Gynecology Book


Menstrual Cup

Aka: Menstrual Cup
  1. Indications
    1. Ecological alternative to tampons or menstrual pads
  2. Mechanism
    1. Funnel or disc shaped device that is inserted into vagina and collects Menses
    2. Flexible device, constructed of silicone (reusable) or latex Rubber (disposable)
    3. Holds 3 times the volume of blood of a typical tampon
    4. Cup stays in place with usual activity
    5. Cup does not usually cause discomfort or feeling that it is within the vagina
  3. Technique
    1. Insertion
      1. May be inserted into vagina for up to 12 hours
      2. Fold cup, insert in vagina, allow to open, then rotate to create a seal within vagina
    2. Removal
      1. Pinch to break seal
    3. Cleaning
      1. Empty the Menstrual Cup and clean with fragrance-free soap and water before reinserting in vagina
      2. Place the cup in boiling water to sanitize between Menstrual Cycles
    4. Replacement
      1. Replace reusable Menstrual Cups yearly
      2. Also replace if cup has deteriorated, developed an odor or was used during vaginal infection
  4. Adverse Effects
    1. Toxic Shock Syndrome
      1. As with tampons, Menstrual Cups can cause toxic shock if left in place too long
    2. Dislodgement of Contraception
      1. Intrauterine Device dislodgement may occur when inserting or removing Menstrual Cup
  5. Precautions
    1. Menstrual Cups are NOT Contraception (despite resembling a Contraceptive Diaphragm)
    2. Do not leave Menstrual Cup in place longer than 12 hours (risk of toxic shock)
  6. References
    1. (2020) Presc Lett 27(8): 48

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