Estimated reading time: 7 minutes, 49 seconds
“Can you tell me about menstrual cups?” she said. “I’m
moving overseas and I don’t think they’ll have the
products I want to use there, so I’m thinking about getting one before I
go.”
Just one of many ways this conversation has started for me
with many different types of people. Some are looking for new solutions to their
menstrual hygiene or simply curious about this new device they’d
had yet to hear anything about.
I’m pretty good at giving the low-down at
this point:
Menstrual cups are a small, flexible device you insert into
your vagina to collect fluid from your period. It sits directly under your
cervix and can hold ounces of blood with no leaking.
They are usually made of surgical grade silicone, but can
also be made of tree rubber. Be sure to confirm what material your cup is made
of before purchasing as the silicone is hypo-allergenic whereas rubber is not.
Contrary to what Divacup would have you believe, there are *MANY*
brands of menstrual cup.
Which menstrual cup you choose can depend on something as
simple as how much money you’d like to spend or other factors like
the shipping cost/time, the size of the cup, the cup design, and the business
model of the company who sells it (Ruby Cup
operates on a “TOM’s Model” where each cup you buy automatically
donates one).
In terms of cup design, I personally wouldn’t
pick one with a loop at the bottom (like the MeLuna Shorty, pictured above)
because the more crevices the cup has, the more chance it has to grow bacteria
in the holes and grooves. This probably isn’t really an issue with this design, but
something I’m personally cautious about.
Also about design, let’s talk about size. How are you supposed
to know if your vagina is the right size for a “small” cup rather than a “large”
one? First off, the cups usually only come in two sizes (if that). So you have
a 50/50 shot of picking one which will work well for you.
Most of the cup company websites I’ve pawed over,
say that the “small” cup is for those people who have not
had penetrative intercourse. I would also recommend this to someone who has a
light flow or who feels a larger cup might simply be uncomfortable for them to
wear.
The “large” cups are for people who have had
penetrative intercourse, who have birthed children, or who have a “normal”
to “heavy”
flow as these cups are larger and can hold more volume without needing to be
emptied.
Right, yes. You have to empty the cup. I found that, even
when I was having a VERY heavy flow (2 ounces of blood or more per 24 hrs), I
only needed to empty my cup 2 or 3 times per day. You can sleep with the cup in
and it will not leak! This really cuts down on the number of times you have to
empty it when you’re away from your base camp (wherever that may be). I found
that I would empty in the morning when I woke up, maybe once at lunch, and then
again before I went to bed.
Let’s dive into the strategy of the
lunchtime empty. It’s one thing to empty your cup in a bathroom where you feel you
have some sort of privacy. If you do need to empty it in a public bathroom,
here’s how I managed. Pick a stall, any stall. I’d
remove my cup (here’s
a page with some how-to’s), and then pour contents into the
toilet. Now, you have some options. You can purchase a sanitizing spray or
wipe, or you can do what I do which is to simply wipe the cup down with some
good ole’ fashioned toilet paper and then give it a quick rinse in the
sink, and reinsert. I found I never had a problem with this and it’s
discreet. There’s also not really any noise associated with the cup, whereas
pads and tampons have that horrible plastic wrapping which alerts everyone in
the entire building to the fact that you’re menstruating (I don’t
miss that!).
The cup varies in price depending on where you order it
from. There are finally some companies who are starting to manufacture and sell
cups in the United States. Everyone before that was imported (even DivaCup is
made in Canada). Imported ones cost roughly $38 dollars depending on brand and
inflation and shipping. The brand “Lena
Cup”
seems to be running about $25 and has some good resources regarding FAQ of
menstrual cups. They are made in California and are FDA registered. However,
being FDA registered is kind of a moot designation as long as the device is
made of %100 silicone.
I notice on Lena Cup’s website they have a
sCaRy article about the dangers of tampons. While I am a HUGE proponent of
menstrual cups and their ability to change people’s lives, I’m not selling them. So I have no reason
to make you hate tampons (and I personally think that’s kind of a
sh*tty thing to do); I just personally don’t use them anymore. However, there are a
few things worth noting about the differences between tampons and cups.
Cups do not absorb anything; they collect fluid instead.
This means the cup will not suck up the natural moisture in your vagina (which
is NOT the same as your menstrual fluid) which, if it did, would otherwise eff
up your PH balance. I often recommend people with chronic yeast infections try
cups because of this.
Tampons, when left in for too long or overnight, are
notorious for causing Toxic Shock Syndrome (TSS). This is a rare, but serious
illness which can easily lead to death. Cups cannot give you TSS. I believe
this is because they are made of silicone which does not degrade in your body,
and does not (I believe) cause the tiny scratches in your vaginal wall which
allow for the TSS causing bacteria into your bloodstream.
You can also have sex while using your cup. I would not
recommend having penetrative sex with a cup in. I accidentally did this once
(long story), and while it wasn’t terrible, after I realized what had
happened, it fully explained why something felt “funny” the whole time. The cup is flexible, however, so you can
engage in penetrative sexual activity and (up to a certain extent) not leak (I
say “a certain extent” because I’m not sure how raucous you’re
planning to get).
Oral sex is a whole ‘nother story. If that’s
what you were hoping for, GO FOR IT. Literally no reason not to (as long as it’s
safe, sane, and actively consensual). It’s probably going to be great and you may
even forget you’re on your period.
Then, yes, there is that cool factor of not having any
environmental waste. Some cup companies say you can keep the same cup for ten
years, others say five, and still others (Diva) recommend you replace it every
year. I personally don’t see any reason why you can’t
use a cup that’s made of the same medical grade silicone for more than a
year, but I think it has to do with customer retention and getting people to
make recurring purchases (Think about it: If you only bought a cup once every
ten years, that’s great for you and terrible for Diva cup. This is part of why
I don’t purchase their products).
Environment aside, even a $40 cup pays for itself within
three months of use (when replacing tampons and pads).
To clean, I boil my cup. I have a two dollar tiny pot from
Goodwill and it is my “cup pot”. I use it exclusively for boiling my
cup because, well, I felt like it was kind of weird to put it in the dishwasher
with our plates, glass cups, and silverware- but that’s just me!
Everyone’s preference are different and it is totally acceptable to use
the dishwasher to sterilize your cup. I would be wary of using any kind of soap
though, because some residue might remain in the tiny air holes at the top of
the cup, causing irritation if it came into contact with sensitive skin.
CAVEAT: If you have an IUD or want one (which, omg we should
totally also talk about :D ) you need to be aware that it is possible to “dislodge”
your IUD if you decide to use a cup. In theory, it is possible that when you
pull out the cup, you could accidentally pull on your IUD string and remove the
IUD in the process. I have had an IUD for four years now and have been using
cups for that same amount of time. This has literally NEVER even sort of
happened to me, but I wanted to be sure you were aware. Some people even say
the suction of the cup pulling out of your vagina could suction the IUD out of
place. While I’m sure this might be
true in some cases, again this has
never happened to me and simply doesn’t outweigh the amazing benefits I have
personally experienced from using my cup.
I truly hope this has been helpful and I really love talking
about this particular subject. If you have any questions, please do email us at
inkblotblog90@gmail.com. I’m
always happy to chat about this, birth control, or other sexual health
subjects.