Best Menstrual Cups for a High or Low Cervix

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Finding the right menstrual cup can take some trial and error. The good news is that you can avoid that wasted time and money by narrowing down your choices based on a few personal factors with the help of some unique menstrual cup comparison tools we’ve created for you!

Menstrual cup manufacturers tell you to buy a smaller size cup if you’re under 30 and have never given birth vaginally. This is based on the belief that if a person is under the age of 30, they may not have had any pregnancies or children, and/or have stronger pelvic floor muscles (PFM).

If you’re older than 30 or have delivered a baby via the vaginal canal (i.e. not through a cesarean section), then they say to get the larger size. This is because of the assumption that those who are over 30 are more likely to have a weakened PFM and/or have had pregnancies or children.

However, an often overlooked factor that can make a big difference in the comfort and effectiveness of a menstrual cup is the position of your cervix – that is, how high or low it is in your body. This varies from person to person and moves throughout your cycle.

What’s a Cervix?

The cervix is the lowest part of the uterus. It’s sometimes referred to as the neck of the uterus, similar to the neck of a bottle. It is tubular in shape and is the passage between the vaginal canal to the uterine cavity.
While the uterus cannot be seen, the cervix can be seen and felt from inside the vagina.
During your period, the endometrium (mucous lining) is shed from the uterine walls and menstrual blood flows out of the cervix.

How to Find Out if Your Cervix is High or Low?

The cervix moves to different positions during your cycle, so it’s best to check the approximate measurement sometime right before your period starts to a couple of days into your period. At this time, the cervix normally drops down to its lowest point.

Check its position again at the middle to the end of your period because this is when the cervix will start to move back up, getting back into place for ovulation. During ovulation, the cervix is normally at its highest position. Sometimes this is so high that it’s hard to reach or can’t be felt.

Some people notice a significant difference between the two measurements and others won’t see much of a change at all. If your cervix moves drastically, you may want to purchase a two-pack of menstrual cups that offer both a small and a large size. This will allow you to use whichever cup is more comfortable and/or easier to reach for you when your cervix is at its different heights.

Make sure to wash your hands with soap and water. Insert your longest finger into your vagina.

 

 

Different Cervical Heights:

Low or very low cervix If your finger only goes in an inch or so before it comes into contact with the cervix, yours is low.

Average or medium cervix If your cervix is easy to reach but not especially low, your cervix is placed at an average level.

High cervix If your finger goes in all the way before it touches the cervix or it doesn’t touch it at all, you have a high cervix

As mentioned, the cervix may be hard to reach or completely out of reach depending on where you are in your cycle. If you believe that you have a very high cervix from the start of your period to the end of your period, you may want to consider a long cup. However, if your cervix drops, even a small amount, some of these longer cups may not be comfortable throughout your period.

 

How Do You Know if You Have Reached Your Cervix?

Depending on where in your cycle you are when you check, the cervix can feel softer like an earlobe or like lips. You may even be able to feel the dimple from the slight opening that allows semen to enter into the uterus. Other times, the cervix may feel more like the tip of a nose. The cervical opening will be closed and you might not be able to feel a dimple at all.

Because we suggest measuring the height of your cervix sometime right before your period to a couple of days into your period, the cervix will feel more similar to the latter.

 

 

Which Menstrual Cup Goes with Which Type of Cervix?

Let us Help you Choose a Menstrual Cup!

 

If your cervix is located at average height (middle knuckle), any standard large-sized menstrual cup may be comfortable for you. However, if your cervix is on the lower or higher side, it pays to check the length measurements to find a cup that will be more comfortable or easier to reach for you.

The cup’s length measurement is particularly important for finding the right cup for your cervical height. We provide a very handy comparison tool that sorts the many menstrual cup brands from large to small. This allows you to select your preferred length, which is heaven for the detail-oriented shoppers among you!

Click here to enter our menstrual cup comparison tool »

 

1. Very Low Cervix Menstrual Cups

If you have a very low cervix, we suggest trying a menstrual cup that’s shorter in length because if the cup is too long, it may not fit comfortably during use.

Click here to compare menstrual cups for a very low cervix »

 

2. Medium to Low Cervix Menstrual Cups

If you have a medium to low cervix, you can use the small size of almost any brand. You can also look into cups that were designed to be shorter than the “average” small-sized cup, often indicated by labels such as teen, mini, shorty, or low cervix.

A bell-shaped cup might be more comfortable for you because the base of the cup is rounded off. This makes it a bit shorter and it doesn’t have the pointed base like V-shaped cups do, which may protrude out of the vaginal opening.
Furthermore, a bell-shaped cup with a flared rim tends to ride up and sit higher in the vaginal fornix. Again, this keeps the base of the cup away from the vaginal opening.

Click here to compare menstrual cups for a medium to low cervix »

 

3. Medium to High Cervix Menstrual Cups

If you have a medium to high cervix, using a cup with more length might be easier for you to reach when the time comes to remove and empty it. It may be the larger size of a specific brand or a cup that is V-shaped. A V-shaped cup normally has more length, even in the smaller size. This will allow you to reach your cup with less difficulties.

Click here to compare menstrual cups for a medium to high cervix »

 

4. Very High Cervix Menstrual Cups

If you have a high cervix, we suggest looking into menstrual cups that are longer in length. If the cup is too short, it’s not going to be as easy for you to remove and empty it.

Click here to compare menstrual cups for a very high cervix »

 

Features to Consider

Although the cup’s length measurement is particularly important, here are some other features worth taking into consideration.

  • Stem length – Because most of the cup stems can be trimmed, it is best to check the cup’s total length with and without the stem to find the best fit.
  • Cup diameter – Although the vagina can expand up to 200 times is normal size, some people may find a narrower cup more comfortable to wear. These may include (but are not limited to) teens, new users, and those with no experience inserting items such as tampons.
  • Cup Softness/Firmness – It may help to compare the softness/firmness of each cup model. This will give you a simple at-a-glance view of the essential features of every cup.
  • Check out our article on how to choose a menstrual cup to find out more.

 

Final Say

No one menstrual cup is going to work for every person! You can, however, increase your chances of finding the perfect cup if you take the time to check your cervical height. We wish you luck and hope this website is a valuable tool in your search!

 

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18 Comments
  1. Hi, actually i bought a cup last month and it was the first time i used it. and the main issue with this is that whenever i lie down it leaks the cup goes inside and the blood comes out. first i thought it happens with every cup user but then i got to know about cervix but i don’t how cervix works and what would be the best choice for me. i am 20 years old.

    • Hi Shivangi!

      Congrats on trying out menstrual cups! There is a learning curve to using them, so don’t be discouraged. We all were new once and had to work out how to use them and which cup worked and felt comfortable for us.

      First, it’s common that new users insert a cup straight up. Our cervix isn’t usually positioned there. Instead, the cup should be aimed down and back towards your tailbone. While learning to insert the cup, it might be easier to get this position by squatting on the ground.
      Inserting the cup straight up may push your cervix to the side or block your cup from opening completely. Both of which will not allow the cup to collect your flow as intended.

      To ensure that your cervix is right above or sitting inside of the cup, wiggle the cup down a bit to let your cervix readjust. Then, run a finger around the cup after it’s inserted to feel if the rim is open and that your cervix isn’t on the outside of the cup.

      If you have a smaller or shorter cup design your cervix can be sitting inside of the cup taking up some of the capacity space making you leak sooner than you expect.

      Some people experience leaking with a very soft cup.

      The links below might also be of some help for your situation:

      How to Insert & Remove a Menstrual Cup + Tips:
      https://menstrualcupreviews.net/how-to-use-a-menstrual-cup/#Insert_and_remove

      Creating a Good Seal:
      https://menstrualcupreviews.net/how-to-use-a-menstrual-cup/#Good_Seal

      I’m sorry that I can’t pinpoint exactly what’s going on for you, but I hope that this makes sense and you’ll be able to get your cup placed and working as intended. If you still have some issues with your cup, please let me know which cup it is so I might have a better understanding of what may be the problem.

      Good Luck!

  2. Hello!

    I have an issue. I have tried two different menstrual cups, one was a small fleurcup, I tried it a few years ago and gave up. I don’t quite remember why but I think I found it difficult to insert it without it leaking. Then a few years later I got a lunette cup in the larger size. This one didn’t leak, but it kept rising up and getting VERY stuck, especially during the night. I needed help to remove it in the mornings because it went up so high and got so stuck that I could not grip it firmly enough to be able to remove it. I tried to compensate for this by placing the cup lower, as low as I could without the end of the cup sticking out. This helped for a little bit, but during the time it didn’t go up it rubbed against my vaginal opening and felt uncomfortable. And then it went up and got stuck anyway. So I’m guessing that this has something to do with a high cervix? Or what is the issue? What kind of cup should I get? Heelp

    • Hello There!

      I’m sorry to hear that most of your experience with a menstrual cup has been negative. I’m surprised but very happy that you’re back to try again. It sounds like you’re determined to find something that works for you, and I hope that I can help.

      The first thing that jumped out to me while reading your comment was, “it kept rising up”. After I finished reading the comment in its entirety, I would have to agree that you likely have a high cervix.
      Most small sized cups are shorter than their counterpart with the exception of a few cups, like the Diva Cup or the Casco Cup in which both the small and large are the same length but have different diameters.

      “Bell” vs. “V”

      Bell Shaped: The Fleur small is already short. Bell-shaped cups normally have a rounded base which shortens the cup even more. And rims that flare out like the Fleur, tend to ride up and sit higher in the vaginal fornix around the cervix. This can make it difficult to reach for those with a high cervix.

      V-Shaped: V-shaped cups usually have more length to them. However, the smaller/shorter V-shaped cups can still cause issues for those with a high cervix.

      Lastly, cups will migrate into the area with the least resistance. Most times it’s up, but sometimes it’s out like when someone has a very weak pelvic floor. So even if you insert and position a cup low, our muscles will contract and move our cup one way or the other.

      I know, this is probably more than what you really wanted to hear about, but you’ll have something to think about when you’re shopping for another cup.

      I would suggest either a “V”-shaped cup, a longer cup overall, or one with a longer, but soft stem.

      Fleur Cup small for reference:
      Total Length – 70mm
      w/o Stem – 47mm
      Diameter – 41mm
      Capacity to the rim – 25ml

      Lunette large for reference:
      Total Length – 72mm
      w/o Stem – 54mm
      Diameter – 45mm
      Capacity to the rim – 30mm
      ______________

      You didn’t mention anything about the firmness of the Lunette so I’m guessing that you didn’t have any sensitivities issues.

      UltuCup small or large (not mini) –
      Total Length – 70mm
      w/o Stem – 56mm
      Diameter – 42mm/44mm
      Capacity to the rim – 30ml/40ml
      The small and large are the same length. The difference is in the diameter and capacity. These cups are on the firmer side of medium. They have an elongated body and a short stem.

      LaliCup large –
      Total Length – 73mm
      w/o Stem – 55mm
      Diameter – 46mm
      Capacity to the rim – 40ml
      The LaliCup has the body of a “bell” but has a regular rim and the base tapers to a short point. This cup has unique channels on its body that help the cup to fold up easier and smaller as well as helps the cup to open after the fold is released. This cup has a soft, pliable stem.

      Venus Cup large –
      Total Length – 71mm
      w/o Stem – 56mm
      Diameter – 47mm
      Capacity to the rim – 47mm
      This cup is new to the market. There’s not a lot of reviews on it yet, but I actually got to test it before production. It’s a good medium firm cup that’s high capacity. It has a decent length but isn’t extremely long and has a round base so no “pokey” feeling. This cup has a soft, pliable stem.

      Yuuki “Soft” large –
      Total Length – 75mm
      w/o Stem – 56mm
      Diameter – 47mm
      Capacity to the rim – 38ml
      Although it’s labeled as their “soft” cup, they actually have one other version that’s slightly softer. This cup is more of a medium firmness compared to other cups on the market. This cup has a hollow stem that moves easily but isn’t very comfortable hanging outside of the body. It will likely need to be trimmed if it protrudes too much.

      Check out these cups and see if any of them interests you. If you need more info about one or all of these cups, please feel free to reply.
      Until then, good luck and happy browsing!

  3. I bought organicup and second size for women who have given birth. As I’m over 30 and gave birth to three kids. My cervix is high and I tried to push the cup as high as I can. There is always leakage. And the cup hangs low. But I have to use my whole index finger to reach the cervix and my cervix is tilted. I don’t want to keep buying different cups as I can’t afford it. I’m disappointed with my first experience of cups. I have unfortunately given up. I tried and tried now my private parts are sore.

    • Hi, Cats!

      I’m sorry to hear that your experience with menstrual cups has not been a happy one so far 🙁 That makes me sad.
      Hopefully, I can shed some light on some things you can think about and try.

      First of all, for someone with a high cervix, of course, you’ll want some length to a cup. Whether it comes from the body of the cup or the stem. Being able to reach the base of the cup and not just the stem, can make all the difference if a cup creates a strong seal/suction for someone. Not everyone will have the same experience with a cup (and the suction) so I can’t tell you if you should definitely seek cups with a long body or just a long stem. Either way, both will be easier to reach if the cup sits high and you’re going on a treasure hunt every time you need to empty your cup.
      Being able to reach the base will allow you to release the suction sooner (if the cup creates a strong one). Length from the stem will allow you to reach it and wiggle the cup down until you can reach the base but if the cup creates a strong suction, one might find it uncomfortable or even painful if it tugs down on the cervix.
      The OrganiCup, while a great cup, doesn’t have that length to it. It’s on the shorter side of an ‘average’ large size cup.

      Second, a cup doesn’t need to be pushed up really high. In fact, this is the cause of the issue in some cases. If someone folds, inserts, and places the cup high before allowing it to open, it could be placed past the cervix into the vaginal fornix. Either the cup can’t completely unfold or it pushes the cervix to the side.
      You can try inserting the cup halfway, allow it to open and then use a finger to maneuver it higher if needed.

      In many cases, people that claim to have a tipped/tilted, retroverted/retroflexed, prolapsed uterus and/or cervix, have said that they have better luck with a cup with a wider diameter. It takes some of the guesswork out of targeting their cervix. Some of these cups can sit lower and still be comfortable.

      I know that the initial cost of cups can be expensive, but once you find one that works for you and is comfortable, you won’t have to look anymore. There are some menstrual cup groups on Facebook that allow ‘destashing’ or reselling of gently used, still in good condition, cups whether they have a stem or not. You might try posting your unwanted cups in a few of those to recoup money to spend on another cup to try. Facebook search ‘menstrual cup b/s/t’ to get started.
      Even if you don’t feel comfortable using a used cup for yourself, there are people willing to purchase one for a small discount. If you feel confident in your cleaning methods to use a used cup, you might find one that interests you for a lesser cost. The option is yours.

      A couple of cups that I suggest checking out are the Merula XL and the Yuuki large in the ‘soft’ version.

      Merula XL – The body of this cup is shorter than the OraganiCup, but including the stem, it is a couple of mm longer. It also has a wider diameter and a rounded body and base. Even if it sits low, the rounded base may be more comfortable while wearing.

      Yuuki ‘Soft’ large – The body of this cup is longer than the OrganiCup and the stem makes it even longer still. The diameter of this cup is wider by a few mm.

      Even though a couple to a few mm doesn’t seem like much, it can make a big difference in using and comfort while wearing.

      I hope that you’ll try using a cup again. I know it can be frustrating at first, but it will get easier once you find the right cup for you.
      Good luck and please let me know if you have any further questions.

  4. Hi!

    When is the best time in your cycle to check your cervix, when trying to understand the best menstrual cup?

    Thanks!

    • Hello!

      Our cervix is always on the move during our cycle.
      It’s at the highest position when we’re ovulating. Some times it’s so high that some people can’t reach it very easily or can’t find it at all!
      When we near our period our cervix starts to lower. A couple of days before the start of a period to a couple of days into it, our cervix is normally at the lowest position. Some people don’t notice a huge change, and others feel a noticable difference.
      Around day 4-5 of our period, the cervix starts its way back up.

      So the best times to check the position is at the very beginning of your period and then again around the middle to end. This will give you an idea if your cervix moves enough to need a second cup. A shorter one for comfort if your cervix drops low, and/or a longer one for an easier reach if your cervix moves up high to very high.

      Good Luck! <3

      https://menstrualcupreviews.net/how-to-choose-a-menstrual-cup/#Cervical_Height

  5. First time cup user, have used soft cup in the past and had no problems. Recently bought a lunette size L and it was difficult to remove as it had moved and had a lot of suction, I also experienced a slite discomfort around the rim of the cup at first.

  6. Hello! I really hope you’ll see this, I’m quite desperate. I came here through a Google search. I think I might have a high cervix, though it could be average I guess, but here’s the problem: I have small hands and short fingers. This makes tampons a struggle since I can’t quite reach in far enough. I was wondering what cup would be useful for people with short fingers. Thank you!!!!!!!!!!!

    • Hi There!

      I’m sorry that you’re having problems finding a cup that might be easy for you to reach.
      Were you able to reach in and locate your cervix at all? If it was possible, I would suggest taking note of a mark on your finger/hand and then use a ruler to measure your hand. That’s one way that you can narrow down a cup size.
      If you weren’t able to reach your cervix, wait until you have your period and try again. Our cervix is at it’s lowest position during menstruation. Squat and bear down with your pelvic floor muscles to bring your cervix even lower.

      I want to be able to suggest a cup that will “fit” you, but also something that will be easy to reach.

      Alternatively, there are two cups that I know of that have applicators. One (AmyCup Original) might work for you as it assists with inserting and removing, but the other (Enna Cycle) only helps with inserting. The stem is very long and is supposed to help remove the cup, but it’s so thin and flimsy that I wouldn’t suggest it since it doesn’t help break the “suction” if one is created.

      A funnel type cup (like the Aiwo Cup) might also be something to look into. Although the funnel was made to be able to empty the contents without removing the cup, I found that it also releases the “suction” that some cups create which will make it easy to break that suction and remove the cup. This cup had been one of the easiest cups for me to open and place. Even though it was a bit too long for my comfort, I was able to fold and tuck the funnel behind my pubic bone and had no issues. In the end, I just preferred the other style cups for the capacity.

      One last option, not available yet but taking pre-orders (two est ship dates listed on their site – May and July May 2018) is the Keela Cup. It will have an adjustable stem that actually pulls the rim down to break the seal.

  7. Hey!
    7 months ago I gave birth to my first child. I had a 3rd degree apisiotomy. Prior to i used a diva cup with no issues . Now i feel like my cervix is very low. When i tried to use my diva cup a portion of it is sticking out and it was very painful putting it in and also while it was in it also hurt.i feel like my cervix is sitting in the cup, is this possible? I think my cervix is just past my first knuckle so in the middle of both knuckles. Any suggestions on which one would be suitable for a low cervix and after childbirth that is also soft to ease some pain? Thanks for your help

    • Hi Sofia!

      Congrats on your new baby! 7 months is still new 😀
      Anyhow, I’m sorry that you’re having some issues with your cup now. It does sound like your body has changed a bit…at least for now. Pregnancy and child birth really does play a big number on our bodies.
      You can try to turn your cup inside out and see if that helps. This will shorten the cup a bit and also make it a little more narrow.
      If can still feel it and have some discomfort, then I would definitely suggest trying out a shorter cup or a more bell shaped cup with or with out a flared rim.

      Both sizes of the Diva Cup are the same length, but several other cups have different length between the two sizes.

      You can choose size depending on how light or heavy your flow is.

      Almost any other small cup will be short enough, but here are some cups that the medium or large size might be short enough while still giving you more capacity. These are all close in firmness of the Diva Cup.

      Lena Sensitive
      LaliCup
      Fleur
      Juju
      LuvUr Body (small only)
      Ruby cup

      You can also look here for a comparisons of these cups with the Diva Cup.
      Cup Comparison

      If you have any additional questions about these cups, I’d be happy to elaborate on them.

      Good Luck! <3

      PS…A cup can sit below or right around your cervix. Some people find that their cup rides up and nestles in the vaginal fornix (the space around the cervix) very high, which makes their cervix compromise some of the cups capacity.

  8. Hi!
    I bought Dutchess cup large size. I am 33 with one child. The end of the cup brushes the vaginal opening and keeps poking into the vaginal wall/opening. I have tried the cup post trimming it entire stem and yet the base of it is sitting at the opening and hence putting a lot of pressure and making me sore. I couldn’t use it for whole day. This is my first time with the cup. Although it was alright to insert and take out but wearing it gives me immediate cramps that become unbearable. What could be wrong? Should I try smaller size?

    • Hi hon!

      It sounds like the Dutchess Cup large is still too long for you. It also sounds like you might have a medium to low cervix. You might want to look into a shorter cup or one that is bell shaped. Obviously, the shorter cup is shorter, while the bell shaped cups with a flared rim will ride up and sit a little higher enough if/when it’s approx the same length as a “V” shaped cup like the Dutchess.

      Since you mentioned that you’re experiencing cramping, I would probably go with softer cups.
      Some cups that might interest you are the LaliCup, Lena Cup “Sensitive”, Sckoon Cup, and Super Jennie.
      If you have a lighter flow, I would go with the Lena Cup “Sensitive” or Sckoon Cup.
      If you have a heavier flow, the LaliCup or Super Jennie are good high capacity cups.
      If you have any questions about any or all of these cups, let me know and I’ll give you more info about it/them 🙂

      Good Luck!

  9. Low cervix with heavy flow ?
    Diva cup large is not working for me. ??
    It pains when I walk because the fundus of the cup is literally outside my vagina. I am comfortable when I am resting or sleeping. But I can’t even get up and walk!! What do I do? :'(

    • Hi Jayashree!

      I know this answer is late but if you’re still up for giving cups a try, you can trim the stem of the cup to make it shorter. Further more, if the Diva Cup still feels too long for you, you might want to look into a shorter cup or a cup that’s more bell shaped.
      Some cups you can look into are the Ruby Cup, LaliCup, Lena Cup, Sckoon Cup, and Super Jennie.
      If you have questions about any or all of these cups, let me know and I’ll give you more info about it/them.

      Good Luck!

  10. Great and informative post about how to find the cervix is high or low and accordingly to use the menstrual cup with ease. It has also highlighted on the usage of menstrual cups, as menstrual cups are reusable and is economical while other menstruation preventive products like tampons and sanitary napkins are one time use and also allergic to skin and make cause a disease with later time.

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