what ABOUT the menstrual cup?

[eminatic]

i remember reading about menstrual cups and thought it was an interesting concept because i had never heard of it before (i live in the US) - i had read about the diva cup/mooncup (i think thats what they were called) but i dont think they sell them in the US

however i am sort of interested in the Instead disposable menstrual cup. (as it looks more...manageable) and then i found out that the local Target that i work at is carrying and selling them, but only in giant packs.
so i was wondering if anyone has ever used the Instead cup and would recommend it?

[Brandye]

I have been planning a sticky on menstrual protection, so here it is. “Feminine hygiene” has been episodic through the millennia. Many cultures simply isolated menstruating women and they stayed in special huts where the women took care of themselves with whatever creativity they had. Some women over the centuries used animal skins, worn out clothing or simply shields that allowed drainage. During the nineteenth century, old bed sheets torn into long strips and then folded became the standard. You can still these on drying lines in some parts of rural Europe. Commercial products appeared in the early twentieth century with Kotex being the first commercially successful brand. Tampons appeared in the 1930s and the various cups after that. The first cup was invented by a Danish ballerina and became somewhat known among female athletes. A wonderful history of menstrual products is at www.mum.org

Most of us started with napkins. Mainly because our mother’s demanded that and we could not figure out how to use tampons without help – which we did not want to ask for. To this day, these two products absolutely dominate the market. The products that are less known, less used and less sold are the “menstrual cups.” There is one disposable on the market and there are three brands of reusable cups. All three have websites with descriptions and instructions and they are for sale through these sites – Keeper, Moon Cup and Diva. The Keeper is latex and should be avoided by women with latex allergy but the same company makes the Moon Cup. I used a Keeper for over seven years until it developed small cracks in the rim. I have used a Diva since. The Diva and the Moon Cup are silicone and I have no idea how long they will last.

When you first look at these, you wonder, “How?” Really, quite simple – a few times in and out and you will be comfortable. They come in two sizes – one for women with no children and one for women who have borne children. One of them also recommends that women “over 30” use the larger size. I am well over thirty but have had no children. I am still wearing the “small” size and probably will until menopause. I have never had an accident with either the Keeper or the Diva and often wear it up to ten hours at a stretch without “draining” it. It is recommended that every several hours it be removed, rinsed and re-inserted. I often wear it all day for work; remove it for a few hours getting ready for bed and reinsert for the night. I have gone more than the recommended limit of twelve hours and always wear it overnight.

The instructions for use are quite clear – on the website and with the product. They are inconvenient to use in public facilities. The removal, rinsing and reinserting requires a degree of privacy. I prefer to remove mine standing in the shower but have accomplished what needs to be done behind a tree on a bike trail. Although I keep tampons in the car and my desk drawer for surprises, I use the Diva exclusively. These are quite expensive up front but when you consider how many tampons I would have used in the seven years with the Keeper, they are cheaper in the long term. I have read medical articles questioning the possibility of nerve damage behind the anterior vaginal wall as a result of the constant (not noticeable) pressure. I am aware of no documented cases of damage and have never noticed this in myself.

There is one disposable cup on the market – Instead. It looks like a flexible (but deep) cervical cap and comes in one size. I have tried these but have had poor results. If the size fits you, great; otherwise, accidents do happen. I was never able to sleep through the night without marking my territory. My girlfriend has had satisfactory results with Instead but uses a Diva regularly. Instead is marketed as the only menstrual protection that can be left in place during sex. Eva and I have found this works and makes menstrual sex less messy. With neither of us having a penis, a tampon works, too. We have each tried with men and found that it works quite well but there are still some tracks. Instead has the same difficulties of use in a public facility as do the other cups. Although it does not have to be rinsed and re-inserted, you do have to “dig deeper” to remove it than the reusable cups and then have red fingers to put your clothing back in place. I find the Diva to be less messy when changing. Instead is flexible and I have never been able to remove one without spilling; the Diva and Keeper are more rigid and less likely to spill.

As an aside, I have one patient who fills an Instead with vaginal jelly and uses it as contraceptive cervical cap! Not sold as such but women can be inventive.

A monthly supply of Instead is a lot cheaper than buying a Moon or Diva. But the savings over the years are considerable. The cups are not for everyone but I cannot imagine returning to tampons on a regular basis. I have driven the length of England without changing; ridden 100 miles on a bicycle; sailed through lengthy storms on the North Sea and, even, forgotten about it and left it in place for thirty-six hours (not recommended!). Check them out at their websites.

[Persephone]

After using Insteads, I can hardly stand to go back to pads and tampons!! Tampons would hurt me if I used two in a row, and it's like my body just.. hated them. My vagina would clench up and I couldn't get it all the way in, so it ended up being REALLY uncomfortable. Come to figure out later, they were causing me cramps!!

And we all know what pads feel like... especially if you have a heavy flow like I do. Yuck!

With Insteads, they say it's safe to leave them in for up to 12 hours (on a lighter day) but no matter how heavy, it lasts twice as long as pads or tampons (which is true). However, sometimes when you take it out and it's full, some blood will gush out, but if the toilet is right next to the sink you can just have the water running and rinse it right off.

The only other problem is that they are a lot more expensive. But I don't really consider this a problem because if they last twice as long, you only use half as much =]

All in all.. they are wonderful!! www.instead.com

[sera300]

In all honesty Brandye, these cups differ from the cervical cap (Spermicidal jelly) how? The cervical cap I had was a rubber type product (red; though some are yellowish), not representative of the one on planned parents site. It could be left in for a few days (I did not have the one with the one way valve) but I believe the recommendation was to take it out every 24 hours, wash, reinsert.

I used the cervical cap for a menstrual cap!

[Brandye]

Sera,

The menstrual cups that are reuseable and last a long time are more rigid and sturdier and deeper. They fit a bit lower in the vagina and are designed to have a more leak-proof fit.

It is possible to have sex with a disposable menstrual cup (in fact, their marketing literature points this out) because they are so similar to a cervical cap - only a bit deeper but at least as flexible. The reuseable cannot be left in with penetration.

I have know others who used the cervical cap that way. I guess you get double use. But, they are more likely to leak because they do not have the seal against the vaginal walls.

[browneyedgirl]

I am really interested in trying Diva cups, I was just looking at their website. I had heard about Insteads but I heard that they leaked sometimes, so I wasn't really desperate to switch. I've never had a problem with tampons and I have pretty light periods. But I just saw this thread and after looking at the Diva Cup website, it sounds pretty cool. I especially like the environmental angle - I always thought tampons and pads were so wasteful, so it's good to know there's an alternative. I guess I want to get one but at the same time it sounds too good to be true. The website listed a couple of local stores where I can find them, so I might be converting soon.

[sera300]

Thanks for the info Brandye!

[Brandye]

You are welcome.

I have tried Instead simply because I think I should have experience with most of what I recommend. I had leaks every night that I used them and needed a pad as backup. Eva has had better luck. We both use Divas now.

The average woman will use over 6,000 tampons during her lifetime. That is a lot of stuff to be disposed. Instead is polyurethan and will last a very long time laying in a ladfill. Part of my liking reuseable cups is that but the other is that in many years I have never had a failure (read embarassment or mess).

Instead are quite pliable and in a fixed diameter. If you are that size, it should do a great job. If you are a different size, it will likely leak.

[eminatic]

ok i finally tried the Instead cup for the first time ...i was having surgery today and started my period, and i absolutely HATE tampons because they are uncomfortable and it hurts to take them out, so i decided to go with the Instead cup (not the ideal situation to be trying it for the first time but it couldn't be helped ) all the nurses were interested in it, and had never heard of it before

i was mainly concerned it would be hard to remove, or that it would cause cramping (the way tampons do) but all went well although i had some leakage somehwere along the way at one point...

i plan on switching to these entirely now

[michelle2004]

I bought my diva cup three days ago on the first day of my period...my really good college friend swears by it! So far so good. Although I have been extremely heavy these first few days and I have had to empty the cup several times during the day, I love it. I even had some "fun" with a guy the other night and he was impressed by my new device. I am telling every girl I know about it. Totally worth it.