which menstrual cup is best for me

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.
  • Heavy flow: If you are grabbing a Super tampon on your heavier days, you will probably be a better fit with our Large Pixie Cup or Large 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.

Cervix height

  • 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.

Need more help figuring out your cervix height? Download our free cervical ruler!

Other factors

  • 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. Somewhat surprisingly, using a cup that is too big is also a common cause of leaks. If your cup is too big, it won’t be able to fully pop open

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.


Teen / Extra Small: 18ml

Small: 25ml

Large: 30ml

XL: 35ml

menstrual cup sizes


Slim Small: 20ml

Slim Large: 25ml

Pixie Cup Slim size chart

Which menstrual cup holds the most fluid?

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 made from a softer material. Learn more about using a menstrual cup as a virgin.

Still need help finding your perfect cup? Take our menstrual cup quiz or feel free to contact us

Quiz CTA

This content was originally written on November 9, 2018, and has been updated for freshness, accuracy, and comprehensiveness.

Karen E.

Karen is a Certified Holistic Nutrition Consultant and holds a degree in English and French from Knox College. She has written extensively about topics related to holistic health, clinical nutrition, menstrual health, personal growth, and weight management. Have a question for Karen? Email her at karen@pixiecup.com.