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 Locate Your Cervix?

Click here to read our simple step-by-step guide on how to locate your cervix!

How to Measure the Cervix

How to Measure the Cervix

Once you have located the cervix, you will need to take a mental note of how high or low you have inserted your finger.

Prep Time 10 minutes
Total Time 10 minutes

Tools

  • Personal Lubricant specifically made for use inside of the vagina, if needed.

Instructions

  1. Very low to Low: If your finger only goes in an inch or so before it comes into contact with the cervix, it is considered low. Tip: You can measure this at approximately the first knuckle or knuckle line closest to your fingertip.
  2. Medium or Average: If your cervix is easy to reach but not especially low, it is considered medium or average height. Tip: You can measure this at approximately the middle knuckle on your finger.
  3. High to very heavy: If you can insert your complete finger before locating the cervix or can’t reach it at all, you have a high or very high cervix.

Notes

You cervix can move during your period. As mentioned, the cervix may be hard to reach or completely out of reach depending on where you are in your cycle. If your cervix moves drastically, you may want to purchase a two-pack of menstrual cups that offer both a small and a large-sized menstrual cup. 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.



The Best Dual Menstrual Cup on the Market

Since your cervix tends to move around a lot, a dual cup is what you’ll need! The Venus Cup is available in both small and large sizes. The Starter Kit is a great option, as it contains both sizes. The small size is 42 mm across and holds 6 tampons, or 29 ml worth of menstrual fluid. The large size is 47 ml across and holds 9 tampons, or 56 ml worth of menstrual fluid.

The small Venus Cup is more comfortable for a medium to low, or tilted cervix. The large Venus cup is better for a medium to high cervix.

The Venus Cup is very popular as it’s well-priced in the market. It’s really comfortable, is made in the United States with Biocompatible, Medical Grade Silicone, and is FDA registered. It has no excess chemicals, BPAs, Phthalates, Dioxins, or Toxins. Also, it’s completely latex free! It is the perfect cup to choose when you need two sizes to facilitate you at different “periods” of the month!

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 (short menstrual cup), 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 single 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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50 Comments
  1. Hey there!! I’m facing difficulty in inserting cup. I’ve tried many times it is not working. I even tried inserting finger but it’s hurting. What do I do??
    Please help me

  2. Hello!! I’m 20. I’m planning to switch to menstrual cup. Initially when i was measuring my curvix i could reach till 1st knuckle and my finger would slide towards urinary part or the other side. I’ve checked it around 5 times. But later on other day, my finger passed more than a 1st knuckle. I felt a curved hard surface(sides)canal. Let me know if I’m on right path.

    • Hello There!

      Our cervix is constantly on the move. Some notice the change and others don’t. It moves into its lowest position right before, to a couple of days into your period to get ready for menstruation. At the middle to the end of our period, it will start to move back up in preparation for ovulation when it’s at its highest position. Sometimes, it can get so high at the peak of ovulation that it’s hard to reach or can’t be reached at all.
      Anyhow, that’s likely why you feel the change in measurement to your knuckle.

      It sounds like you’re in the right place feeling a “curved hard surface canal”. The space you felt on the sides is the vaginal fornix – anterior and posterior fornix. These areas are where the rim of the cup will rest for a lot of individuals.
      There’s another video and a photo in the link below that might give you a better visual:
      Cervical Height

      Let me know if you have any other questions.
      Good Luck! <3
      Red Herring
      @redherringtv
      RedHerringTV on YouTube

    • Hello There!

      Our cervix is constantly on the move. Some notice the change and others don’t. It moves into its lowest position right before, to a couple of days into your period to get ready for menstruation. At the middle to the end of our period, it will start to move back up in preparation for ovulation when it’s at its highest position. Sometimes, it can get so high at the peak of ovulation that it’s hard to reach or can’t be reached at all.
      Anyhow, that’s likely why you feel the change in measurement to your knuckle.
      It sounds like you’re in the right place feeling a “curved hard surface canal”. The space you felt on the sides is the vaginal fornix – anterior and posterior fornix. These areas are where the rim of the cup will rest for a lot of individuals.
      There’s another video and a photo on this page:

  3. Hello,

    I am using serona menstrual cup in small size since 2 months.I am not sure about my cervix position.its 3rd day of my periods, I tried as per the guide to measure it but I only went further I did not understand where my cervix is.it was all open I could easily go in ,my whole index finger was in and I only felt soft muscles. I don’t know whether it was low or I did not reach to it. I am having hard time while peeing and while using toilet.i can’t empty my bladder without removing the cup because it hurts. I feel pressure and everytime cup started coming out when I use the toilet so I have to remove it . The cup gets in the horizontal position in the right side of the wall after inserting . I don’t feel the cup inside other time and it’s comfortable but it leaks sometimes.i have heavy flow for 2 days please suggest a better option. I am not married and have not given birth.Please please help me.

    • Hello There,

      If you were able to insert your whole index finger in and didn’t something resembling a short tube that is slightly firmer than the surrounding tissue, then you may have a high cervix. A longer cup may be easier to reach during removal.

      If you are having bladder issues such as a need to urinate more frequently, feeling like you don’t empty your bladder completely when you do, have a slow urine stream, extra pressure, or constipation, you might feel more comfortable with a narrower or softer cup.

      Before running out to get a new cup, I would suggest double-checking that you’re inserting the cup correctly.

      Here are a few tips to try:
      – In a squatting position, aim the folded cup down and back towards your tailbone. The cervix isn’t normally located straight up into the vaginal canal. This will place the cup in a better position near the cervix.
      – After the cup is inserted, insert a finger and feel around the rim or as high up on the cup as you can for any dents. If you feel a dent, wiggle the cup down and then use a finger to push it back up into place. Often, when a cup (any cup) is inserted completely, the cervix gets in the way of allowing the rim to fully expand. Wiggling or rocking the cup down will let your cervix correct itself.
      Alternatively, you can insert the cup halfway and then let it open before using a finger to push it into place.
      Either way will help the cup open before being positioned directly under or around the cervix.

      If the cup is placed incorrectly, this can cause it to shift positions as you mentioned, as well as leaking.

      Here’s more about leaking:
      – There’s always some blood coating the vaginal walls even after the cup is place. To avoid spotting, use a wet pH balanced wipe or cloth to clean the grip rings and stem of any excess blood.
      – If you are leaking due to overflow in a short amount of time, the only suggestion I can make is to either empty the cup more often or to try the larger size providing your cervix height allows it.
      Please keep in mind that even though we state that you can use the cup for up to 12 hours, it depends on your menstrual flow. Individuals with a very heavy flow may only be able to use the cup for 4-6 hours before they need to empty it.

      If all else fails, you might seek a longer narrow cup like the Nari-Yari. Although it doesn’t really have a stem, it has a longer body and is available in three different firmness levels.

      Good Luck! <3
      Red Herring
      @redherringtv
      RedHerringTV on YouTube

  4. Hi there!

    I am 17 and have a high cervix. I am currently using a small (b) Dutchess cup, but I leak every single time within an hour of inserting even though I know for sure that the cup is sealing properly. I would say I usually have a medium to high flow. What would you recommend?

    • Hello,

      This is my second month using a menstraul cup. I’m 31 with a high up cervix I can’t reach and I’ve had a baby vaginally. Even the ob nurses had a hard time finding my cervix bc it was so far up. They had to bring someone in with “long fingers” 😣
      I am using a Flexicup full fit. I have very painful heavy periods the first few days. My biggest issue is I feel like the cup makes me feel “full” when inserted and uncomfortable. I also feel pressure on my bladder from it with a sense of urinary urgency.
      I’m nervous to switch to a smaller cup since my cervix is so high up, I am worried I will struggle to remove it. That’s why I chose the Flexicup in the first place. The long stem seems much easier to grasp and pull out.
      Would a smaller cup be better for relieving my symptoms? Is there a smaller cup with a long stem available?

      • Hello Amanda!

        Thank you for providing me with some helpful information about your situation. It helps a lot!
        I’m curious what phase you were in during your cycle when the nurse checked your cervix. If you were at the peak of ovulation, it’s understandable that it could be out of reach. During this phase, it’s at its highest position. Some people aren’t even able to find or reach it. Otherwise, it may not have been as high.

        Anyhow, if you have a very high cervix throughout your cycle and through menstruation, I can see how the FlexCup would be hard to reach. Even having an “adjustable” stem, it only goes so far until it pulls on the rim which can cause it to be uncomfortable or leak.

        A “V”-shaped cup might be a better option for you. They’re normally longer and have a tapered body and base instead of a rounder body and rounded base like the FlexCup.
        This will give you more length, but will also be easier to reach the cup’s base instead of just a stem. Being able to reach the base of the cup will make breaking any seal it may have created, an easier task. This can help eliminate any suction when the cup is tugged on during removal.
        The tapered body will ease some of the extra pressure that you’re experiencing with the rounded (wider) body.

        Not all “small” cups are shorter. For instance, the Diva Cup models 0 and 1 are narrower than the largest size, but the length between all three is the same.
        The same goes for the Casco Cup size 1 & 2 (not the mini).
        The Juju model 3 was made for a high cervix but has a narrower diameter than many other “small” sized cups.

        One last option/suggestion to check out is the Kind Cup. It has an ergonomically shaped body with a very long and stretchy stem. The body is short and a little rounded, but the shape will make the cup sit a little differently (away from pressing on the bladder or urethra) and the long stem may be easier to reach. Just rock the stem back and forth until the cup is low enough or pinch at the base.

        I hope that you can find something that works for you. If you have questions about any of the cups I mentioned, I’ll do my best to answer them.

        Good Luck! <3
        Red Herring
        @redherringtv
        RedHerringTV on YouTube

    • Hello There!

      Thank you for sharing the details that you did. I appreciate that the information that’s important to your situation. It helps a lot.

      The small Dutchess Cup holds about 20 ml to 25 ml at max. Although this is about the average capacity of a small-sized cup, there are some things going on that could compromise it.

      You mentioned that you have a high cervix. For me, depending on the length, a small/short cup will ride up and sit higher around my cervix. If this is the case for you, it will cause the cervix to sit deeper into the cup and displaces the blood/air. This could be the reason that you’re experiencing leaks within an hour.

      Is this cup comfortable for you? Do you feel like you have to reach in to retrieve it? Do you think that a slightly longer cup will still feel comfortable?

      A larger-sized cup with slightly more length should give you some extra capacity and keep your cervix from dipping in too far. If you don’t think that you would feel comfortable with more length, a bell-shaped cup with a standard style rim would also be a good option.

      Here are a couple of cups that you can look into:
      Venus Cup – wider base with more capacity (47 ml a max for the large). Although the base is wider, it is also rounded which may still be comfortable at the vaginal opening.
      LaliCup (medium) – the body itself is just a bit longer than the small Dutchess but the rounded body will allow more capacity. It holds 36 ml at max.

      You can also check the “Cup Comparison” chart on this site to see if any other cups look like they might work out.

      Hope this helps. Let me know if you have any questions or concerns about the cups I recommended and I’ll do my best.
      Have a great weekend!
      Red Herring
      @redherringtv
      RedHerringTV on YouTube

  5. Hi! I am a first time cup-user. Currently I have Diva, larger size (had a birth). I have a high cervix, I don’t feel a cup when wearing and don’t have any leaks. I tent to move a lot during a day and when I reach to remove it -the cup is very high up and it makes it difficult to “catch” it. Sorry for saying, but I still have to insert about a half of my finger just to be able locate it …. What cup for a high cervix should I look into? I absolutely loved the cup, even my cramps seemed to be better this time, and I Would not want to quit just because of a haste of locating and removing it …

    • Hello There!

      It sounds like you have a very high cervix! Based on the Diva Cup’s length, here are a few cups that you can check out (in no particular order):

      Yuuki Cup – Although the body of the cup is slightly shorter than the Diva Cup, the stem has a little more length.
      Juju Cup Model 3 (High Cervix) – The body of this cup is slightly longer and has a longer stem as well. However, the body is narrow which results in a lower capacity.
      LuvUrBody Medium – The medium-sized cup is longer than its large size. This is the longest cup compared to other cups of similar design which is slightly longer than the Juju Cup and holds much more as well.
      Tampax Cup large – This cup is actually shorter than the Diva Cup but the rim design is so wide that it isn’t supposed to ride up or high sit high in the vaginal canal.

      You can also check out the Cup Comparison on this site. Change the settings to view the longest cups/cups for a very high cervix, and see what comes up.

      Good Luck! <3
      Red Herring
      @redherringtv
      RedHerringTV on YouTube

  6. Hello! I am so much thankful for your hard work in giving out information about menstrual cups!
    I have a question. My cervix is around 55mm when I’m on my period and is tilted towards the left and to the back. You mentioned here that the Venus small is okay for people with a tilted cervix. However, it’s too long for me and I’m afraid that if I cut the stem, it might just poke my vaginal wall. Will menstrual cups for very low cervix okay for me? Like the Juju 4 and others? Thanks!

    • Hello There!

      55mm falls just past my middle knuckle on my middle finger from the fingertip. I would consider that medium/high. This is about the same as my cervix on any given day except during ovulation (really high) and sometimes during the beginning of my period (lower). My cervix favors the right side but I have never been diagnosed with a tilted, tipped, retroverted, or retroflexed uterus/cervix. Using my experience, maybe I can lend some tips that might help.
      Our cervix is not typically located straight up, but more back towards the rectum. Make sure that you’re aiming the cup into the right position. If you’re aiming it straight up, it might be preventing the cup from being inserted completely as it should.

      If you’re new(ish) to using menstrual cups, try squatting on the ground or in the tub while inserting the cup. It will help guide your cup into the correct position.
      -Aim the folded cup down and back towards your tailbone.
      I know it sounds and may feel awkward, but it helps.

      Scroll down a bit from the video in this link for a photo (#5)
      How To Use a Menstrual Cup – For beginners & Pros

      -Trim the stem bit by bit until it’s comfortable yet still reachable for removal. A trimmed stem won’t harm the vaginal walls and should be comfortably placed past the concentration of nerves at the entrance of the vaginal canal. If you can still feel it, trim another small piece.
      -If you’re comfortable removing the cup without a stem, you can try turning the cup inside out. This will shorten it a bit and help keep the stem from poking you. Again, only do this if you’re comfortable removing it without a stem.

      If all else fails, there are still many shorter menstrual cup options out there. Check out the cup comparison chart in the menu (of this site) to find other cups that might be more comfortable for you. You might also want to look into menstrual DISCS to see if they might work as well.

      I hope you can work it out.
      Good Luck <3
      Red Herring
      @redherringtv
      RedHerringTV on YouTube

  7. Hi! I’ve been using a Lena sensitive small for about two years. I enjoy it however I experience pressure on my bladder, slow in my urine stream and leaking. I have a medium to low cervix. I am wondering if I should get a new cup or if I am not using mine properly? And which cups are recommended.
    Thanks

    • Hello Danielle,
      I actually experienced the same issues with the large Lena Original. I found the small was fine as well as both sizes of the Sensitive version.
      Anyhow, the issues you mentioned are common when someone has a sensitive bladder. You may also experience a feeling that you can’t empty your bladder when you do use the toilet, or that you feel like you need to use the toilet more frequently.
      Even though you’re using the Lena Sensitive, you may need a slightly softer cup or one without a flared rim. You can always try turning the Lena Cup inside out (as long as you’re comfortable with removing it without the stem) and see if that feels more comfortable.

      If that doesn’t relieve the extra pressure, some options might be the small Venus Cup and the Soft Saalt Cup.

      Good Luck! <3
      Red Herring
      @redherringtv
      RedHerringTV on YouTube

  8. Hello, I really wanted to try a menstrual cup, so I bought the origanicup a couple months ago. I’ve tried and tried but the cup doesn’t want to unfold. I’ve tried a lot of different methods but it never works. What is my best option? (I’m 23 and never given birth)

    • Hi Anne,

      I understand your frustration with your cup not opening.
      The OrganiCup has a pretty firm rim. It’s not known for needing a lot of coaxing to open so I’m thinking there might be something else going on.
      I hope that these tips will help.

      -Let the cup open in a lower position (insert cup 1/2 way). The cervix can often prevent the rim from expanding if inserted all the way in. Use a single finger to push the cup into place after it opens.
      -Insert the cup and use a single finger to press the body into the vaginal wall. Then slowly release the pressure and allow the cup to open against your finger. Sometimes the cup needs a little space to open in.

      If these don’t help, you might want to try a narrower cup like the small Venus or the Diva Cup Model 0.

      Good Luck! <3
      Red Herring
      @redherringtv
      RedHerringTV on YouTube

  9. I am a 16 year old girl and a Virgin, I want to switch to menstrual cups and I am currently using sanitary napkins, I am a lot scared to check my cervix as I’ve never put a finger there and whenever I try to I don’t really get the proper place and I feel like my structure is kind of different, could you please help me with this in a bit more detail?

    • Hi There!
      First, I want to commend you for making the choice to try menstrual cups. Indeed, the whole process of finding one can be frustrating, but I hope that I can help.

      A narrow menstrual cup would probably be more comfortable to start with. If you want to try locating and measuring your cervix, here’s another link with a video that might help:
      https://menstrualcupreviews.net/how-to-choose-a-menstrual-cup/#Cervical_Height

      If you don’t feel comfortable with locating your cervix or can’t find it, I would suggest starting off with a longer cup. It’s better to find out that a cup is too long for you than to find out it is too short to reach it.

      The Diva Cup Model 0 (teen) and Model 1 (small) are narrow, long cups. They are a great option to start with.

      Please let me know if there’s anything else I can do to help.
      Until then, Good Luck <3
      Red Herring
      @redherringtv
      RedHerringTV on YouTube

  10. Hi, I’m just starting my cup journey. I’m a 18 year old who has never given birth. I just got my first cup, the OrganiCup size A. At first the stem was sticking out and it was really uncomfortable so I cut most of it off. I left the cup in for 6 hours today but once I got up and started to move around I felt a bunch of air come out and it started to leak. I took the cup out and it was about half full. I have just measured my cervix and I think its a medium height? I’m on day 4 out of 6 of my period though. I really want this cup to work for me because it is expensive to buy a new one. Is the OrganiCup ok for a medium cervix? I don’t have any trouble inserting it or anything but I was a little unsettled by the air coming out and the seal breaking today. I don’t want that to happen again but I’m not sure what I did wrong?

    Thanks for any advice, I know this post is pretty old!

    • Hi There!
      Size A is fine perfectly fine for any cervical height as long as it’s comfortable, yet still easy to reach during removal, and has a decent capacity for your flow.
      After you cut the stem, were you still able to reach it easily or did you have to bear down and reach in a bit?

      The OrganiCup has quite large air holes. It might have contributed to the seal breaking prematurely. It wouldn’t be the first time I’ve heard of this happening with this cup. Not to say that it’s a bad cup, but not every cup works for every person’s body. Anyhow, if the cup settles higher around your cervix over the day, it can allow the cervix to sit deeper into the cup and compromise the already low capacity. The only thing that I can suggest is to empty it a little sooner even if the cup isn’t full.

      If you decide to try another cup, I would suggest one with a rounded base and/or bell-shaped. Although these tend to ride up higher around the cervix, the rounded base can compensate for some of the capacity that is displaced if/when the cervix sits lower, as well as be more comfortable as opposed to the pointed base of the V-shaped OrganiCup. A cup like the small Super Jennie, Venus Cup, and Saalt Cup, or cups with a flared rim like the Lena might be more comfortable and allow you more capacity. You can even check out cups like the Tiuet or the Merula Original which are short cups with rounded bodies and hold a high capacity for their size.

      I know that cups are initially very expensive, but they do save you money over the months and years. If the OrganiCup doesn’t work out for you, you might try contacting the company. They have a 100% Satisfaction Guaranteed policy (https://www.organicup.com/satisfaction-guarantee/). They seem to have good customer service that really cares.

      If you’re passed the 90-day policy, check out some Menstrual Cup B/S/T groups on Facebook. They allow resale of gently used cups. At least you might be able to recoup some of your funds.

      Good Luck <3
      Red Herring
      @redherringtv
      RedHerringTV on YouTube

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