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How do I use a menstrual cup with a tilted uterus?

If you have a tilted uterus and despair of having a “normal” period, don’t freak out yet! According to Better Health Channel, about 25% of women have a tilted or “retroverted” uterus, so you are in good company!

We have good news! Since you’re reading this, you probably think–or know–that you have a retroverted uterus and (drumroll please) you can use a menstrual cup! We actually recommend the Pixie Cup Luxe. It’s designed for women with a low or tilted uterus.


So, can your 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 that their cup is not able to seal properly, but many women have no issues at all!

If you do have a retroverted uterus, here are a few tips as you use your Pixie Cup!

Insert your cup a little lower

If your uterus, and therefore your cervix, is tilted, your cup still should be able to seal properly below the cervix in your vaginal canal and catch your flow with no problems!

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 make it more comfortable.

Give it time

If you experience leaks at first, keep trying your cup at different angles! Even if it doesn’t work quite right at first, most people are able to adjust and use a menstrual cup easily after just a few tries!

If you’re still unsure…

Try the Pixie Cup Luxe! It’s designed for women with a low or tilted uterus. If you do experience any issues with your cup, we offer a 100% satisfaction guarantee and we will give you a full refund if it doesn’t work.

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  1. Valerie Adkins on March 6, 2019 at 2:53 pm

    This was an issue for me in the beginning as well. Based on the website suggestions I ordered a large Pixie Cup Luxe. When I tried it I could not get it to sit right or seal at all. I sent an email and a small was sent to me at no extra charge. It was amazing the difference that the size made for me. It seals and sits perfectly. My recommendation is to not give up and keep trying with the suggestions above or even a different size.

    • Laura U. on March 6, 2019 at 6:35 pm

      Thank you so much for your kind and insightful comment, Valerie! We are more than thrilled that the small cup works perfect for you, even with a tilted uterus! You are such an inspiration to other girls who may have this same question!

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