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06 July 2008 @ 05:43 pm
I am a new-ish user of the DivaCup and the IUD, and I am happy with both. But does anyone have concerns about the risk of PID with menstrual cup use? Although nothing is indicated in my reading on the DivaCup, PID becomes more of a risk for any IUD user due to the new channel for bacteria to travel up. I, of course, wash my DivaCup and my hands thoroughly and empty it every 8-10 hours to be on the safe side, so I'm sure I am as safe as one can be. However, read below:

"The DivaCup is not suggested for use with an Intrauterine Device (IUD)...If you are concerned about PID or have symptoms of a PID, please discontinue use of any menstrual cup. As with all gynecological concerns, please consult with your physician." (from

If I am concerned?? Should I be concerned is what I want to know. Is there increased risk of PID or not? Is the risk the same as with a tampon, less, or greater? My doctor seems to think that anything apart from a maxi-pad holds bacteria in the vaginal canal for too long, but maxi-pads are so 8th grade. I can't go back! What have you all learned/been told?
Angela's Ribbonsthought_ribbons on July 7th, 2008 01:37 am (UTC)
EH? since when? *confused* *runs to do more reaserch I'll be back with more info *nods*
rubykins02rubykins02 on July 7th, 2008 02:30 am (UTC)
When I had my mirena IUD inserted about 6 months ago, I specifically asked my Gyno about using a cup. She said I could use it immediately (as in that same day that it was inserted). She didn't recommend a tampon since that sits right against the cervix. A cup sits low and just collects the fluid so there really was not significant risk. She said they usually recommend a pad since most women don't know about cups but she was absolutely OK with using the cup with the IUD.
another revolutionaryjennifer19 on July 7th, 2008 02:54 am (UTC)
I think this is one of the few times I've heard a positive reaction from a GYN about using a cup. That's cool. :-)
delababy on September 8th, 2008 02:58 am (UTC)
Mine has been begging me to switch for awhile. He hates instead because he says they are an inferior product to the Diva Cup and can let bacteria in, and tampons are landfill loading, vagina terrors. He says pads or Diva/Keeper/other medical grade material cup... period.

Should have listened earlier. I LOVE it!
I have a Master's in History & a Union cardhappychildless on July 7th, 2008 02:58 am (UTC)
I have an IUD I have not had a problem. Just make sure to break the suction. I waited until the first period after insertion though. Its up to you and your comfort level. My guess is that the PID thing is CYA, don't sue us type stuff. I do not think the cup would cause PID, but I would not use it until an infection cleared up.

As for the pads, they hold bacteria and moisture, although it is outside the vagina. Plus some people are sensitive to the chemicals they use. I use cloth pads and they are more comfortable, breathable, and chemical free.
whitelime on July 7th, 2008 04:25 am (UTC)
There was a big ol' post on vaginapagina related to this, but ljseek is failing me, so I can't link you. The gist of it was that modern IUDs don't allow bacteria to travel up the strings like the old ones did, and studies have shown that the only window of increased risk for PID is right after insertion. The discussion was in the context of STIs but I think it would hold true for menstrual cup use as well--once you're past the initial post-insertion period, your risk of PID is the same as any other menstrual cup user's whether they have an IUD or not.
mercy rain: acromionmercy_rain on July 7th, 2008 02:04 pm (UTC)
Um, what? DivaCup's page used to say that the two are compatible. (I tried to have a look on Wayback Machine to confirm this but kept getting an error. Still, I'm 90% sure that's what they used to say.) Sounds like their new page has changed a lot of things, and not for the better.

Daniamanita03 on July 7th, 2008 03:07 pm (UTC)
If I remember correctly, I believe it used to have a very non-committal stance on IUD/cup usage, saying to ask your doctor.
I really don't think they're saying that the cup and IUD's are't compatible to be jerks, they probably have new data to support that conclusion now.
mercy rain: acromionmercy_rain on July 7th, 2008 03:21 pm (UTC)
From the other changes they've made, it seems that they are taking a more conservative CYA position. Maybe they've found new data, but the cynic in me thinks they're just trying to protect themselves.

Oh, here's something from the LunaPads site, apparently referencing their old stance, which is as I recall it: "The manufacturers of the DivaCup say that while it is safe to use both the DivaCup and an IUD, you should talk to your doctor about it first."
New version, saying it's not safe
Cached version saying it is safe

So yeah, a little "talk to your doc" CYA, but also a clear statement that it is safe.
Angela's Ribbons: Nurse1thought_ribbons on July 7th, 2008 11:02 pm (UTC)
Hi! me back with more Information.

Cup and IUD's and not recomended because for the suction/pulling on the string with the increased possibility of the IUD falling out. But a percentage of women have this happen anyway. The increase is maybe 1%.

There is no noted increased risk of PID with menstural cup usage. The risk is equal to, or less than the risk with tampons. If you suspect you have PID you of course should consult with you dr.

In realtion to bacteria. For the most part cups are much safer than tampons becuase they do NOT! absorb they just hold. The risk for TSS etc is MUCH lower to almost negtiable.

There is some concerns in relation to yeast infections. Some women who suffer from frequent yeast infections find that they can "Re-infect" themselfs with yeastes. They have to boil their cups for a longer peiod of time and/or clean then with bleach to kill the yeasties. But this is a rare problem.

Bottom line, if you love your cup and it works for you. Keep using it, as with anything there are risks. But for many women cups are much much better than tampons. The only thing BETTER for women really is cloth pads. (which I love as well *hugs them*)

Good luck I hope I answered your questions!
flyingdogsflyingdogs on July 8th, 2008 05:14 pm (UTC)
as someone who used to get chronic YIs
I'm happy that after a year of using the cup, my instances of YIs have tapered off - so much so that I don't need to go in to a Dr this summer for another script, because I didn't make use of the refill.

After years and years of chronic YIs I'm convinced that the cup has spared me! I used to always get YIs right after my period. Switching to a cup wasn't a magic solution, but the instances of infection started tapering off after I mastered cup usage.

If you're concerned about bacteria, I was taught while in nursing that it's really the friction of hand washing that does more to clean your hands than the soap or temperature of the water. I applied this philosophy to the cup and I use a natural bristle nail brush to scrub the cup after each time I empty it (twice a day).

I used to boil it once a day to discourage the yeast, and then I read here that boiling doesn't kill yeast spores anyway. So I scrub and I haven't had an infection in months.

Tamarafiresorceress on August 18th, 2008 04:57 am (UTC)
Re: as someone who used to get chronic YIs
Ooo! You have just convinced me that I must get a cup. I was already interested, but then hearing of it helping you with YI's, which I get all the time, I MUST GET ONE! Ha ha... So what kind of soap do you use to clean your's? And is that all you do, is just scrub it every time you take it out? Or do you do any other kind of cleaning procedure?