Tampons are painful to pull out, mainly related to vaginal or tampon dryness, unsuitable shape, and vaginal disease factors. The analysis is as follows: 1. Vaginal or tampon dryness: when vaginal secretion is low or menstrual flow is low, both vagina and tampon will be dry, then they will stick to each other and stimulate local tissues when pulling out, and pain will appear. It can be seen in menopausal women. You can use saline rinse to moisten the area before pulling out; 2. Unsuitable shape: As some tampons are bigger for some women or placed in an unsuitable position, it can cause local muscle tension. Generally no special treatment is needed and will be relieved after rest. 3. Vaginal diseases: If there is vaginal inflammation or vaginal polyps, pain will occur when the tampon is pulled out, stimulating the lesion, and some patients may also have a small amount of bleeding. For patients with vaginal inflammation, treatment is done by oral or topical antibiotics. For patients with polyps in the vagina, they can be removed by laser, freezing, or surgery. If the tampon pulling process is painful and cannot be pulled out, it is recommended to go to the hospital to remove it with the help of a doctor and to clarify the cause of the painful sensation. Women are advised not to use tampons routinely except at special times.