The rise of sustainable and reusable menstrual products has been a game-changer for many people around the world. Among these products, the menstrual cup has gained significant attention due to its cost-efficiency, eco-friendliness, and long-wearing time. However, for those using intrauterine devices (IUDs) for contraception, there’s a lingering question: Which is the best reusable menstrual cup for IUD wearers? Let’s delve into this topic and provide you with the answers you seek.

Understanding the IUD and Menstrual Cup Dynamic

The copper intrauterine device (IUD) is a popular and effective form of intrauterine contraception. Whether you’ve chosen the copper IUD or another type, its placement inside the uterine cavity requires careful consideration when using other vaginal products, like menstrual cups.

The main concern with menstrual cup use for IUD wearers is the potential risk of unintentional IUD expulsion. This can be triggered by the incorrect, use a menstrual cup or removal technique or the suction created during menstrual cup insertion and removal. The IUD strings, which dangle slightly into the vaginal canal, might also get tangled or pulled when handling a menstrual cup, leading to the IUD being dislodged.

Choosing the Right Menstrual Cup with an IUD

To alleviate the fears surrounding concurrent menstrual cup use with an IUD, here are some guidelines to consider:

Soft Silicone Over Firmer Cups

A softer, flexible cup like the Ruby Cup or the Super Jennie Cup might be more gentle in the vaginal canal. These cups, made of medical grade silicone, can adjust more easily, reducing the risk of disturbing the IUD strings.

Conscious Removal

Developing a safe menstrual cup removal technique is essential. Always break the suction seal of the cup before removing it. This can usually be done by pinching the base of the cup.

Menstrual Discs as Alternatives

If you’re still concerned, menstrual discs like the Flex Reusable Disc may be an option. Menstrual discs sit differently in the vaginal canal and might pose less risk when used concomitantly with an IUD.

Regular IUD String Checks

For menstrual cup users or those using any menstrual hygiene product, regularly checking the position and length of the IUD strings can give peace of mind. Any significant changes could be an early sign of IUD expulsion or movement.

Benefits of Using a Menstrual Cup

Even with the concerns, many IUD wearers have successfully used menstrual cups without issues. The benefits include:

  • Eco-Friendly: Reusable menstrual cups, unlike single-use products, produce less waste.
  • Cost-Efficient: With proper menstrual cup cleaning, one cup can last for several years, saving you money in the long run.
  • Long-Wearing Time: Most menstrual cups can be safely worn for up to eight hours, which is often longer than pads or tampons.

The journey to find the best menstrual cup for IUD users might seem challenging, but with the right information and precautions, it’s entirely possible to use a menstrual cup concurrently with an IUD. Always consult with a dedicated women’s health writer or professional when making decisions about your sexual and reproductive health, and remember that each body is unique. The perfect fit for one might not be the same for another, so it’s crucial to understand your body and its needs.

Diving Deeper: Specific Menstrual Cup Brands for IUD Wearers

As the popularity of menstrual cups rises, so does the variety of brands available on the market. For IUD wearers, it becomes even more crucial to find the perfect fit. In this section, we’ll highlight a few beloved the best menstrual cups around, providing insights into their features and how they might fare for those with IUDs.

1. Ruby Cup

The Ruby Cup, often applauded for its soft silicone material, is a crowd favorite, especially among IUD users. This bell-shaped cup comfortably fits in the vaginal canal, and its softness makes it less likely to exert pressure that might disturb an IUD. Moreover, for every Ruby Cup purchased, the company donates another to a person in need, making it a choice that benefits more than just the user.

2. Saalt Cup

A great starter cup for many, the Saalt Cup has received praise for its design, which seems to work well for a wide range of body types. Made from medical-grade silicone, it the reusable cup comes in different sizes and softness levels. IUD wearers have noted its ease of insertion and removal, reducing the chances of unintentional IUD expulsion.

3. Cora Cup

The Cora Cup, made of ultra-soft silicone, molds well to the vaginal wall. Its unique finger indents make it easier to grip, ensuring that the cup’s suction is adequately broken during removal, protecting those precious IUD strings.

4. Super Jennie Cup

Known for its larger capacity, the Super Jennie Cup is ideal for those with a heavy flow. Its softness combined with its ability to hold more menstrual blood makes it a top choice. IUD users might find this especially beneficial on those heavy flow days, without the fear of disturbing their intrauterine device.

Menstrual Discs: An Alternative Worth Considering

As we touched upon earlier, menstrual discs, though different from menstrual cups, are another reusable menstrual product that has garnered attention in the realm of menstrual hygiene. These discs, such as the Flex Reusable menstrual Disc, sit at the base of the cervix, unlike cups which are positioned lower in the vaginal canal.

The design of reusable menstrual cups and discs makes them less likely to interfere with IUD strings, thus possibly reducing the risk of IUD expulsion. They’re particularly worth considering if a menstrual cup user has concerns about their cup and IUD compatibility.

Precautions & Tips for IUD and Menstrual Cup/Disc Use

  • Consult Your Gynecologist: Before starting with a menstrual cup or disc, especially if you have an IUD, discuss with your healthcare provider. They can provide insights tailored to your body and health history.
  • Shorten IUD Strings: If your IUD strings are notably long, consider getting them trimmed. This can lessen the likelihood of them getting caught during cup or disc insertion/removal.
  • Regularly Monitor: As reiterated before, routinely check the position of your IUD strings. If they feel noticeably longer or shorter, or if you can feel the hard part of the IUD near your cervix, consult your healthcare provider immediately.

Understanding the IUD Expulsion Risk

It’s essential for IUD wearers to understand the risk of IUD expulsion, especially when considering the use of menstrual cups. Let’s delve into the specifics of what IUD expulsion entails, the potential causes, and how concomitant menstrual cup use might impact it.

What is IUD Expulsion?

IUD expulsion refers to the unintentional ejection of the intrauterine device from the uterine cavity. While this occurrence is relatively rare, it can happen shortly after IUD insertion or even years later. Recognizing the signs of IUD expulsion is crucial. The most common symptoms include feeling the plastic base of the IUD protruding from the cervix, increased discomfort, or spotting between periods.

Factors Influencing IUD Expulsion Rates

Multiple factors can contribute to an increased risk of IUD expulsion:

  • Time since IUD insertion: Early IUD expulsion rates tend to be higher in the first few months after insertion.
  • Heavy menstrual bleeding: Women with heavier flow might be more susceptible.
  • Previous expulsion: If someone has experienced an IUD expulsion before, they may be at a higher risk for future expulsions.

It’s worth noting that while many women worry about concomitant menstrual cup use increasing the risk of IUD expulsion, existing studies provide mixed results. More research is needed to definitively prove any direct correlation.

Menstrual Cup Removal Technique: A Crucial Factor

One of the main concerns when discussing the risk of early IUD expulsion rates with menstrual cup use is the removal technique. Proper menstrual cup removal technique is vital:

  • Breaking the suction: Before removing the cup, ensure that the suction is completely released. This can be achieved by pinching the base of the cup, which allows air to enter and breaks the vacuum seal.
  • Gentle removal: Instead of pulling the cup out directly, wiggle it side to side while pulling down gently.
  • Be mindful of the IUD strings: Make sure not to tug or pull the strings while removing the menstrual cup.

The Right Menstrual Cup for Different Body Types

It’s not just the IUD that can influence the right menstrual cup choice. Factors such as the vaginal canal’s length, the position of the cervix, and the heaviness of menstrual flow play a significant role:

  • Low cervix: For those with a low cervix, a smaller or shorter cup, like a bell-shaped one, might be more comfortable.
  • Heavy flow: As mentioned earlier, cups like the Super Jennie offer a larger capacity, making them ideal for days of heavy menstrual bleeding.
  • Vaginal wall sensitivity: If someone has a sensitive vaginal wall or has experienced discomfort with firmer cups, they might benefit from a soft silicone cup or a thin cup design.

Cleaning and Care: Ensuring Safe Menstrual Cup Use

Hygiene is of paramount importance when it comes to any beloved menstrual cup hygiene product. Regular menstrual cup cleaning ensures that the risk of infections or irritations is minimized:

  • Rinse with warm water: After emptying the cup, it’s a good practice to rinse it with warm water.
  • Use a mild soap: Clean the cup with a mild, unscented soap to avoid any potential irritations.
  • Sterilize between cycles: Before starting a new cycle, boil the menstrual cup in water for about 5-10 minutes.

Exploring Alternatives: Menstrual Discs and Beyond

As the menstrual hygiene industry evolves, it’s essential to stay informed about the alternatives available. Menstrual discs, a newer addition to the family of menstrual hygiene products, offer a different design and application compared to traditional menstrual cups. Understanding these alternatives can help women make the best choices for their sexual and reproductive health.

Menstrual Discs: What Are They?

Unlike the bell-shaped design of most menstrual cups, menstrual discs have a flatter, more flexible cup shape. They are positioned differently in the vaginal canal:

  • Placement: Menstrual discs are placed in the vaginal fornix, right below the cervix, rather than being positioned lower down in the vaginal canal like most cups.
  • Advantages: Many users find that menstrual discs, such as the Flex Reusable Disc, offer more extended wear (up to eight hours) and can even be worn during intercourse.

How Do Menstrual Discs Interact with IUDs?

Considering that menstrual discs and menstrual cups have distinct placements within the vaginal canal, their interaction with IUDs can differ:

  • Lower Risk: Due to their positioning further away from the cervix and IUD strings, menstrual discs are less likely to interfere with the IUD or its strings during insertion, wear, or removal.
  • Less Suction: Menstrual discs, in general, don’t create as strong a suction as menstrual cups, further reducing the risk of unintentional IUD expulsion.

Beyond Cups and Discs: Traditional Menstrual Hygiene Products

For those who remain concerned about the risk of IUD expulsion when using menstrual cups or discs, traditional menstrual hygiene products remain a viable option:

  • Tampons: A popular choice for many, tampons come in various absorbencies suitable for light to heavy flow days.
  • Pads: Pads remain a go-to for many women, especially those who prefer external menstrual hygiene products.

A Deeper Dive into IUDs: Copper vs. Hormonal

Intrauterine devices (IUDs), like the copper IUD and the hormonal IUD, are popular choices for long-term contraception. Understanding their differences can offer insight into how they might interact with menstrual products:

  • Copper IUD: This intrauterine device uses copper to create an inhospitable environment for sperm. One of its side effects can be heavier menstrual bleeding, which might influence the choice of menstrual hygiene product.
  • Hormonal IUD: Releases hormones to prevent pregnancy and can result in lighter periods or even the absence of menstruation.

The type of IUD might influence the menstrual product choice. For instance, those with a copper IUD experiencing heavy menstrual bleeding might lean towards menstrual products with higher capacity, like certain menstrual cups or menstrual discs.

Menstrual Cup Brands and User Testimonials: Finding the Perfect Fit

When it comes to menstrual hygiene, one size doesn’t fit all. This is particularly true with menstrual cups. Several brands have earned their reputation in the market for being effective, body-safe, and easy to use. Along with this, personal testimonials provide invaluable insights into what might work best, especially for those using a cup with an IUD in.

Popular Menstrual Cup Brands

  • Ruby Cup: Gaining prominence in recent years, the Ruby Cup offers a comfortable design made of medical-grade silicone. The soft silicone of this cup is often lauded by users for its comfort, especially those who have a low cervix or sensitive vaginal wall. Many users have reported no complications with their IUDs when using the Ruby Cup.
  • Lena Cup: A bell-shaped design that fits snugly against the vaginal wall. It’s seen as a great starter cup for many users, especially beginners in menstrual cup use.
  • Saalt Cup and Cora Cup: These cups have been praised for their ergonomic design and the ease of menstrual cup insertion and removal. They’ve become favorites among long-term menstrual cup users, some of whom are also IUD users.
  • Super Jennie Cup: Known for its large capacity, it’s especially popular among those with a heavy flow. Its soft design also makes it a favorite among those concerned about IUD strings or the potential for IUD expulsion.

The Importance of Proper Technique

One crucial aspect that several IUD users and gynecologists emphasize is the menstrual cup removal technique. When removing the cup, it’s vital to:

  1. Break the Seal: Before pulling down, pinch the base of the cup to release the suction.
  2. Be Gentle: Avoid tugging or pulling forcefully. This not only ensures the IUD remains in place but also maintains the integrity of the vaginal wall and pubic bone area.

Consultation and Regular Check-ups

For any menstrual cup users with an IUD, regular gynecological check-ups are essential. This ensures the IUD remains in its rightful place in the uterine cavity. Moreover, before starting with a menstrual cup after IUD insertion, consultation with a healthcare professional is paramount.


1. Can I use a menstrual cup immediately after I get my IUD inserted?

It’s best to wait for at least one or two menstrual cycles after IUD insertion before you start using a menstrual cup. This gives your body time to adjust to the IUD, and it ensures that the device is securely in place. Always consult with your healthcare provider before making any decisions regarding menstrual hygiene product use post-IUD insertion.

2. How do I ensure my menstrual cup doesn’t interfere with my IUD strings?

When inserting your menstrual cup, make sure it sits lower in the vaginal canal and away from the cervix where the IUD strings protrude. When removing the cup, pinch the base to break the seal before gently pulling it out. This reduces the risk of tugging on the IUD strings. Regularly checking the length of your IUD strings can also help you ensure that the IUD remains in its proper position.

3. Is there a difference between menstrual cups and menstrual discs in relation to IUDs?

Yes, there is. Menstrual cups sit lower in the vaginal canal, while menstrual discs sit lengthwise, tucked behind the pubic bone and against the cervix. Because of their positioning, some believe that menstrual cups work while discs may pose less risk of interfering with IUD strings. However, it’s crucial to consult with your healthcare provider to determine which is best for your specific needs and circumstances.