The Cup That Started It All

This post will benefit ladies only. If you don't have a vagina but have a lady-friend with menstrual problems, I invite you to read on.

People don't generally make small talk about how they deal with the menstrual menace. It is, after all, an unsavory topic. For generations, mothers and older sisters have quietly instructed blossoming young ladies about how to deal with this monthly occurrence. Typically, these instructions come with a sack of sanitary pads or a box of tampons. When my thirteen-year-old uterus decided it was ready to make babies, I was directed towards pads by an aunt, used them for a while, and then out of curiosity decided to give tampons a try. Unfortunately, a single attempt triggered my first wave of menstrual cramps. The whole experience turned me back to pads, which, as many people know have problems of their own: leaks, smells, discomfort, etc.

During my senior year of high school, I stumbled upon a LiveJournal community dedicated to menstrual cups. I looked at the websites of four-or-so menstrual cup manufacturers and found all sorts of reasons to buy one. On average, a woman spends upwards of $50 on feminine hygiene products per year for approximately forty years. At around $30, a menstrual cup pays for itself in less than a year. The ones made of medical-grade silicone are non-porous, meaning they won't harbor bacteria or viruses and can be sanitized by boiling. Tampons and pads are made of synthetic materials that will never, ever decompose, and contain chemicals that you don't want in and around your vag-hole or in landfills and water systems. So not only is a menstrual cup a money-saver, it is also better for your body and for the environment. Here are some visual comparisons (from the manufacturers of the Keeper), and a comparison chart and compelling advertisement (from the manufacturers of the Miacup). None of the data seems to match up, but you get the idea.

How do these things work? The bell-shaped cup is "folded," inserted into the vag-hole and pops open and into place just beyond the pelvic bone–the ridge at the front of the vaginal canal. (Here's a diagram.) Since the cup isn't absorbent like a tampon, it can be safely worn when you're anticipating your period but not actually menstruating, which takes away the anxiety of being unprepared for blood; say, in an airplane, on a dinner date, or at a concert. And when you start menstruating, you empty the cup as often as you need to by pulling it out, dumping the contents into the toilet, rinsing or wiping it off, and reinserting it. I have never had to empty my cup more than three times in one day. The only guideline that manufacturers give is to not leave it in for more than twelve hours, only because you'll forget where you put it if you do. Silicone softens as it warms, so when it's inserted properly, you can't feel the cup and you're free to swim, do extreme sports, go camping, and travel far and wide without wasting space in your suitcase.

The downside? I could tell by a lot of the posts in the LiveJournal community that using the menstrual cup takes a lot of patience and effort to get used to. It's especially hard for people who aren't familiar with their own genitals, but if that's the case, it gives you an opportunity to familiarize yourself. Women who made it work were confident that they would never go back to pre-cup products and routines.

I decided to buy the DivaCup—a silicone cup manufactured in Canada that seemed to be getting good reviews—the summer before I went to college. It definitely took a few cycles to find a method that worked well for me, but practice and patience were key. The LiveJournal provided a lot of helpful advice. Proper insertion was the hardest part of the process to master. Sometimes the top of the cup doesn't open fully. Other times, the cup creates a vacuum. When it doesn't work, you just have to take it out and try again. But remember, you can practice even if you're not menstruating.

The trick with insertion is finding the right folding technique. The fold you choose changes the ease of insertion and expansion once it's inserted. This illustrated page of various folding techniques is probably the most useful post in the entire LiveJournal menstrual cup community. I use the origami fold, inserting the cup with the folded side down/back and it usually works on the first try.

I haven't completely eliminated other feminine hygiene products from my life. For the first few days of each period, I us a panty liner for back-up. It adds up to about three panty liners a month: No big deal. If you're feeling more extreme, you can buy or make a few washable liners. I haven't ventured into that territory... yet.

An important thing to consider when deciding what menstrual cup to buy: Some cups, like the Keeper, are made of natural gum rubber. Natural rubber (latex) is a porous material and can harbor bacteria and viruses. They can increase the likelihood of yeast infections and other nasty thangs in your 'tang. There are also people with latex allergies. As a general rule, when it comes to genitals, always go with non-porous materials like silicone or, in other situaitons, glass and metal.

Also, some manufacturers will allow you to return the product within a certain time frame. The DivaCup used to have a policy like this, but doesn't any more. The manufacturers of Miacup, however, will let you return a cup bought on their website within six months if you decide a cup isn't working for you.

I got my period on vacation last winter when I wasn't expecting it and had to spend two days without my menstrual cup. It was hell. I had forgotten how much of a hassle menstruating is without my money-saving, environmentally friendly pal.

I highly recommend giving menstrual cups a chance and making this investment for the sake of your wallet, the environment, and most importantly, your own comfort and well-being.