This is a relevant reference from the Books where a 'tampon' is mentioned.
It is not meant to be anything other than the facts of the matter.
Arrive at your own conclusions.
I wish you well,
"You bled, as I understand it," he said.
"Yes," she said.
When this had happened she had cried out, and had been alarmed, not understanding what had occurred, it had been so long, and so unexpected. But the women who were now her teachers, three of them, different from before, only one of whom spoke English, and that a broken English, had laughed at her, thinking she must be very stupid. But they had found her water and cloths, that she might clean her leg, and a rag which she might insert into her body. They made her clean the floor of the cell. After all, it was she who had soiled it. Perhaps, surprisingly, the flow had not been negligible, at all, as one might have expected, it beginning again, but had been abundant. She wondered if, while she had been unconscious, it, or things associated with it, had begun again, only she would not then have been aware of such changes in her body.