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A tampon cannot go up through the uterus and be lost in the abdomen, as people sometimes think. The vagina is like a blind pouch or a tube sock. The cervix is at the deep end. It only has a tiny opening for blood and semen and the like. It is hard and not easily forced open. Tampons have not been shown to cause other damage to the vagina or cervix. Infections are the only real concern. Again, odor, discharge, pelvic pain, and fever are the general signs. Toxic Shock Syndrome is the most feared. More likely, a woman may get a bacterial vaginosis, which can be easily treated.
Think of the vaginal canal as if it were a balloon that is not filled with any air. The walls, which have the potential to expand and elongate, gently touch one another. When something is placed inside, they mold around the width and accommodate the length of a penis, tampon, finger(s), or sex toy. Sometimes during penetration, a penis or other object inserted in a vagina does hit the cervix.