I recently started using Instead feminine cups. Is there a greater risk for toxic shock using the cups than with tampons? They seem to work well, and I wonder why they haven't become more popular.

--Alison

Properly used and cleaned, there is no greater risk of toxic shock or any infection with the use of a feminine cup than with tampons. Feminine cups are designed to capture menstrual flow (rather than absorb it like a tampon) in a shallow cuplike device -- think in terms of a diaphragm for the general idea. The cup is used in much the same way as a diaphragm; you insert it into your vagina and position it to create a good seal. Some feminine cups are disposable, while others are designed to be cleaned and replaced. Be sure to wash your hands thoroughly before inserting or removing this or any other vaginal product.

As for their relative lack of popularity, it may be fear of leakage should the cup overflow, or perhaps a distaste for having to reach inside oneself to remove the cup. If you are happy with the cup, then by all means you may feel safe and secure in using it. These products can be both environmentally friendly (no pads or tampons in landfills) and convenient. I have several patients who think they are the greatest thing since sliced bread!