Do you have a “tilted” uterus? If so, you may find that it takes a little practice to get a menstrual cup to work for you. But don’t worry! This doesn’t mean that you can’t use a menstrual cup. You absolutely can! It just may take a little extra effort to find the right cup for your body and to learn how to position it correctly. We’re here to help!
According to Better Health Channel, about 25% of women have a tilted or “retroverted” uterus, so you’re in good company!
In most women, the uterus is tipped slightly forward so that it points toward the stomach. When most people use the term “tilted uterus,” they are referring to a retroverted uterus, where the uterus is tipped slightly backward, so that it’s aimed towards the rectum.
As you can see from the image below, there are actually several different ways the uterus can be positioned in the body:
Retrocessed uterus: the uterus is tilted forward, with the cervical opening pointed toward the back
Retroflexed uterus: The uterus is tipped backward and folded toward the back.
In many cases, a tilted uterus doesn’t cause any problems, and women may not even be aware that their uterus is tilted. For others, a tilted uterus may cause symptoms such as painful sex, painful menstruation, and irregular menstruation.
What causes a tilted uterus?
Many women are simply born with a tilted uterus. In rare cases, a tilted uterus may be caused by an infection, such as pelvic inflammatory disease, or other conditions such as endometriosis.
What is a tilted cervix?
The cervix is the base of the uterus, so if the uterus is tilted, the position of the cervix will also change. With a retroverted uterus, the cervical opening may be pointed more towards the front. The cervix may also sit slightly lower or higher than normal.
If you’re using a menstrual cup with a tilted uterus, the position of your cervix may require you to position your cup differently. You may need to wear your cup lower in the vagina. You may also need to experiment with different methods of folding or insertion.
How do you know if your uterus is tilted?
It’s possible to have a tilted uterus and not even know it! Many women become aware of their tilted uterus when they’re pregnant, for example during an ultrasound appointment. Some women say they didn’t even know they had a tilted uterus until they were pregnant with their third child! Others say they didn’t find out about their tilted uterus until they asked their gynecologist directly, even though it had been written on their medical chart for years.
If you suspect your uterus is tilted or your cervix is otherwise in an unusual position, ask your doctor at your next appointment. If you have a tilted uterus, it’s possible that your doctor has noticed, but didn’t mention it if you weren’t experiencing any symptoms.
If you’re curious about the position of your cervix, you may be able to determine that on your own. Check out our blog post about how to measure your cervix. In addition to determining how high or low your cervix is, try to feel for the opening. Does it feel like your cervix is pointed forwards or backwards? If so, it may affect how your need to wear your menstrual cup.
What is the best menstrual cup for a tilted uterus?
We designed our Pixie Cup Slim especially for women with a tilted uterus or a low cervix. It’s a smaller size and is made with a softer material, which many people find more comfortable when wearing it lower in the vaginal canal.
Can a tilted uterus cause problems with using a menstrual cup?
The answer to this question completely depends on your body and how your period cup fits you! Some women who have a tilted uterus find they have difficulty getting their menstrual cup to pop open or seal properly, but many women have no issues at all.
If you have a retroverted uterus or tilted cervix, try these tips for inserting your menstrual cup.
Insert your cup a little lower
If your uterus, and therefore your cervix, is tilted, your cup should still be able to seal properly below the cervix in your vaginal canal and catch your flow with no problems. This is why we often recommend a smaller cup, such as our Pixie Cup Slim, for women with a tilted uterus.
Trim the stem
Because your cup needs to sit a little lower in your vaginal canal, you might need to trim the stem of your cup. Just remove and sanitize your cup, grab a pair of scissors, and trim away! If needed, you can file any sharp corners with a disposable nail file to get rid of rough edges.
Check the position
If your cervix is at an angle, and your cup doesn’t line up properly with the opening, it could cause leaks. This is why being familiar with the position of your cervix can help you make sure you have a proper fit, and why inserting your cup lower in the vaginal canal often helps. The important thing is to get your cup to sit beneath the cervix, rather than right up against it.
Try a different fold
Some menstrual cup users find that the way they fold their cup affects the fit and the seal. See our blog post on different folding techniques and try experimenting with different ways of inserting your cup.
Give it time
If you experience leaks at first, keep trying your cup at different angles and positions. Even if it doesn’t work quite right at first, most people are able to adjust and use a menstrual cup easily after some practice.
If you’re still unsure…
Ask us! In our years of experience in the menstrual cup industry, we’ve learned lots of tricks, and we’ve been able to help hundreds of women like yourself find the right fit. Often, menstrual cup leaks or discomfort are the result of improper positioning, not the fault of the cup itself.
We love talking about menstrual cups, so contact us if you have any questions!
Your happiness is our priority. We offer a 100% satisfaction guarantee, and if you aren’t completely happy with your cup, we will give you a full refund. We’ll also work with you to help you find something that works for your body — even if it’s another company’s product! We understand that every body is different, and sometimes another product will work better for you.
Even if you request a refund, you can keep your Pixie Cup! Menstrual cups are completely sanitary once they’re cleaned (we recommend our menstrual cup steamer), but we understand you may not feel comfortable giving it to someone else if it’s been used. But don’t just throw it out!
Our bodies are always changing. Store your cup away, and you may find that it fits better after a few years. It’s especially common for our bodies to change after giving birth. In fact, if you have a tilted uterus now and you have children later, your uterus could straighten out after going through a few pregnancies! So just because your cup doesn’t fit quite right now, that doesn’t mean it might not work for you later. (Plus, you’ll have a backup if you lose your cup or if your dog eats it — which has happened!)
PLEASE NOTE: This blog post is not intended as a substitute for the medical advice of your doctor. You should regularly consult a physician in matters relating to your health and particularly with respect to anything related to menstruation. If you have any concerns about using a Pixie Cup, consult your doctor before use. If you have any gynecological conditions, please talk to your physician before using any menstrual cup.
This content was originally written on March 4, 2019, and has been updated for freshness, accuracy, and comprehensiveness.
It’s hard enough to try to find the perfect pair of shoes to go with your outfit… and you’re supposed to decide which menstrual cup is best for you without trying one on? That’s crazy!!
We get it! Don’t worry, we’re here to make sure you have all the information you need to figure out which of our menstrual cups is best for you!
Which menstrual cup is the best?
There is really no one answer to this question. Everyone’s body and cycle is different, so what works for your bestie might not work for you. That’s why we’ve created several different versions of our Pixie Cup! Factors such as how heavy your flow is, the position of your cervix, your age, and whether you’ve given birth all play a role in how your menstrual cup will fit and feel when it’s in your body.
There are a few things to consider when you’re choosing a Pixie Cup, so make sure you review all of the factors listed below:
Flow (go with it!)
Light or regular flow: If you have a lighter flow and use just a pad, or tampons between light and regular, you will likely be just fine with a size small in either our regular Pixie Cup, or the Pixie Cup Slim.
Very heavy flow: If you’re going through multiple Super Plus or Ultra tampons per heavy day, you might want to give our XL Pixie Cup a try!
Keep in mind you don’t have to choose just one. If your flow fluctuates during your cycle, you may want to try our Pixie Cup combo pack! Use the large on heavier days and the small when your flow is lighter.
Average or high cervix: Are you able to use a larger tampon without pain “up there”? Can you touch your cervix with your finger? (Your cervix is round and about the texture of the end of your nose.) If you have a higher cervix, you should be able to use any of our Pixie Cup sizes with no problems.
Low cervix: Is your cervix easy to reach, especially during your period? Do you ever experience pain when inserting a tampon? If so, you might want to start with a smaller size Pixie Cup. We recommend the Small Pixie Cup Slim, which is a little more flexible.
If you have trouble inserting a tampon, or you are under the age of 18, you might want to start out with one of our smaller Pixie Cups.
If you have no trouble inserting larger sized tampons, with a little practice you should be able to easily choose any of our Pixie Cup sizes.
If you have given birth to a child vaginally, your body will likely be able to fit any of our Pixie Cup sizes.
Still not sure? Take a look at some of these frequently asked menstrual cup questions, or take our menstrual cup quiz! And don’t worry if all of this seems overwhelming at first. If you’re brand new to menstrual cups, it may take a little while to get the hang of everything. We’re here to help! Feel free to contact us and we’ll be happy to answer any questions! And, if you buy a Pixie Cup and you aren’t totally happy with it, we’ll give you a full refund! Your happiness is our priority.
Which menstrual cup is the softest?
We created our Pixie Cup Slim with a softer, more pliable silicone. While many people do fine with our regular Pixie Cup, the Slim is a great choice for younger girls or first-time cup users because it is gentler and easier to fold. We’ve also found it to be a great option for anyone with a tilted uterus or lower cervix.
Which menstrual cup leaks the least?
Again, there is no one answer to this question. The key to avoiding menstrual cup leaks is using a cup that’s the right size for your body and achieving a good seal. Leaks are almost always due to an issue with the cup position, size, or seal. If you’re a new cup user, it may take a few cycles to become comfortable inserting your cup and achieving a proper seal. If your cup is leaking because it’s too small for you, try a larger size.
Which menstrual cup is the smallest?
Our Pixie Teen Cup is our smallest menstrual cup, which makes it great for lighter flow and younger users. Our Pixie Teen Cup is 1.5 inches in diameter and holds 18ml of fluid. By comparison, our regular small Pixie Cup holds 25ml of fluid and is 1.68 inches in diameter.
How much does a Pixie Cup hold?
The Pixie Cup is available in several different styles and sizes, holding between 20ml and 35ml of fluid. For comparison, a tampon holds about 5ml of fluid when it’s completely maxed out. Our smallest cup, the small Pixie Cup Slim, holds 20ml and is the equivalent of 4 tampons. Our largest cup, the Pixie Cup XL, holds 35ml, or the equivalent of 7 tampons.
For people with a very heavy flow, we created our XL Pixie Cup. It holds 35ml of fluid, which is roughly the equivalent of 7 tampons. While all of our cups are safe to use for up to 12 hours, people with a very heavy flow may need to empty their cup sooner to avoid leaks. This is perfectly normal. Just like tampons, a menstrual cup is effective for different amounts of time for different people.
Which menstrual cup is best for beginners?
For beginners and younger users, we recommend our Pixie Teen Cup. Made from medical-grade silicone, with petite anatomy in mind, the Pixie Teen Cup is our smallest cup. It’s just soft enough to move and flex with your body when swimming or playing sports, and just firm enough to easily pop open and seal for first-time cup users!
We also recommend using a menstrual cup lubricant every time you insert your menstrual cup to make insertion smooth and pain free.
Which menstrual cup is best for virgins?
If you’re a virgin interested in using a menstrual cup, we advise you to start with a smaller cup and apply a little lubricant. You may want to try our Pixie Cup Slim, which is our smallest cup and is made from a softer material. Learn more about using a menstrual cup as a virgin.
Do you ever get period cramps? If you have, you know how miserable they can be! Some months, even with a Pixie Cup and essential oils, we just need more help to get past those cramps.
Thankfully, while period pain sometimes feels all-consuming, there are some things you can do to decrease the pain of cramps and the list goes a little further than heating pads and pain reliever!
In this article, we will introduce you to five fantastic (and totally beginner-friendly) yoga poses that are proven to relieve menstrual cramps!
Wind Relieving Pose
While the name of this laugh might make you giggle – hey, a great mood lifter – this pose is wonderful for relaxing your lower core.
For this pose, start by lying on your back. Next, lift your legs straight, then bend your knees and tuck your thighs into your stomach as demonstrated in the picture. Finally, wrap your arms around your legs and tuck your chin into your chest.
This pose stretches the lower back and can ease the tension and pain that builds there during your menstrual cycle.
Start out with your feet a hip-width apart. Bend forward gently, as far as you can. You can place your arms behind your calves as seen in the photo, or cross your arms, holding each elbow gently with the opposite hand. For maximum impact, very gently sway from side to side.
Half Pigeon Pose
This pose opens your hips and increases blood flow to the reproductive system. This naturally decreases menstrual pain.
To complete this pose, place your left knee on the mat. Next, stretch your right leg straight behind you. Next, as seen in the illustration, bend your left leg slightly toward the left, bringing your shin to face the front of your mat. Place your hands on the mat next to your hips, making sure your hips are squared. Then, gently lower your body over your left leg, with arms out in front of you. Repeat this on the other side as well.
This pose is such a relaxing and wonderful to relieve anxiety as well as menstrual pain! If you are experiencing back pain related to menstruation, this pose is a wonderful choice for you.
To start this simple pose, place both knees on the mat and slowly bend until your torso rests on your bent knees. Allow your body to relax and stretch your arms out, resting on the mat in front of you. Next, just breathe and allow your mind to calm.
This pose is a wonderful stretch for the lower back. The pressure of your body against your organs is also wonderful for the reproductive organs and can relieve bloating.
Begin this pose by lying flat on your stomach. (If you end up falling asleep, that’s great, too! Sleep is great for extra energy during your cycle! ) Next, bend your knees and bring your heels as far up as you can, and reach back to grasp your ankles with both hands. Lift your feet, head, chest, and as much as your torso as you can, up from the mat and into the air. You can hold this pose for 30 seconds or less, and then gently release.
Give these yoga poses for menstrual cramp relief a try and comment below to let us know which ones were helpful for you!
Help! My menstrual cup is stuck! You’re probably wondering if you should rush to the emergency room… but wait! Before you go, take a moment to read this blog post, because today we are sharing an interview with a medical professional to help you walk through the process of removing your cup simply… no panic included!
The truth is, there is a lot of information out there on the internet, and sometimes it’s hard to find advice that is reliable and based on fact, not opinions. This interview today is completely 100% based on the experienced advice of a family medicine doctor, Dr. Nicholas Goetsch, DO from Iowa, who shared his honest feedback on menstrual cups, methods to avoid the “stuck cup” issue altogether, and some tips to avoid ER visits due to a stuck menstrual cup.
My cup is stuck right now… what can I do?
“Patients need to understand how or why cups could get stuck and learn to break the seal by pinching the base during removal. Knowing you should press on the side of the cup to break the suction with a clean finger and not just keep pulling and pulling or sticking foreign objects up there is important. We advise patients to lie on their back with knees up to insert a clean finger to the border of the cup and break the seal there, by pressing on the tissue or the side of the cup and sliding a finger in and around the border, using extreme caution with fingernails.”
Why is my cup stuck?
“The most common reason for cups that stick, we think, is women are placing them on the cervix (diaphragm placement) and not lower near the vaginal opening. Also, the muscles can cause the cup to move up.”
Which cups are most likely to get stuck?
“We have removed a wide variety of brands from patients and have only recently started to track this to look for trends. From our initial observations, it appears that more of these problems seem to happen with the softer menstrual cups being manufactured. The introduction of softer silicone cups and companies trying to out-market each other has led to misinformation. It also spread with bloggers making recommendations without verifying their information and women not questioning the facts.
From what patients are telling us and what we are seeing it seems that a lot of women are just following what they see on the internet. Women are recommending this cup or that because it is softer and easier to insert, etc, etc. Then patients end up purchasing blindly, using the wrong size, and not reading the directions. Additionally, some directions are not written in a way (or in a language) they can read.”
How can I make sure my cup never gets stuck?
“Our main advice is to prevent cups from sticking in the first place by proper placement. Take the time to learn from reputable sources (companies and medical providers) to get the right product, the right size, and learn what makes a good fit from the start, then take the time to read the directions before use, or go over use with a medical provider. Having accurate directions for placement is of the utmost importance. Simply placing it lower in the vaginal canal can prevent most of the cases we are seeing in addition to selecting the right sized cup.”
What if I still can’t get it out?
“If unsuccessful, medical intervention is recommended as soon as possible as the risk of TSS does exist and increases with time.”
How do medical professionals feel about menstrual cups?
“There are daily challenges of providing sound medical care, products, and advice to the self-proclaimed “internet experts” and influencers of today. After years of removing “neglected” tampons, we are encouraged by increased cup use for the decreased risk of TSS and infection. However, I believe that more education and guidance on cup selection and use would benefit all.”
In short… if you have any questions about your menstrual cup removal do not hesitate to message us or check out this blog post that will walk you through removal, step by step. Give Google a break and just ask us! We are here for you, and we want you to be able to use your Pixie Cup with ease of mind because you deserve a chance to live in freedom EVERY day of the month!
Raise your hand if you’re the girl that never met an adventure she didn’t like. Hands up if you’re the one that loves being outside with sunshine on your face and the wind in your hair! ♀️if you’ve ever had to pee in the great outdoors!
If you’re that girl… the one that doesn’t let her period keep her from adventure… it’s time to learn to dig a cathole. A few months ago, we wrote a blog post about how to use a menstrual cup while camping, backpacking, or hiking. In that article, we talked a little bit about the “bury or pack it out” philosophy, but today it’s time to put it to action with an in-depth explanation – with pictures – of how to dig a cathole.
First, let us tell you what a cathole is.
You’re probably picturing a cat frantically pawing the ground – do they even do that?? – or burrowing underground. We don’t have any idea why this is called a cathole but you know… English is hard.
A cathole is a hole that explorers dig to bury the things that we want to prevent from contaminating drinking water or muddying up a hiking path. These things are bowel movements, waste water (such as that used to clean dishes), and menstrual fluid.
Today, as you might have guessed, we are talking about how to dispose of menstrual fluid in a cathole.
1. Make sure your cathole is 200 ft away from water sources.
For those of you who struggle – like me – with figuring out “feet” distances, 200 feet is about 70ish steps. You want to make sure your cathole is far away from water so it does not end up contaminating a hydration source.
2. Plan your cathole location
While you’re looking for a private spot to do your business, try to choose a location that has access to sunlight and is not too close to rocks or trees. Sunlight and healthy soil help the fluid to decompose quickly.
3. Dig the hole – make sure it is the right depth
Your cathole should be 6-8″ deep. You can use a small shovel called a “trowel” or a rock or stick to dig the hole.
4. Empty your cup into the cathole
Make sure your hands are very clean before you remove your Pixie Cup! This is always important, whether you are in the wilderness or in your own home! Next, empty your cup in the cathole. It’s as simple as that.
5. Rinse your cup well
After your cup is emptied, use a water bottle to rinse your cup out. You can also use a Pixie Wipe for a little extra cleaning.
6. Cover the hole.
After you’ve reinserted your cup, scoop all the dirt you removed while digging the hole back in and smooth it out well. Finally, cover the area with leaves, grass, and other nature items. If you used any toilet paper or wipes, you can place those in a bag and pack them out to dispose of them later.
Final step… enjoy the rest of your journey knowing that nothing – not even your period – can hold you back!
Have you ever used your menstrual cup in the wilderness? How did you handle it? Do you have any tips for other Pixie Cup users?
We love essential oils. Not only do the smells create a wonderful, peaceful moment, but some of them are balancing and helpful for dealing with your menstrual cycle!
Today we are going to talk about which essential oils are helpful for different parts of your menstrual cycle, how to make an essential oil blend, and where you can get a blend if you don’t want to break out the DIY vibes today!
Before we get started, we just have a little cautionary advice for you. Keep in mind, essential oils can be very beneficial but they should be used as instructed. Before you use a specific oil, test a tiny amount on your forearm to make sure you do not have a reaction to the oil. Unless otherwise instructed, always dilute the oil with a carrier oil – such as coconut or avocado oil – in amounts according to the instructions on the bottle. NEVER put essential oils in your eyes. If it does get in your eyes by any chance, use milk or a carrier oil to rinse it, not water.
We LOVE our essential oils but are careful to always treat them with respect. They are very strong and can have a powerful effect on your body, which is why it’s important to use them carefully.
Here are a few of our favorite oils to use during menstruation!
Lavender essential oil is incredible because it has so many different purposes! It is antifungal, anti-inflammatory, promotes skin healing, and is known to decrease anxiety! Plus, this essential oil has a fresh, wonderful scent. For your menstrual cycle, rub a little of this oil on your stomach to decrease inflammation during your cycle, or put a drop or two on the bottom of your feet for quick absorption. If you’re feeling stressed, open the cap and simply breathe the fragrance of the oil in. The inhalation of lavender can reduce depression and heighten relaxation.
Clary Sage essential oil has a unique, earthy, grassy smell that might take some adjusting to but its effect on your entire cycle is powerful. This is the go-to oil for female hormone issues. Clary Sage is estrogen-like and a relaxant, so it naturally balances your hormones. You can rub Clary Sage on your stomach during your period for cramp relief, or you can rub it on the bottom of your feet and inside of your wrists.
Rose essential oil was known to be wonderful for the skin for thousands of years, but it has other benefits that are equally fantastic! Rose is anti-inflammatory, a relaxant, and anti-ulcer! Rose is the top choice for dealing with PMS symptoms because of its relaxing, gentle scent and healing properties.
DIY essential oil blend for PMS:
This essential oil blend includes Clary Sage to balance your hormones, Rose to ease PMS symptoms including mood swings, bloating, and headaches, and Lavender to reduce menstrual cramps and ease anxiety. If you struggle with irregular periods, add a couple drops of Peppermint as well.
To make your own essential oil blend, you’ll need a carrier oil (we recommend fractionated coconut oil) and a small glass bottle. A dark colored bottle would be best because it protects the essential oils from sunlight, and make sure it is glass – the essential oils could break down plastic.
10 drops of Lavender
10 drops of Clary Sage
10 drops of Rose
Fractionated coconut oil or alternate carrier oil
Add the oils to an amber, glass roll-on bottle. Match the essential oil amount with the carrier oil. Gently shake the bottle to mix the oils.
It’s as simple as that! To use your blend, apply it to your wrists, inner arm, back of the neck, or bottom of the feet! If you’re having menstrual cramps, you can apply it to your stomach as well.
Recommended essential oil blend:
If you don’t have all the oils to make the blend yourself yet, Plant Therapy offers a wonderful, fragrant blend called Balance Synergy that will help you feel balanced and peaceful amid the hormonal changes of your period week. Just roll this blend on your forearm or wrists, or on the bottom of your feet for maximum absorption.
Do you use essential oils to help deal with period pain or PMS symptoms? Which ones do you use?
**Please note, we are not doctors or medical advisors. If you need medical attention, make an appointment with your doctor.