The group of experts representing the Polish Gynecologic Society has issued this Statement based on the review of available literature on the potential benefi ts of the use of ellen® probiotic tampon. It has been fi rmly proven that during menstrual bleeding the vaginal fl ora undergoes profound changes prodisposing to both bacterial and fungal infections. Safety of menstrual tampons has been studied for over 60 years. According to the current state of knowledge, the use of tampons does not lead to any clinically signifi cant change in the vaginal fl ora. The link between tampon use and Toxic Shock  yndrome (TTS) was revealed in 1978 after introduction of superabsorbent tampons to the United States market. Following the replacement of carboxymethylcellulose and polyester based tampons by the new generation of cotton based tampons, cases of tampon connected TSS are extremely rare in the US. The proper use of modern tampons is considered to be safe. Ellen® tampon features dioxin and chlorine free natural fi bres treated with the acidic acid producing probiotic Lacto Naturel (LN®), which contains a combination of patented benevolent bacteria that can strengthen women’s defense against vaginal infections. Both in vivo and in vitro studied have shown that ellen® probiotic tampons are able to succesfully colonize vagina with the LN® probiotic bacteria which then coexist with endogenous Lactobacilli present in the patient’s vaginal ecosystem. The ellen® probiotic tampon constitutes an innovative solution of the vaginal probiotic application during menses. The use of this product is aimed to maintain natural vaginal fl ora as well as its pH during menstrual bleeding. According to the available clinical data, the potential benefi ts of the probiotic tampon use include: – prevention of the vaginal/vulval discomfort as a result of frequent swimming poll use – maintaning of the therapeutic eff ect of antibacterial/antifungal vaginal treatment and prevention of the recurrent infections – prevention of iatrogenic vaginal fl ora imbalance after an antibiotic treatment