Toxic Shock Syndrome: Is It Still a Threat?

Topic: Safety

We have all read the warning on the tampon box. Toxic Shock Syndrome (TSS). In the 1980s, high-absorbency tampons caused an outbreak of this bacterial infection. Today, it is extremely rare (1 in 100,000), but not impossible.

What Is It?

It is caused by Staphylococcus aureus bacteria entering the bloodstream and releasing toxins.

• The Tampon Link: If a tampon is left in too long, it becomes a breeding ground. Or, if it is “too absorbent” for your flow, pulling it out when dry causes micro-tears in the vaginal wall, giving bacteria an entry point.

The Signs (Rapid Onset)

It feels like the flu, but faster.

1. Sudden High Fever (>102°F).
2. Vomiting/Diarrhea.
3. Rash: Looks like a sunburn on your palms/soles.
4. Dizziness/Fainting: (Low blood pressure).

Prevention Rules

1. Change Every 4-8 Hours: Never leave a tampon in for more than 8 hours. Correct it to “Regular” absorbency if “Super” is too dry.
2. Sleep with Pads/Cups: Menstrual cups have a lower risk (but strictly wash them). Pads have zero risk.
3. Postpartum: Do not use tampons for 6 weeks after birth (lochia). The wound where the placenta detached is healing.

If you have a tampon in and suddenly feel like you were hit by a bus, take it out and go to the ER.