Mastering Your Menstrual Cup: Essential Tips for Safe and Effective Insertion

In recent discussions about menstrual health, menstrual cups are gaining attention for their sustainability and convenience. However, as a recent case study illustrates, it is crucial to understand how to use these devices properly to avoid potential complications. This article delves into the importance of correct menstrual cup usage, its benefits, and how to avoid problems that may arise.
According to a BMJ report published this month, a Danish woman in her 30s experienced severe kidney issues stemming from a misplaced menstrual cup. She reported persistent pain on her right side and lower abdomen, along with blood in her urine, symptoms that occurred multiple times a week over six months.
After thorough examinations, including tests and scans, doctors concluded that her symptoms stemmed from the positioning of her menstrual cup. Upon the recommendation to cease its use, her symptoms alleviated within a month. Study author Clara Maarup Prip, a urologist at Aarhus University Hospital, noted: “The CT scan [showed] that the cup was positioned in the right side of the vagina, thereby compressing the opening from the ureter to the bladder.”
This obstruction inhibited urine flow from the right kidney to the bladder, leading to inflammation and related symptoms. While cases like these are exceedingly rare, healthcare experts emphasize the necessity of using menstrual cups correctly.
- Dr. Jillian LoPiano, an OB/GYN, stated that instances of blood in urine due to an improperly placed menstrual cup are few and far between.
- Dr. Michael Baldonieri added that several factors such as the cup’s size, position, duration of use, and individual anatomy make complications unlikely during regular use.
Despite the rarity of such incidents, the case serves as a reminder about the importance of proper menstrual cup placement and use. As Prip emphasized, “We need more awareness about possible complications and the presenting symptoms of these complications.” Additionally, understanding the importance of selecting the correct shape, size, and insertion method is essential for effective usage.
What is a Menstrual Cup?
Menstrual cups are generally crafted from medical-grade silicone or thermoplastic elastomers (TPE). This small, flexible device is inserted into the vagina to collect menstrual blood, similar to a tampon. “The small, bell-shaped, reusable device is designed to create a small amount of suction to prevent leaks,” said Dr. LoPiano.
Users can typically wear these cups for up to 12 hours before needing to empty, clean, and reinsert them. Many are designed for long-term use, lasting up to a decade.
- Menstrual cup usage statistics: Recent research indicates that 19% of menstruators use menstrual cups, predominantly those in their 20s and 30s.
- Usage rates vary by region, with about 10% in the United States and differing significantly in other countries.
Despite their environmental advantages over traditional products, some drawbacks accompany menstrual cup use.
- Changing Difficulty: Changing menstrual cups in public restrooms can be challenging since rinsing them is necessary.
- Cleaning Requirement: Proper cleaning between uses is crucial to prevent bacteria buildup, requiring access to clean water and soap.
- Consultation Needed: Women with intrauterine devices (IUDs) should consult a doctor before using menstrual cups to avoid rare dislodgment risks.
Complications from menstrual cup use are relatively uncommon, although potential issues can include infections, pain, vaginal wounds, and more serious conditions.
How to Properly Place a Menstrual Cup
Despite growing popularity, research indicates many women struggle with selecting the right menstrual cup and using it correctly. A 2021 study emphasized that there is no straightforward correlation between cup size, shape, and suitability. Women should consult their gynecologists for guidance on using menstrual cups effectively.
When inserting a menstrual cup, it is vital to follow these steps:
- Wash Your Hands: Always start by washing your hands with soap and water.
- Fold the Cup: Most commonly, fold it into a C-shape, although other folding methods exist.
- Insert Properly: The cup should sit just below the cervix and should be comfortable without being felt distinctly.
- Check Placement: If correctly positioned, the cup will create a slight suction against the vaginal walls and be barely noticeable.
During removal, gently pinch the sides of the cup to break the suction before pulling it out slowly to avoid spills.
It’s essential to remember that menstrual cups are only one method of period management, and every individual’s anatomy requires personalized solutions. As Dr. Baldonieri noted, “Periods are as unique as the person experiencing them. The best option for period management is the one that is most comfortable for you.” If any discomfort occurs, a consultation with an OB/GYN is highly recommended.