This post is not about knitting, and there are no pictures. This post is about menstrual cups, because, well, it's my blog, and it's something I care about enough to talk about it. This was originally posted to my LiveJournal, but I'm copying it here for the sake of posterity. Just as a warning, I go into a fair amount of detail about menstruation and menstrual cups. If you're a male, or if you're a female and the phrase 'menstrual cups' gives you the wibblies, you may want to skip this post. On the other hand, if you're interested in alternative, environmentally friendly menstrual solutions, maybe you should keep reading.
Menstruation. Not a pretty subject, but, let's face it, almost every woman has to deal with it monthly for the better part of her life. A few women claim that they find menstruating empowering, or that they look forward to it. Those women are strange. For me, menstruation is a body function like any of my other body functions. Bodies are pretty good at doing icky things and screwing with your head, and menstruation is the worst.
Most of my life, I've used disposable pads. My mom doesn't use tampons, so I never learned to, and the idea always squicked me out. I was always reasonably content with pads, apart from a few quibbles. A few years ago, though, a friend got a DivaCup. I didn't think much of it at the time, but late last year, I began to get really frustrated with my pads. The first few days of my period are very heavy, so I was always leaking, and I got very tired of scrubbing blood out of my clothes. After that, though, my period becomes very light, which presented problems of itself. I finally came back to the idea of a menstrual cup. I bought one for myself just after Christmas, and I've been using it since last February. I wanted to give myself a few months to adjust to using a cup before posting a review here. So here we are--an introduction to menstrual cups for you.
First, what is a menstrual cup? Well, it's exactly what it sounds like: a small, tapered cup, worn inside the vagina to catch menstrual blood. While there is one product (The Keeper) made of "natural rubber" (aka latex), most cups are made of high quality, medical grade silicone, the same sort of thing they use for contact lenses and nipples for baby bottles. There are a few different brands that vary slightly in shape or size. Currently, the only US-based company that makes cups is The Keeper, Inc., which has recently fallen into disrepute because of bad business practices. I went with a DivaCup, which is based out of Canada. Other options include the Mooncup UK, and the Lunette. My general impression is that among silicone cups, the differences aren't substantial, just matters of taste.
Are they healthy? Well, the DivaCup and the Keeper have been approved by the FDA, and I believe the Mooncup UK is currently pending approval. Menstrual cups have not been associated with toxic shock syndrome. There has been a question of whether menstrual cups could cause a risk of endometriosis. I personally find the arguments against that to be fairly convincing. In 2003, the FDA determined not to revoke approval for approved menstrual cups on the grounds that there is no evidence that the concern is anything more than theoretical (pdf link to FDA's response).
I also had someone suggest to me that the cup could increase your risk of pelvic inflammatory disease, but I haven't been able to find any evidence for this online to date. With the research I've done, the conclusion I've drawn is that while using a cup may introduce some risks, they're no greater than the risks of using a tampon. If you're looking for the most risk-free solution, I'd recommend pads, but for me, the cup is worth it. With proper hygiene, I see no reason not to use it. Additionally, unlike a tampon, a menstrual cup is not absorbent, so it won't disturb the natural lubricants produced by the vagina.
So, what's it like using a menstrual cup? Well, there was a bit of a learning curve at the beginning, as you'd expect. The first month was somewhat awkward, but by halfway through the second month I had become quite comfortable, both with insertion/removal and with wearing the cup in general. For me, the biggest advantage is one of convenience. I don't have to worry about whether the position I'm sitting in will shove my pad out of place and cause leaks. I don't get that horrible GUSH when I stand up after sitting for a while on a heavy day. And since the Divacup is approved for up to twelve hours, I generally only have to empty it twice a day. While I do continue to wear cloth pads as backup on my heavier days, towards the end of my period I don't need to, and I have never been so comfortable. In theory, it can also be worn swimming and exercising, but since I don't regularly do either, I can't speak to that.
That said, the menstrual cup is not the Holy Grail. It hasn't changed my life, though it has made me a little more comfortable. It has advantages and disadvantages, the same as any other menstrual solution. It isn't for the squeamish; it does put you in direct contact with your blood--you may get some on your fingers, and you will certainly have to see it--and I realize some people aren't comfortable with that. On the other hand, I know for me, the squickiness faded quickly, and, without going mystical about it, I have become much more pragmatic about my period. It's given me the attitude of, "Hey, it's just blood!" But, I realize not everyone will be quite that comfortable with it. There is also an initial investment--you can expect to pay about $30 for a cup. In the long run, of course, it saves money, but I know better than most people how coming up with even that $30 can be a challenge.
The biggest advantage of a menstrual cup, though, is the elimination of unnecessary waste. Disposable pads and tampons create huge amounts of waste, and call me an idealistic college student, but for me that really isn't acceptable. So, while I've tried to stay objective for the rest of this post, I'm going to get up on my soap box briefly. Even if you're not comfortable with the idea of a menstrual cup, there are still environmentally friendly options open to you. My favorite secondary option is cloth pads. Now, I know, I know--ew, gross! Really, guys--I use cloth pads for in addition to my cup, and it's not as bad as it seems. Like I said, it's just blood. All cloth pads require is a quick soak and you can throw them in the laundry with your clothes. Also, they're really comfortable--remember, Always only recently switched to "cotton-like" surfaces for their pads--why not just use real, honest-to-goodness cotton? Curious? Lunapads is a great place to start--a friendly company with good products.
Okay, I'm getting off the soap box now. My basic conclusion is this: the Divacup is a good solution for me. I like that it's convenient, and I like that it's environmentally friendly. I don't think it's the be-all-end-all, and I don't think it's for everyone. But, hey, it never hurts to open your mind a little bit and consider trying something new, right?
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