4.25.2016

Menstrual Cups (featuring Lena and Sckoon)



I am lucky to never had any traumatic, embarrassing stories from the youth about menstruation, disabling PMS, horrible acne or bloating, carb-craving or binge, etc. I've been using tampons and pads without any cancer or ill-effect. Occasional migraine is my only complaint. However, after the birth of my son, my period suddenly got significantly heavier and longer. My Ob suggested that I use SoftCup (used to be called Instead) and I used it with much success. The downside is, SoftCup is disposable and around that time, I started to explore about waste-less living and came across a whole range of reusable menstrual products (RUMPs).

It's been said that an average woman will generate about 250-300 lbs in menstrual product waste in her lifetime, not to mention other environmental cost of producing these products. Now that I've been using menstrual cup and cloth pads for almost a year, I wish I have known and use them sooner! That is pretty much the sentiment of most women I came across who are using RUMPs.

This post is for you, who are thinking about making that jump to using RUMPs for whatever reason. I will focus on menstrual cup, but if you have any interest in knowing more about other RUMPs, please leave me a comment below. No, they are not gross and not the least bit cumbersome. On contrary, using them are quite empowering and certainly waste-free.

What is it and how it works

Menstrual cup collects menstrual blood and fluid while worn inside the vagina. The cup is first folded and then inserted into the vagina, just like using a tampon. The base of the cup sits clear past the pelvic bone with the rim below the cervix to properly collect the fluid. Once properly inserted, you should not feel the cup. The elastic vaginal wall hugs the cup in place and forms a suction so no blood can leak outside the rim. I found the diagram below (snatched from Reddit with some modification of my own) very useful as a mental tool on where the cup is supposed to sit, especially when I have to trouble-shoot some leaking.

I added the ugly grey ovals as representation of where the pelvic bone should be. Notice the body of the cup sits past the pelvic bone.

In order for the cup to work properly:
  1. The rim should be positioned below the cervix. If the cup's rim is positioned beyond the cervix (as in the wrong diagram above),  the blood dribbles around, and not into the cup. 
  2. The cup should be fully opened properly to collect the fluid (aka no folds on the wall). Popping open a cup is indeed the most important step to ensure that the cup won't leak. 
Keep these two simple ideas in mind -- most leaks and cup problems can be solved by applying these two principles.

If you have never seen one before, reusable cups are mostly made out of silicones. They have similar feel and pliability to the nipples of baby bottles or the silicone muffin cups. Some has smooth surface like baby bottle nipples, or fuzzy-satin surface like the silicone baking cups and the Lena cup, below. They are roughly about the size of a shot glass (approximately 30 ml or 1 fl.oz.).

Cup anatomy


I wish there are more stores out there where women can actually see, touch, feel, and play around with menstrual cups. For the most part, the cups are available for sale online. Even the ones that are readily available in store, such as Diva Cup, are usually sold sealed inside a box.

Usually the cup height is given in terms of measurement from base to rim. Keep in mind, when you research about cup sizes, the differences are minuscule (aka in millimeters) and while it seems like a big difference, it is mostly no big deal once worn/inserted. Also, take cup capacity with a grain of salt: I do found that even when I'm using size 2 (the larger size) I still have to empty my cup every 2-3 hours during my heaviest flow.

The stem is there to aid retrieval. It can be trimmed to fit. Be sure to wear the cup for a few days/cycle before trimming the stem as there is no going back once trimmed. Not all stems are made equal. Some are sturdy tabs like Lena cup above, some are stretchy, rat-tails like Sckoon, which does not help with retrieval (in fact, I have accidentally pulled the stem and it snapped inside me, OUCH!!). Some company like Meluna offered different stem styles which can be helpful.

Lena and Sckoon cups -- cups usually come with cotton pouch to store them in between usage.

Consideration to choose the first cup

  • Know that this is an investment: time, money and skill. It takes time and trial and error to use menstrual cup comfortably. Give it a few cycles before deciding to quit. It took me around three cycles to get the cup to work, and I still have to trouble-shoot every now and then. I didn't mind it, the benefit way outweighs the cost and the hassle.
  • Know your anatomy and your period. Forget about cup sizes based on whether or not you have given birth, etc. and focus on your body. How heavy is your flow? How many days do they last? Do you have low or high cervix? Do you have a touchy bladder? Toned pelvic floor? Learn and find out -- the only shame is the shame of not knowing yourself and your body. Knowing your body is empowerment and freedom. 
  • Familiarized yourself of the different style of cups, but don't get too hang up on it. These companies design the cups with the majority of women in mind, in terms of sizes, shapes, and material. You will never know right away whether the cup is right for you without first investing time and skill to use it (the first bullet point). 
  • Where the cup is made. I have nothing against China -- my better half and thus half of my family came from there, but I do not purchase the generic Made-in-China cups for a variety of reasons. I do, however, chose to support U.S. made cups. Both Lena and Sckoon have excellent customer service, per my experience, and they ship very fast.
Let's apply those ideas to my situation:
I have a high cervix and my flow is heavy for the first two-three days of the cycle, then tapered down toward the end. Despite having a vaginal birth, I do have a good tone on my pelvic floor (I rarely experienced incontinence, for example). With these information and without knowing how it will work on my body, I decided to try out two different cups: ones that are softer (Sckoon) and ones that are firmer (Lena). I ordered each in both sizes to accommodate the variable flow throughout my cycle. While in theory one only need one cup, having several cups on hands turned out to be a good decision.


What to do before first time use:

  • Clean the cup.
    You can either boil them or rinse them. I didn't do much other than washing with regular, unscented hand-soap (I use Dr. Bronner Castile soap for hand wash at home).
  • Check that the air holes/vents are opened and punched out.
    The air holes are there to help open the cup and to displace air when menstrual blood flows into the cup. It is important to keep these holes clean and open.
    I found that the Sckoon cups have little film of silicone covering the air holes that I needed to poke them through (using a clean toothpick or such). And to ensure that holes are open when cleaning, fill cup with water, put the cup face down on the palm and pfft! push out the water out of the holes while holding it tight on the palm. Shake the cup dry, then cover with the palm of the hands and pfft! push cup again to clean out residues. Some suggest cleaning interdental brushes (tiny brush that looks like a short pipe cleaner, available in the pharmacy).
  • Do a dry run.
    Before your period, watch a few videos (resources below) and do a trial run. Try out different folds of the cup and find out which one fits you and your cup. Use water-based lubricants (such as K-Y) to help with insertion. Find out ways to check whether or not the cup is open and stays in the right place.
    While doing a trial run, don't forget to practice retrieving a cup. I found that cup retrieval is more troublesome, at least in the beginning, than insertion. Just imagine that when your actual period started, things can be quite slippery and trying to dig around and grip for the cup can be quite painful. Finding a comfortable way to retrieve the cup is as important as making sure the cup is inserted properly.


Most Helpful hints

Before giving up on the cup or deciding to purchase a different cup all together, I found that with these few hints I was able to make my cup work all the time.

  • Try out different folds that work for your body and your cup. Try facing the fold in different directions while inserting. Softer cups are harder to open, but with a little tweak it can definitely work.
  • When retrieving, bear down (as if you are pushing something out) as you grab the stem and wiggle the cup down to release the contact between the rim and the vaginal wall (some may refer to this "releasing the suction"). Never try to grab and pull the stem to retrieve without breaking the suction first -- it can be downright painful!! 
  • Do not rely on the stem alone to retrieve (stretchy stem can snap, read above). If possible, pinch the cup down by the base to release the rim contact. If that is not possible, hook the base of the cup against the vaginal wall while slowly dragging the cup out.
  • When trouble-shooting a leak, pay attention on how far you insert the cup (see diagram above) and whether the cup is fully open or not. Try out different fold, insert it a different way, or if you have more than one cup, try a different cup. There were days when one cup leaked on me no matter what I do, and the other did not.
  • Water-based lubricant is your friend, especially in the beginning. They key is to get the lubricants on your body and not to get it on the cup (because slippery cup = harder insertion).
  • Doing a few Kegles will position the cup on the right place.
  • Just because the cup can be worn for 12 hours does not mean it should be. I found out during the heaviest part of my flow, I needed to empty the cup every 2-3 hours (Hint: when the cup is almost full to the rim, it feels like something "burping" or air pushing out in the inside and I know I must empty the cup).

Resources

  • Precious Star Pads Youtube Channel is especially helpful for beginners. Briony/Bree is considered one of the leading voice in menstrual cup and RUMPs. She is explaining how to get the cup to open on this video, one of the most useful video in the beginning of my cup-wearing experience. 
  • Dirty Diaper Laundry does a lot of cup comparisons and videos on Youtube as well. She also has a site that is dedicated to menstrual cup here.
  • Amy Nix Holland's Youtube Channel is full of menstrual cup and cloth pads info, for those who are interested.
  • Your cup's brand/maker's website also provide useful information. Lena and Sckoon provided great customer service while I tried to trouble-shoot in the beginning. Take advantage by following them via Twitter/Facebook for sometimes they do giveaways or discounts.
  • Facebook groups Cup Love (a closed group -- you have to send a request and get approval) is very useful for real-time trouble-shooting. They also have a sister FB group of Cup Love B/S/T for buy/sale/trade of new and used menstrual cups.
  • Explore the resources above before you jump into the rabbit hole of Menstrual Cup Life Journal group -- I've only visited here a handful of time when I couldn't find any other solutions anywhere else.
I hope you have found this information useful. Have you used any alternative menstrual products? Feel free to share your experiences below!

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