Understanding Menstrual Cups and Their Impact on Pelvic Floor Dysfunction

July 19, 2024

This week’s topic is a bit different, as I’m diving into something I haven’t personally experienced—menstrual cups. A member recently asked if menstrual cups affect pelvic floor dysfunction. Not having personal experience, I did some research, consulted with clients, and spoke to an OB-GYN to give you a comprehensive answer.

What is a Menstrual Cup?

A menstrual cup is a reusable feminine hygiene product made of silicone or rubber. It’s inserted into the vagina to collect menstrual blood. You fold it for insertion, and once inside, it opens up and forms a suction seal around the cervix.

Can Menstrual Cups Worsen Pelvic Organ Prolapse?

One concern is whether menstrual cups can worsen pelvic organ prolapse (when organs like the uterus, bladder, or rectum drop into the vaginal canal). While there are articles suggesting this risk, they mainly point to difficulties women have in removing the cup.

The key issue isn’t insertion but removal. Unlike tampons, menstrual cups don’t have a string. Women often bear down to push the cup lower, making it easier to grab. This bearing down increases intra-abdominal pressure, which can contribute to or worsen prolapse over time.

Using a Menstrual Cup Safely

1. Insertion: Fold the cup and insert it into the vagina, where it will open and form a seal. Finding the right size is crucial, as vaginal sizes vary. Look for a cup with a suitable stem length to avoid discomfort.
2. Removal: Avoid bearing down to remove the cup. Instead, use your breath to relax the pelvic floor muscles. Squatting can also help. If the cup is hard to reach, consider one with a different stem or ridges for better grip.

Considerations for Tight Pelvic Floor Muscles

If you have difficulty using tampons due to tight pelvic floor muscles, you might find menstrual cups challenging too. A softer cup may help, but consider how tightness or discomfort during any vaginal insertion might affect your ability to use a cup.

Postpartum Use of Menstrual Cups

After vaginal delivery, the vaginal vault changes, and muscle tone might decrease. This can make it harder for a cup to stay in place. Strengthening pelvic floor muscles can help, but you might need to try different cup sizes or shapes.

Final Thoughts

Menstrual cups are a personal choice and may require some trial and error to find the right fit. If you experience issues with insertion or removal, or have concerns about pelvic floor dysfunction, consult with a specialist. Always prioritize your comfort and health.

Remember, it’s important to choose a menstrual cup that fits well and to use proper techniques for insertion and removal to maintain pelvic floor health. If you need personalized tips, don’t hesitate to contact me.

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