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Knit or crochet versions can be done in a cotton or bamboo yarn. Knitted tampons usually use the fact that a square or rectangle knit in "stocking" stitch will naturally want to roll. This rolling action makes it easy for the knitted tampon to stay rolled for easier insertion/removal. Crochet tampons sometimes have a flat roll up section, with a curved top to give the tampon a rounded end for more comfortable insertion. Are they safe though? Well that's hard to say. The main contributing factor for TSS seems to be the rayon fibres in regular tampons (basically the bacteria multiplies readily on the rayon fibres and can cause TSS) All-cotton tampons have not be found to breed bacteria like rayon does. So it would seem that if an all-cotton disposable tampon is safer for you than a rayon one, then an all-cotton reusable tampon might be safer for you than a rayon disposable one. Regular disposable tampons are not sterile (just because they are white, wrapped in plastic and look sterile doesn't mean they are). Other things that go into vaginas also aren't sterile (penises, vibrators, fingers etc.). You could boil or soak the tampons in a sterilising solution if you wanted to. You can find patterns and instructions for knit/crochet tampons here:
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