Menstrual Cup: How to Use One for a Healthy, Eco-Friendly Period

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How to use a menstrual cup for a healthier period
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Periods can be a big problem. But not for the reasons TV commercials try to convince us they are.

Sure, some women have uncomfortable and painful periods (see info on that at the bottom of this post), but there are some other big problems with the “norm” when it comes to periods. Mainly:

Risks of Tampons and Pads

Most feminine hygiene options like pads and tampons contain harmful chemicals and pesticides that aren’t good in general. While unhealthy, they are especially problematic for the delicate and highly vascular area like the vagina. With once a month use for all of a woman’s child-bearing years, the chemical exposure builds up!

There are also health concerns like Toxic Shock Syndrome (TSS) from tampons and any absorbative products.

Unhealthy for the Planet

Health ramifications aside, options like pads and tampons aren’t good for the planet. Each woman will use an estimated 16,000 pads or tampons in her lifetime. These products end up in landfills, taking years and years to break down.

Most also contain plastic, which isn’t good for humans, but is also pretty terrible for the environment too.

Let me guess, right now, you may be thinking that you are just one person and you only contribute a small number of pads or tampons to the landfills.

natural feminine hygiene solutions

But did you know:

Each year, more than 12 BILLION sanitary pads and 7 BILLION tampons are dumped into landfills?

An average woman menstruates for over 40 years, leaving hundreds of pounds of disposable products in landfills.

Natural Period & Tampon Alternatives (That Work Better)

Fortunately, there are some great, organic and green alternatives to toxic, plastic containing disposables now. Most women shell out $5-14 per cycle on disposable products, so these options can save a lot of money over time!

If you haven’t already, consider switching to one of these. Not only are they healthier… but all of these options work better and are more comfortable than traditional pads and tampons. Plus you’ll save money too! A win:win for sure! And if you’re just not a menstrual cup person you can try period underwear. 

Menstrual Cups

It took me a while to try these, but I’m so glad I did! Here’s my review of popular brands:

The Diva Cup

As you may gather from its name, the Diva Cup is a silicone cup that is inserted vaginally and it takes the place of tampons and pads during your period. There are two sizes, one for pre-childbearing years and one for after you’ve had a child (or two or three or six…).

Unlike tampons, there is no danger of Toxic Shock Syndrome with the Diva Cup (or any menstrual cup) and it is completely reusable. It can be boiled to sanitize or washed with drinking water. Many women also report that it is much more comfortable, and most only have to change it every 8-12 hours, which is more convenient.

Luna Cup

The Diva Cup was the original, but there are now dozens of great menstrual cup options. Recently I had to purchase another menstrual cup when I was traveling and forgot to pack my Diva Cup. I got this Luna Cup and I have to say I actually like it a little better than the Diva Cup.

I should also put in my personal plug for menstrual cups in general. I’ll admit, when I first found out about them, I thought they were odd and couldn’t imagine using one. Now, I can’t imagine not using one. I’ve worn them overnight, on international flights, while scuba diving, while hiking 20+ miles, and in many other unusual situations. I have never had a leak or a problem and it has never been uncomfortable. Really.

In fact, since my periods are pretty light, I only have to dump the cup once a day, which is super convenient. In many ways, I don’t even notice being on my period now as I can go from gym to swimming to bed without having to change anything.

The first couple of uses it does take a little getting used to, but after that, it really is easier. Give them a try if you haven’t already!

Tips for Using a Menstrual Cup

How to use a menstrual cup like the diva cupHere’s the cheat sheet I wish I’d had on how to use a menstrual cup without the learning curve:

  1. Fold it first. There are dozens of ways to fold a menstrual cup to make it easier to insert. I squeeze mine in half and then fold it into a “C” shape so it easily pops back open once inserted.
  2. Insert like a tampon. Insert the folded cup like a tampon, angling it to the back of the spine. Make sure it fully unfolds to create a light suction. This suction keeps it from leaking. Check this by running your finger along the side to make sure it has unfolded completely. Pull down slightly if needed to make it more comfortable.
  3. Learn how long. How long you can wear a cup depends on how heavy your cycle is. The good news is that many women find their cycles get lighter and easier when they start using a cup. Like I said, I can wear mine for 24 hours, but the average seems to be about 12.
  4. Remove, clean and reuse. Wash your hands really well and pull down on the stem of the menstrual cup to release it. Once you’ve pulled it down slightly, gently push on one side to release the suction and carefully remove. Empty into the toilet and wash well with warm water before reinserting.
  5. When in doubt, turn inside out. This is a tip I learned from my midwife. If it is uncomfortable or you have trouble with leaks, turn the cup inside out. It works like a charm, and is really comfortable this way. It is slightly harder to remove, so just use your pelvic floor muscles to gently push it down to remove it.

Cloth Menstrual Pads

If a menstrual cup is not your thing, there are also a lot of options for cloth menstrual pads. These are more comfortable than plastic based pads! They have a waterproof liner so they don’t leak through clothes and are washable so they are eco-friendly too.

My favorites are these handmade cloth menstrual pads from a local family-owned business  (they can ship them worldwide!). They’re handmade by busy midwives and are great cloth pads that have lasted me for years and years!

Organic Menstrual Pads

If the idea of a menstrual cup or cloth pads isn’t your thing, it is possible to find organic disposable tampons or disposable pads so you can at least avoid the chemicals in the conventional versions.

Sea Sponge Tampons

Another great completely natural option is Sea Sponge tampons. They work similarly to a Diva Cup and collect flow. When removed, they can be easily rinsed out a re-used. These are the ones I’ve tried. I personally found them less comfortable than cloth pads or a cup though.

Natural Period Pain Relief

Tylenol and other acetaminophen-based pain relief options are chemically based and emerging research is finding that they are toxic to your mitochondria (you need those little guys!). Luckily, there are a lot of natural options out that, and you can also address the underlying problem and not just mask the pain.

  • Vitex – A fertility aid that also helps ease menstrual cramps by balancing hormones. It is also used by herbalists for increasing fertility, though it should be discontinued when a woman becomes pregnant. When not pregnant, it can be taken daily in capsule form or tincture form. For a full explanation of vitex and its benefits, see this post.
  • Red Clover – Another herb that is supportive of menstrual health and function. It has been known to ease endometriosis and PCOS and is helpful for cramps. It should also be discontinued when a woman becomes pregnant. When not pregnant, it can be taken daily. I’ve tried this brand.
  • Progesterone Cream – A natural progesterone cream is perhaps the best remedy, long-term for many menstrual problems. I’ve had many clients conceive by adding progesterone to their regimen, and it also helps ease cramps. Many menstrual problems can be caused or exacerbated by too much estrogen in the body, and progesterone helps balance it out. If used, it should only be used in the second half of the cycle (ovulation until start of the period) and applied to the skin of fatty areas of the body like the thighs, buttocks, stomach, breasts and upper arms. I’ve used this brand in the past but recently switched to this one on Dr. Anna Cabeca’s recommendation in this podcast.
  • Magnesium – Taking magnesium regularly may also really help ease cramps (and there are a lot of other benefits to taking magnesium too!) My favorite brand by far is this time-release formula. Read more about magnesium in this post.
  • Homeopathy – Our medical reviewer Dr. Madiha recommends a homeopathic product called Cyclease and uses it herself. If you’re curious, I wrote a whole post about homeopathetic remedies here.

This article was medically reviewed by Madiha Saeed, MD, a board certified family physician. As always, this is not personal medical advice and we recommend that you talk with your doctor.

This article was medically reviewed by Dr. Betsy Greenleaf, an ON/GYN and board certified urogynecologist. As always, this is not personal medical advice and we recommend that you talk with your doctor.

Do you have any natural tips for dealing with feminine health? Ever used any of the suggestions above? Please let me know below!

Katie Wells Avatar

About Katie Wells

Katie Wells, CTNC, MCHC, Founder of Wellness Mama and Co-founder of Wellnesse, has a background in research, journalism, and nutrition. As a mom of six, she turned to research and took health into her own hands to find answers to her health problems. WellnessMama.com is the culmination of her thousands of hours of research and all posts are medically reviewed and verified by the Wellness Mama research team. Katie is also the author of the bestselling books The Wellness Mama Cookbook and The Wellness Mama 5-Step Lifestyle Detox.

Comments

262 responses to “Menstrual Cup: How to Use One for a Healthy, Eco-Friendly Period”

  1. Kirsten Martel Avatar
    Kirsten Martel

    I know this post is a few months old, but just wanted to add my two cents!  I’ve been using the Diva Cup for a few months now and love it.  Way better than pads and tampons.  I did cut the tip of mine a bit to make it a little shorter since it was poking me a bit and uncomfortable the first few times.   I plan on continuing with the Diva Cup for many years.  Great product!

  2. Eliott Avatar

    I have been using a Diva Cup for over 2 years now and I love it! It is an initial investment but like the others have said it pays itself off in about 6 monthes. For overnight or backup I use my homemade pantyliners just in case, I find them both super comfortable and the amount of garbage that gets cut down especially when there are more than one on their cycle is amazing. A mark of difference. The cup is also nice to travel with or if you are in the bush as well.

  3. Jocelyn Hynes Avatar
    Jocelyn Hynes

    Diva cup all the way! I haven’t needed feminine supplies in over a year now since I have a 5 month old, but the Diva is so much better than disposable pads or tampons that I don’t have trouble remembering how great it is. I had to get disposable pads for the lochia after my son was born and I loathed them. The Diva, as someone else mentioned above, was only a little bit icky to wash out the first few times, but I got over it quickly. It stays comfortably in place and I didn’t need to empty it more than once every twelve hours. Just boil it at the end of your cycle and it’s ready to go for the next month! SO worth your while.

  4. Sugar Avatar

    I just bought my diva cup two months ago and so far I really like it. I am still having a little bit of trouble getting it in and out but once its set I completely forget about it. I have had some issues though, this is definitely going to be TMI just a fair warning but I want to share my issues and let ladies know that I still love this product. My first issue was that I had some minor leaking BUT that was entirely my fault. When I removed the cup I heard and felt that it had not opened up all the way. So now I double check to make sure but the for your first couple cycles you definitely want to use some type of backup pad just to save yourself some possible embarrassment. Once you are positive you have mastered “insertion” then you will be fine without backup. My second problem was that I got a yeast infection right after my cycle ended. I have had one in the past but this time I am fairly certain that it was the Diva Cup but again I blame myself. After reading many blogs I think what happened was that I maybe didn’t rinse the soap (the diva wash) completely off before reinserting. I have a very sensitive body, sensitive skin, sensitive digestion, the list goes on so maybe a little extra soap wouldn’t be irritating to someone else but for me it was awful. Once I figured out the proper insertion and made sure I double rinsed my cup everything went perfectly. I love this product and their is no way I am going back to tampons. I save money, I am not being wasteful and honestly I think a little string hanging between the legs is way worse than being initially grossed out during removal of the cup. So try one but be ready to get up close and personal with your lady bits! PS-definitely be sure to read through all the FAQS on the website if you do choose to go with a diva cup. Make sure you know everything about the diva cup so you don’t ruin it with the wrong soap or storage etc.

  5. Laura Avatar

    Just got the Diva Cup and love it! I had always used tampons (never liked pads; always felt too much like having a piece of wet newspaper between my legs). Over the last couple of years, however, tampons had been giving me increasing discomfort, and after I had my first baby nine months ago, I couldn’t use them at all without intense pain. The DC is a great alternative- it keeps everything contained and clean, and I can can’t feel it at all (if you can feel it, it’s probably not in correctly). To each their own, of course, but if pads and tampons just aren’t doing it for you, you should definitely check out the Diva Cup.

  6. Sarah Avatar

    I just started using the Diva Cup two months ago and I LOVE it! For me, tampons always became incredibly uncomfortable, and I don’t notice the Diva Cup at all. Plus, since starting to use the Diva Cup I have felt like a new woman during my period in only having to empty/clean the cup every 10-12 hours. Gone are the days of trying to get to the bathroom at work unnoticed with feminine products in tote 🙂 After the first few tries at inserting the cup, I found it very easy. And as long as I make sure the cup has opened all the way once it’s inserted I don’t have any issues with leaking, etc. I’ve been rambling on and on about all the positive aspects of my Diva Cup to my poor husband for weeks now…poor guy! Oh, and as others have already pointed out, I like not having the expense of feminine products every month. I also like not being in the position of having to make an emergency run for products if my cycle starts early – I’m always ready to go with my cup!

  7. Tracy Avatar

    quite by accident,  a few years ago, I discovered that taking a couple of garlic capsules several times a day GREATLY decreased both my flow and my cramping. If I start taking them a day before I start my period – even better….

  8. Katy Avatar

    are you sure that they[the Mooncup/DivaCup] don’t leak? – tampons never work great for me, but i’m a ballet dancer and so i don’t know what else to do during “that time” of the month! – any ideas?

    1. Jennifer Rebekah Nickerson Avatar
      Jennifer Rebekah Nickerson

      Katy, I have the DivaCup and have used it for about 4 months now. My 18 yr old daughter also loves them and is a dancer. The first day of my period I don’t like to use it because it does make me a little sore but other than that you are perfectly okay using it while dancing. All reviews say to resume normal activity. Just for my own sanity I still wear a panty liner. Every once in a while I may forget to empty it (because it is sooo comfy I forget I am even on my period) and then it will leak thus wearing a panty liner. My daughter (a dancer) and I (semi-runner) are both very active! I love that my period no longer slows me down!

  9. Jason Steeves Avatar
    Jason Steeves

    I have never used a Diva Cup but after reading this am very interested to try it! I have had much success with relief from menstrual pain with Magnesium or a Calcium/Magnesium (ratio 1:2) supplement. 

  10. Sarah Avatar

    on the bottle of vitex, it says to take “2 capsules two times daily”… do I really need to take 4 capsules in one day? I mean it just seems like so much… 

  11. Kristy K Avatar
    Kristy K

    I have never heard of such a thing!  I am so excited!  I just ordered a Moon Cup from a vendor on Amazon for $22 with free shipping.  Thank you all so much for the information!

    1. Susan Avatar

      I wish I had tried this. Now there are bathrooms with sinks in the same stalls so it would be more convenient than ever to use.

  12. Sasha Forsyth Avatar
    Sasha Forsyth

    I’ve used a Diva Cup for about 5 years now (the same one – that may sound gross but they clean up as good as new each time and I’ve not had any problems with the silicone degrading).  I will say that it took several months to get used to it and it was fairly uncomfortable at first but I was determined not to give up.  Now I don’t even notice it, only have to empty it once a day and never have to make emergency trips to the store.  I love it for travel and I love not contributing to the land fill.  I would never go back!

  13. Bunny Avatar

    Prefold cloth diapers make awesome pads! I made pads that specifically fit into my different styles of underwear, so it doesn’t feel so bulky.  Prior to my pregnancy, I used sponges, and I look forward to getting a cup when my period resumes after birth. Sponges worked great for me, but it was a pain to have to boil them after every single use, and to have to carry around the dirties until I got home. I found that other women got REALLY grossed out when they found out I was using reusables, which seems so odd to me.

  14. Kristen Avatar

    I am 40 and just learned about the diva cup last month!! I’m so disappointed that I just discovered it! It was about $40 at whole foods but considering it’s the only product I will ever need again and it is reusable I think it’s a steal! I thought it was extremely easy to use and comfortable and reliable. I also love that I’m not filling landfills anymore! I would highly recommend it and thanks for getting the word out I think more women would use it if they knew about it and if it was available more places!

    1. Col Avatar

      I am 47!!! And SO SAD that I just found out about the Diva Cup. I have ordered one and can’t wait for my next period (wow that sounds so weird to say!). I wish I had one from the beginning! I’m so excited to never use tampons or pads ever again!

  15. Sarah Leigh Avatar
    Sarah Leigh

    I got two Meluna cups (like Diva – I got one of each size) about a year and a half ago and love love love them too! Even though I’m younger and have no kids I got the size 2 for my heaviest days. Its less comfy than the correct size but totally worth it when I don’t want to be leaking at work. I use cloth panty liners as well, for the light days or backup to the cups. One big thing I noticed when I switched over was I cramped up a lot less using the cups and felt less cruddy in general during my periods.

  16. Allie Avatar

    There are a myriad of reusable menstrual pads available on etsy.com. I have some I’ve been using for a year, complete with cute designs and chemical free fabric. 🙂 Just an fyi….

  17. Kirsten Avatar

    I’ve been using a Moon Cup for the past few years, and the Diva Cup for a few years before that. I only wear it for about 3 days, and the rest of the days of my period I just wear black underwear. I have a small bladder so I end up using the restroom a lot anyway. 🙂 Normally when the cup is in I can change it once a day (In the shower by preference!) though I’ve finally found the sweet spot in terms of comfort… unfortunately it’s so comfortable that I sometimes forget it’s in there until it’s completely full. D’oh.

    My ND put me on Vitex a few months ago since my estrogen/progesterone levels were a bit out of whack. (estrogen was too high compared to the progesterone) So far it hasn’t made a difference on the cramps, though mine have always been fairly light. I do generally get really bad mood swings the day before my period starts, but this past month my mood was so normal that I was actually surprised when my period started. Anyway, I guess we’ll see how things go after a few more months have passed with the Vitex…

  18. Sam Avatar

    I have a LadyCup, which is just like a DivaCup. I absolutely LOVE it and I could not imagine life without it anymore. It took about 6 months worth of periods to get totally confident with it, and I still won’t change it in public toilets. I only have to change it in the morning and once at night so this has never been a problem for me since I’m usually home then anyway. 

    If anyone hasn’t tried a cup, please, please do so. It won’t be easy right away, and it might gross you out, but the benefits you will have from using it (environmental and physical) will totally win you over to them within a few months. I can completely forget I am on my period!

    1. Karie Avatar

      I just bought a Diva cup and I have never used anything like this before. I am concerned about leakage. I work in a extremely physically demanding male dominated carrer with all kinds off awkward positions, movement, heavy lifting. I also workout at the gym every day running and lifting heavy weights. Does anyone have info on these kind of activities and leakage? I have very heavy bleeding for the first 3 days. I have been using regular tampons (the heaviest I can find. OB) and I have to change them every hour around the clock for usually the first 2-3 days of my cycle. A leak at work or at the gym would be mortifying. Thank you for all of the honest open info and advice mentioned here.

      1. Karen Avatar

        I also have very heavy flow for the forest 3 days and I find that 1 hour tampon translates to 2-4 hours with a cup. The cup is way more secure than a tampon as far as vigorous exercise goes. After a few months I got used to how the cup feels when it’s full. You should soon get the feel of it and you won’t have any issues. Good luck!

        1. Tabitha T Avatar
          Tabitha T

          If you are filling the cup that fast, please consider getting your hormones checked. I was estrogen heavy and was filling the cup every 1 to 2 hours. I needed progresterone to balance things out and can now wear my cup most of the day for about 8 or 9 hours.

          Until then practice on a rest day during your “weekend” if possible. Empty just before going to the gym and you’ll be fine as long as it’s not inserted too high.

  19. Kalileko Avatar
    Kalileko

    I’ve had my Diva cup for 5-6 years now and I love it! It’s not perfect but it’s by far the best solution for me of the ones that’s out there. I live in Scandinavia and at the time I purchased it it wasn’t available over here. So I bought one together with some cloth pads from canada. The best investment I’ve ever made!

    By now the cloth pads are worn out and I’ve made my own from worn out towels, fleece shirt and a pair of velour pants I wasn’t using. The cup is holding up perfect still – it gets a little discoloured but nobody is seeing it and I know it’s sanitary clean. I’ve also cut the stem of completely as it kept poking me and making insertion less flexible (much easier to find a comfortable position now).

    I have hypermobility issues in my pelvis and lover back so maybe my cramping issues are different from others as they are primarily in my lower back and I have lots of knots there and in my buttocks as well. But my cramping is lessened by using cloth for the first couple of days (they are super comfortable and help me relax my muscles of that whole region) together with an ibubrofene tablet and a nap. When things have settled down a little I stretch my backside muscles and switch to the cup – by this time I don’t feel a thing and can actually forget that I’m on my period. This is amazing as before I would get fevers and cold sweat from the pains and almost labour like contractions.

    I also find that a no grain and sugar eating regime helps keep me pain free!

    I have a friend who has mild vulvodynia issues and despite that she’s able to use tampons she thinks that the cup is to large for her after she saw mine. I don’t know if it is helping that you stay naturally lubricated with the cup and she’s a bit scared to try it out (and reluctant to pay for a cup if it turns out not to work).

  20. Christen Roberts Avatar
    Christen Roberts

    Ive never heard of it happening, but if you don’t break the suction seal by running your finger along the side and slightly denting it, pulling it out can be painful and scary as suction is created when you insert it. As long as you bend it, its great. Never heard of an iud incident though. The cups are so awesome, it’s worth researching.

    1. Allison Avatar

      I find it hard to believe that the Diva Cup or tampons or anything like that will “dislodge” an IUD. They kind of get a workout during sex, no? If that doesn’t “dislodge” it, I doubt a tampon or Diva Cup would. It seems like a stretch.

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