Reasons Your Cup Is Coming Out – Have You Given Birth to a Menstrual Cup?

Menstrual Cup Coming Out?

Getting into a routine with a reusable menstrual cup can be tough. While some reusable menstrual cup users never have any bumps in the road, for others it takes some tricks and trials to find the right cup and position. Even after using a reusable menstrual cup for awhile some users find that after changes in life like childbirth, a reusable menstrual cup will start leaking or sliding down. Some menstruators even birth their menstrual cup.

Here are the reasons your cup is coming out –

menstrual cup coming out

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While typical menstrual cup hurdles include finding the right fold, fixing menstrual cup leaks and finding the right cup for your cervix height…some menstruators experience their cup sliding down or coming out. Essentially birthing a menstrual cup.

The vagina is a muscular canal and just like the rest of the muscles in our body, it relies on a system of muscles, bones, ligaments and tissue to have balance and strength. Hormones, age, childbirth, activity level and even position impact your vagina and how it’s working.

What could cause your menstrual cup to come out:

Weak pelvic floor muscles

In order for your menstrual cup to stay in place all those hours, your vagina muscle must hold it there. Just like someone who decides to run a marathon, you don’t go and run the full distance on the first day. You increase the amount of running a little at a time until you can do the entire thing!

I’m going to call this vaginal endurance. Over time you may find that the cup stays in for 4 hours without birthing, then 6 hours then 8 hours. You get the idea right?

If you feel as though you have a weak pelvic floor or vagina you can increase strength with Kegel exercises and pelvic floor exercises designed for this purpose. There are therapists who just do pelvic floor muscles including an internal trainer that teaches you to single out and squeeze your vagina like a situp.

menstrual cup coming out

The cup is too low to start

I think we’ve passed the point of warning you about TMI on this website so I’m going to go ahead and talk about my vagina. As I’m inserting my cup, I notice that it starts out like a tube and then near the top it seems to open up. The spot where I can feel a change in anatomy is my cup sweet spot. I can place it lower but it wouldn’t be in the best spot and this location (fornix) is also the ideal place for a menstrual disc.

If I release it too low in the tube it naturally gets pushed out.

As someone with a high cervix, I have to push the cup up into position after I lose my grip on the fold and the cup opens up or if would simply be too low.

You may need to troubleshoot different angles and positions to get the cup into a good holding spot so you can go worry-free throughout your day or night!

You need a special cup

I recently read an article, not by a menstrual cup education site, about low cervix menstrual cups that did not include one low cervix cup! Most reusable menstrual cups are designed for an average cervix height. Some recommend the smaller size cup for low cervix because it holds less fluid and is therefore shorter. However…they also recommend this smaller size cup to women who have not given birth and are under 30…can a cup be for both?

Menstrual cup users with a low cervix often need a cup designed for low cervix users and find that an average sized cup sticks out and/or won’t go up high enough to work or be comfortable! In general, it’s just too long and won’t work. If you don’t know how high your cervix is, you can read about measuring your cervix height here.

menstrual cup coming out

You are pushing it out

If you’ve ever been privy to movies of people shooting ping pong balls out of their vagina, yes this is a thing…you already know that we can push things out of our vagina and it has nothing to do with having a baby. I mentioned vagina crunches earlier, imagine you place something in your vagina low enough to use the vagina crunch to push it out.

You may be consciously or unconsciously doing this with your menstrual cup! If you, like me, are someone who squeezes your neck muscles subconsciously it may take some practice and self-awareness to prevent the unwanted squeezing. Try to relax your vagina and not squeeze in an attempt to reject the cup.

The cup is too soft or too hard

Finding the right firmness cup can take some time. I believe all menstrual cup users must start somewhere and dive into their first cup. You’ll never know if you need a firmer or a softer cup unless you try one!

If you start with a cup that’s too firm and your vagina strength and endurance isn’t enough to hold it in place for a long time, it may come out as your muscles weaken and can no longer hold it.

If your cup is too soft and won’t open properly or stay open, even with all the tricks and folds, your body may simply be rejecting/squishing the cup because it’s not sealing well or causing some discomfort. An athletic person may find that their pelvic floor moves and changes the position of the cup as their body moves during activity.

Paying attention to your vagina like you have never paid attention to it before can help you troubleshoot why the cup is coming out. Maybe after it gets half full it’s too heavy for your vagina muscle to hold in place. Maybe turning to a new fold and placing it higher does the trick. Maybe you need to sell your cup on a swap and get something new.

Either way, a menstrual cup is worth all the troubleshooting and trials because once you get it…you get it!

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*This post in no way attempts to replace medical advice or make individual recommendations. I don’t know your vagina like you do! Consult your practitioner for individual stuff although you may have to educate them on menstrual cups…

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