Wait, so you’re not supposed to leave tampons in too long because the tampons have toxins in them that it takes time to absorb, or because the blood it soaks up was supposed to be carrying toxins out of the body?
those are both incorrect understandings of toxic shock syndrome. toxic shock syndrome is caused by overgrowth of specific types of bacteria commonly found in and on the body, which will in turn release toxins. the version affiliated with tampons, which is probably what toxic shock syndrome is most well-known for, happens because tampons provide a great place for that bacteria to grow.
leaving tampons in longer increases the risk of bacteria growing and releasing toxins, which is why it's recommended to change them frequently. the same is true of anything placed in the vagina for extended periods (no pun intended) of time, including other menstrual collection items such a menstrual cups or disks or forms of birth control such as the sponge or diaphragm, both of which have become less popular with the availability of hormonal birth control.
it's important to stress that toxic shock syndrome stemming from tampons and other devices have decreased sharply in the last few decades, ever since the health risks became widely known in the 1980s, and the majority of toxic shock syndrome reported today is not affiliated with any menstrual complications.
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