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Bacteria interacting with blood and oxygen.

There are various types of bacteria naturally occurring within your vagina which are kept under control by a slightly acidic pH that helps kill 'bad' bacteria while helping 'good' bacteria to thrive, and discharge flushes out excess bacteria.

During menstruation the blood changes the pH, also menstrual blood is nutritious so bacteria can thrive within menstrual flow and react to blood differently to discharge. Tampons increase odour because they give bacteria the perfect place to multiply, they keep flow in contact with the vagina which effects pH, some tampons contain chemicals that can effect bacterial growth, and tampons prevent your vagina from cleaning itself.

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