the days of choosing between the two are over.

Make choices that empower your reproductive health—without fear, without discomfort.