The Short Answer
Menstrual cups do not inherently cause infections, earning them a clean verdict for vaginal health. In fact, a major 2023 study found that cup users had a 23% lower risk of sexually transmitted infections and a healthier vaginal microbiome than those using traditional pads.
However, user error is the real danger. Because cups are reusable, failing to wash your hands or boil the silicone between cycles can introduce bacteria, leading to yeast infections, bacterial vaginosis (BV), or even Toxic Shock Syndrome (TSS).
Why This Matters
Unlike single-use tampons, menstrual cups make you completely responsible for sterilization. If you don't sanitize your cup properly, microscopic bacteria can form a biofilm on the surface that survives standard soap and water. Are Menstrual Cups Safe
While TSS is famously associated with highly absorbent tampons, it is still a risk with menstrual cups. A major Lancet review found only 5 reported cases of TSS from cup users worldwide, but in vitro studies show the air trapped inside a cup can encourage Staphylococcus aureus growth. Can Menstrual Cups Cause Tss
Maintaining your vaginal pH is critical for preventing infections. Menstrual cups do not absorb natural moisture, making them less likely to cause micro-tears and yeast infections compared to dry tampons. Menstrual Cup Vs Tampon
What's Actually In Menstrual Cups
- Medical-Grade Silicone ā The industry standard material because it is completely non-porous and naturally resists bacterial growth. Is Silicone Menstrual Cup Safe
- Thermoplastic Elastomer (TPE) ā A flexible plastic alternative used in some cups that is safe, but can sometimes hold onto odors more than silicone.
- Chemical Dyes ā Used to color the cups, though reputable brands use medical-grade, food-safe pigments that won't leach into your body.
What to Look For
Green Flags:
- Boiling between cycles ā Submerging the cup in boiling water for 3 to 5 minutes kills lingering pathogens.
- Breathable storage ā Keeping your sanitized cup in a cotton pouch prevents moisture buildup.
- Unscented cleansers ā Washing the cup during your cycle with a dedicated, pH-balanced wash protects your microbiome. Is Feminine Wash Bad For Ph
Red Flags:
- Dirty hands ā Inserting or removing a cup without scrubbing your hands first is the number one cause of cup-related infections.
- Wearing past 12 hours ā Leaving a cup in too long gives bacteria the perfect warm, dark environment to multiply. How Long Wear Menstrual Cup
- Airtight containers ā Storing a cup in a plastic container or ziplock bag traps moisture and breeds mold.
The Best Options
When shopping for a cup, always verify it is made from 100% medical-grade silicone. Skip the cheap dupes on massive online marketplaces. Best Menstrual Cup
| Brand | Product | Verdict | Why |
|---|---|---|---|
| Saalt | Saalt Cup | ā | Premium medical-grade silicone with a flawless safety record. |
| Diva | DivaCup | ā | The classic, trusted standard that rigorously tests its materials. |
| Generic | Amazon Dupes | š« | Unknown materials that may degrade or harbor dangerous bacteria. |
The Bottom Line
1. Wash your hands first ā You are more likely to get an infection from your own fingers than from the cup itself.
2. Boil after every cycle ā A 3-to-5-minute rolling boil is non-negotiable for killing off bacterial biofilms.
3. Stick to the 12-hour rule ā Empty and rinse your cup at least twice a day to prevent bacterial overgrowth.
FAQ
Can menstrual cups cause TSS?
Toxic Shock Syndrome is extremely rare but possible with menstrual cups. While tampons are the usual culprit, the air trapped inside a cup can theoretically promote the growth of the bacteria that causes TSS. Is Tss Still A Concern
Do menstrual cups cause yeast infections?
Menstrual cups actually help prevent yeast infections. Because they collect rather than absorb, they don't dry out your vaginal canal or disrupt your pH like tampons do. Can Wipes Cause Yeast Infections
How often do I need to boil my menstrual cup?
You must boil your cup at the end of every menstrual cycle. Submerging it for 3 to 5 minutes sterilizes the silicone so it is completely safe to use for your next period.