Tampons, that are utilized by hundreds of thousands of girls, could carry “alarming” quantities of poisonous metals together with lead, arsenic and cadmium, a examine by lecturers in the USA has warned.
The findings by a staff of researchers led by Jenni A Shearston on the College of California at Berkeley (UC Berkeley) are particularly regarding due to the vagina’s better capability for absorbing chemical compounds in contrast with different elements of the physique, consultants mentioned.
The tampon was invented by Dr Earle Haas within the US in 1929. 5 years later, Gertrude Tenderich purchased the patent and based the corporate Tampax, making the tampon commercially obtainable. Within the early days of the enterprise, she would really hand-sew the tampons herself.
Right this moment, greater than half of all girls use tampons in some unspecified time in the future of their lives, and estimates are as excessive as 80 p.c in Western international locations, in accordance with the UC Berkeley College of Public Well being.
“Regardless of this massive potential for public well being concern, little or no analysis has been finished to measure chemical compounds in tampons,” mentioned Shearston, a postdoctoral scholar on the UC Berkeley College of Public Well being and UC Berkeley’s Division of Environmental Science, Coverage and Administration.
Here’s what we all know thus far in regards to the manufacture of tampons and the findings of this examine:
What are tampons manufactured from?
Tampons are normally produced from a mixture of cotton and rayon (often known as viscose, a semisynthetic fibre produced from agricultural merchandise), each of that are extremely absorbent and biocompatible. Biocompatibility means the fabric could be current contained in the physique with out inflicting a nasty response.
Some tampons are one hundred pc cotton, and a few are produced from one hundred pc “licensed natural” cotton.
Till the late Nineteen Nineties, a chlorinated bleaching course of was used throughout manufacturing to take away any impurities from the uncooked supplies. This was additionally finished to make it simpler for girls to see the color and amount of menstruation.
Nevertheless, this bleaching course of was discovered to provide dioxins, dangerous chemical compounds that the World Heath Group considers a “recognized human carcinogen”.
Because the late Nineteen Nineties, the manufacture of tampons has not included this chlorinated bleaching course of. As an alternative, hydrogen peroxide, which is extra biocompatible, is used to whiten the fabric.
Is the manufacture of tampons regulated?
Tampons are extremely regulated and are labeled as a medical machine in the UK beneath the Medicines and Healthcare merchandise Regulatory Company, within the US beneath the Meals and Drug Administration; and within the European Union beneath the Common Product Security Directive.
Regulatory pointers differ, however basically, every company requires firms to develop “good practices” across the manufacturing of tampons and supply sufficient info to the patron to evaluate the inherent “threat” of the merchandise.

What has the brand new examine into tampons discovered?
Total, the examine, which didn’t identify manufacturers and referred solely to “generic A”, “generic B”, and many others, discovered traces of a complete of 16 kinds of metallic in tampons, together with poisonous metals akin to lead, arsenic and cadmium.
The examine investigated the make-up of tampons that had been bought in New York Metropolis, Athens and London from 2022 to 2023.
The examine acknowledged: “We additionally typically chosen merchandise with better absorbancies to make sure there was sufficient materials for a number of assessments. We bought tampons between September 2022 and March 2023 from brick-and-mortar shops within the US (New York Metropolis), the European Union (EU: Athens, Greece), and the UK (UK: London, England), and from two main on-line retailers.”
The examine examined 30 sorts of tampons throughout 14 manufacturers with completely different ranges of absorbency.
Though the analysis detected poisonous metals in tampons, the researchers made clear they can’t decide if these are harmful to the ladies utilizing them. They known as for additional research to find out if these metals can leach from tampons and be absorbed by way of vaginal tissue.
“Though poisonous metals are ubiquitous and we’re uncovered to low ranges at any given time, our examine clearly exhibits that metals are additionally current in menstrual merchandise and that ladies is likely to be at larger threat for publicity utilizing these merchandise,” mentioned examine co-author Kathrin Schilling, assistant professor at Columbia College’s Mailman College of Public Well being in New York.
Had been natural tampons discovered to be safer?
Surprisingly, the researchers discovered that natural tampons had larger ranges of arsenic than nonorganic tampons. The researchers defined that arsenic could also be extra ever current in natural tampons on account of using pure fertilisers in natural cotton fields.
The examine mentioned: “This may occasionally improve the bioavailability of As (arsenic) in soil, though extra research are wanted to verify this speculation.”
The researchers didn’t present a marked distinction in portions of arsenic present in tampons produced from cotton and people produced from viscose.
Are tampons protected to make use of?
Generally, tampons are protected to make use of, in accordance with well being regulatory companies, however additional analysis is required, the researchers mentioned, as a result of their findings.
Readability is required about how sure metals have come to be contained in tampons and whether or not this occurs through the cultivation means of the supplies or the manufacturing course of.
“I actually hope that producers are required to check their merchandise for metals, particularly for poisonous metals,” Shearston mentioned.
In one other 2022 examine of tampons, Mamavation, a client watchdog web site that conducts “eco-wellness product investigations for mothers”, despatched 23 sorts of tampons to a licensed laboratory to be examined for indications of per- and polyfluoroalkyl substances (PFAS).
PFAS are generally known as “without end chemical compounds” by environmental activists and campaigners as a result of they don’t biodegrade and might final for 1000’s of years, in accordance with Clear Water Motion, a US-based motion group campaigning for more durable legal guidelines on clear water. Some PFAS are used within the manufacture of waterproofing sealants. They’re present in merchandise which were made because the Nineteen Fifties, together with umbrellas, nonstick cooking pans, medical tools, constructing merchandise and different gadgets which might be required to be waterproof, grease-proof, stick-proof or stain-resistant. They can be present in private care merchandise, akin to dental floss, mascara, make-up and menstrual underwear.
The US Environmental Safety Company has linked PFAS to a variety of well being points that may embrace lowered fertility in each ladies and men and hypertension in pregnant girls. As well as, they’ve been linked to a better threat of some cancers, together with prostate, kidney and testicular cancers.
The Mamvation examine discovered that 22 p.c of tampons had indications of PFAS, together with two “natural” tampons.
Mamavation concluded: “We could not be capable of inform you if or how a lot PFAS will leach into the physique from publicity within the vagina. However we do know that PFAS publicity is feasible primarily based on some research taking a look at dermal publicity in animals. Biomonitoring proof from the Facilities for Illness Management (CDC) has discovered PFAS in most of People.”
What are the perfect options to tampons?
Many ladies world wide use menstrual pads, which could be positioned inside underwear and stay exterior the physique.
For individuals who want to use inside menstrual safety, some obstetricians and gynaecologists advocate a menstrual cup or disc as an alternative of tampons. Much like tampons, that are inserted into the vagina, menstrual cups or discs are folded after which inserted. Tampons have to be disposed of after use whereas cups and discs could be both disposable or reusable.
It is suggested that ladies use a medical-grade thermoplastic elastomer or silicone disc or cup.
It’s also doable to make use of “interval underwear”, which is extremely absorbant, however some may additionally include PFAS, so client analysis is required.
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