FAQ
FREQUENTLY ASKED QUESTIONS
You may have lots of questions concerning menstrual cups.
But don’t worry, we have answers to them.
Questions concerning menstrual cups
WHAT ARE NOMAI MENSTRUAL CUPS MADE OF AND WHERE HAVE THEY BEEN MANUFACTURED?
The Nomai Menstrual Cup is made ethically in Finland. The material of the menstrual cup is 100% medical silicone, which has been scientifically proven to be safe and has received FDA approval. It does not contain harmful chemicals, latex, phthalates, BPA and parabens.
The colours used in the cups have been tested according to international standards and found to be suitable for medical use.
The production process of the menstrual cups is extremely controlled and ISO certified. In addition, it has the Responsible Care certification in the field of chemistry. The certificates indicate that only premium quality products are manufactured in production.
WHAT SIZE NOMAI MENSTRUAL CUP WOULD SUIT ME BEST?
Everyone has an individual and unique anatomy. In our opinion, the most important factor influencing the choice of cup is the amount of menstrual bleeding. Other factors that affect cup size include the position of the cervix, the number of births and the manner of delivery, the condition of the pelvic floor muscles, and the sensitivity of the bladder.
If you are young and practicing using a menstrual cup for the first time, it may be easiest to start with the smallest (size light) or medium size cup (size medium). Many individuals use two menstrual cups of different sizes during menstruation. In the first, heavy days of bleeding, a larger (heavy or medium) menstrual cup, and at the end of the period, when the amount of bleeding is scarcer, a smaller (medium or light) menstrual cup.
CAN LUBRICANT BE USED WITH A MENSTRUAL CUP?
Often, especially at the beginning when still practicing, spreading a water-soluble lubricant on the upper rim of the menstrual cup makes it easier to insert it. Oil-based lubricant can damage the menstrual cup. Dipping the menstrual cup in water can also make it easier to insert.
HOW OFTEN DOES THE MENSTRUAL CUP NEED TO BE EMPTIED?
The menstrual cup is normally emptied 2 to 4 times a day, depending on the amount of menstrual bleeding. If you have heavy bleeding, you will have to empty the menstrual cup more often. The menstrual cup should be emptied at least every 12 hours.
HOW DO YOU REMOVE THE MENSTRUAL CUP?
You can remove the menstrual cup in various positions, the most popular of which are sitting on the toilet, with one leg raised on the toilet, in a squat position or while taking a shower. By experimenting, you will find the most suitable position for removing the menstrual cup for yourself. Remember to relax, push the menstrual cup down with the pelvic floor muscles as you do when you go to the toilet. Push until you reach the base of the menstrual cup. By following the antenna, you can find the base of the menstrual cup more easily. Squeeze the base of the menstrual cup or slide your finger slightly up the wall of the menstrual cup while pressing on it to eliminate the negative pressure. You may feel or hear the discharge of negative pressure. After that, use your thumb, forefinger and middle finger to flatten, sway and gently pull the menstrual cup down, and empty it into the sink or toilet bowl. Make sure not to pull the antenna alone, as this will increase the negative pressure and make it difficult to remove the menstrual cup.
THE ANTENNA OF THE MENSTRUAL CUP CAUSES DISCOMFORT, CAN IT BE CUT?
The antenna makes it easier to insert the menstrual cup, correct its position, and remove the menstrual cup. The antenna also allows you to amplify the negative pressure of the menstrual cup by placing the menstrual cup fairly up in the vagina and using the antenna to slightly pull down on it. This increases the negative pressure in the menstrual cup. The Nomai Menstrual Cup has a soft, flexible antenna designed so that it does not cause discomfort during use. However, if the antenna is still causing discomfort, you can carefully cut it shorter, one bead at a time. Don’t immediately cut off the entire antenna. Make sure not to damage the surface of the menstrual cup when cutting the antenna. You do not need the antenna to remove the menstrual cup. If you pull on the antenna, negative pressure will increase making it more difficult to remove the menstrual cup.
I THINK THE MENSTRUAL CUP IS CORRECTLY IN PLACE, BUT WHY DO I HAVE TRANSIENT BLEEDING?
There can be many reasons. First, make sure that the menstrual cup has opened properly. Check whether the base of the menstrual cup feels round by rotating your finger around the base of the menstrual cup. If you think the menstrual cup has not opened well, rotate the menstrual cup from its base, holding it at 180 degrees around its axis, or sway the menstrual cup from side to side. You can also pull the menstrual cup slightly down while holding on to the antenna, thereby strengthening the negative pressure. You can also remove the menstrual cup and try inserting it in a different position and with a different folding technique so that it can open better.
Menstrual discharge comes from the uterus through the cervix into the vagina. If the menstrual cup is too high, the cervix will remain next to the menstrual cup. In this case, the bleeding will drain past the menstrual cup. The correct location of the menstrual cup is below the cervix, allowing the discharge to drain into the menstrual cup. You can also try the cervix with your finger. It feels like firmer and more round/lumpy tissue than the surrounding vaginal mucosa and is usually located deeper at the base of the vagina.
Check that the air holes are clean and open. The air holes are necessary in the formation of negative pressure in order for the menstrual cup to open and remain in place.
If you have small spotting, it may be because there is a little blood left on the underside of the menstrual cup. A good underwash when emptying the menstrual cup eliminates this problem.
The menstrual cup may be the wrong size for you and therefore does not stay tightly against the wall of the vagina. Experiments with a larger menstrual cup size that fits better and prevents bleeding.
Maintenance and hygiene of the menstrual cup
HOW DO I STORE THE MENSTRUAL CUP IN BETWEEN MY PERIODS?
After boiling, put the menstrual cup to air dry. Store the menstrual cup in its own breathable storage pouch or in another airy way. Do not store the menstrual cup in an airtight container such as a plastic box or a tight-fitting plastic bag — in this case, the porous material of the moon cup may absorb an unpleasant odour.
MY MENSTRUAL CUP HAS DISCOLOURED IN USE. DO I NEED TO REPLACE THE CUP?
You don't need to replace the cup if the surface of the Nomai Menstrual Cup is intact and has no cracks. You can try to remove the stains by keeping the menstrual cup immersed for at least an hour in vinegar or a water-lemon juice mixture. You can also try putting menstrual cup in the sunlight to bathe.
Remember to boil the menstrual cup for about 10 minutes every time after you clean the stains from the menstrual cup, so that no mucosal irritants remain in the menstrual cup.
WHEN DOES THE MENSTRUAL CUP NEED TO BE REPLACED?
Always replace the menstrual cup with a new one when its silicone surface is worn out or the menstrual cup has cracks. Discoloration does not prevent the menstrual cup from being used. If you have an inflammatory cycle, such as recurrent yeast/vaginitis, it is recommended to change the menstrual cup to a new one and take a short break in use so that the irritation of the mucous membranes and the bacterial balance return to normal. In this case, you can strengthen the bacterial strain inherent in the vagina with, for example, a course of lactic acid bacteria.
Medical silicone, when properly cared for, will last for years, provided that the surface of the menstrual cup remains intact. Each user will find the most suitable menstrual cup renewal time for themselves, depending on their own way of using the menstrual cup.
HOW DO I DISPOSE OF A USED MENSTRUAL CUP?
The Nomai Menstrual Cup is mixed waste and can be put in the mixed waste. Medical silicone can also be destroyed by burning. No harmful substances are released when burning silicone; it burns at a sufficiently high temperature into white ash.
Questions concerning the use of a menstrual cup
I AM 15 YEARS OLD AND HAVE NOT HAD SEX, CAN I USE A MENSTRUAL CUP?
Yes, you can! There is no age limit for using a menstrual cup. If you have used tampons, it is faster to learn how to use a menstrual cup. By practicing, anyone will learn to use a menstrual cup. If you have not had sexual intercourse, initially choose the smallest menstrual cup (size light) with which it is most comfortable to practice using a menstrual cup. If necessary, you can put a water-soluble lubricant on the surface of the menstrual cup or soak the menstrual cup with water.
CAN I USE A MENSTRUAL CUP WITH AN IUD?
You can use a menstrual cup with an IUD. Be sure to remove the negative pressure from the menstrual cup before removing it. The moon cup settles in the vagina below the cervix and usually does not hit the cervix and the threads of the IUD. Discuss this further with your gynaecologist and ask them to check that the IUD removal threads are not too long. If the threads become longer, consult your gynaecologist, who will make sure that the IUD is well in place.
DOES THE MENSTRUAL CUP NEED TO BE REMOVED FOR THE DURATION OF INTERCOURSE?
Yes. The menstrual cup should not be used during sexual intercourse and does not protect against pregnancy or sexually transmitted diseases.
DOES THE MENSTRUAL CUP PROTECT AGAINST SEXUALLY TRANSMITTED DISEASES OR PREGNANCY?
No. A menstrual cup does not protect against STDs or pregnancy. Only careful condom use protects against sexually transmitted diseases. Remember to use reliable contraception during intercourse if you do not want to get pregnant!
CAN A MENSTRUAL CUP BE USED WHEN PLAYING SPORTS, E.G. WHEN SWIMMING OR DOING YOGA?
Of course! You will notice that when using a menstrual cup, exercising is much more care-free during your period. You can live as active and full a life as you can at any other time!
CAN A MENSTRUAL CUP BE USED DURING A YEAST INFECTION OR VAGINITIS?
A menstrual cup should not be used during gynaecological infections. Consult your gynaecologist, who will assess the need for treatment. After the infection has settled down, you can again use a menstrual cup again without any worry. When using a menstrual cup after an infection, remember to make sure that it is well cleaned, e.g. by boiling it.
CAN A MENSTRUAL CUP BE USED DURING POSTPARTUM PERIOD?
A menstrual cup should not be used during the postpartum period due to the risk of infection.
CAN I USE A MENSTRUAL CUP OF I AM ALLERGIC TO LATEX?
Yes, you can. The Nomai Menstrual Cup is made of medical grade silicone that does not contain latex, parabens, BPA or phthalates.
WHAT IS THE DIFFERENCE BETWEEN A MENSTRUAL CUP AND A TAMPON?
The Nomai Menstrual cup is made of medical grade silicone, which does not dry the mucous membranes and is not a favourable breeding ground for bacteria. In the menstrual cup, blood is collected inside the menstrual cup and it does not come in contact with the mucous membranes. It is not necessary to empty the menstrual cup every time you use the toilet, and it is often enough to empty it every 12 hours. Nomai Menstrual Cups come in three different sizes, which can hold menstrual bleeding volumes, depending on the size of the menstrual cup, from 23 ml to 41 ml. With a menstrual cup, you have more freedom to take part in different sports, such as swimming, than with a tampon.
Tampons are made of cotton or rayon. A tampon is made of absorbent material, which is in direct contact with the mucous membranes. Due to its absorbency, it can also dry the mucous membranes while absorbing menstrual bleeding. In this case, blood is in contact with the mucous membranes and acts as a good breeding ground for bacteria. For this reason, tampons have an unpleasant odour more often than with menstrual cups. A tampon has to be changed every time you go to the bathroom.
WHAT IS TSS? CAN IT BE CAUSED BY USING A MENSTRUAL CUP?
Toxic shock syndrome is a very rare but serious disease caused by staphylococcal or sometimes streptococcal bacteria that are part of the body’s normal bacterial flora. There are lots of bacteria, e.g. on the skin and mucous membranes. The disease is caused by toxins secreted by the bacteria that spread through an ulcer or mucous membrane into the body.
Toxic shock syndrome is a generalised inflammation with symptoms such as acute high fever (over 39 C), general malaise, dizziness/fainting, decreased blood pressure, reddish rash, vomiting, diarrhoea and/or muscle pain.
Without rapid diagnosis and treatment, toxic shock syndrome progresses life-threatening multi-organ damage and it can be fatal.
The disease has been linked to the use of absorbent tampons, but cases unrelated to menstruation are much more common and the disease is found in women, men as well as children.
It is very rare to contract TSS, or toxic shock syndrome, due to using a menstrual cup. You can take care of your health with careful hygiene and the correct use of a menstrual cup. Remember to empty the menstrual cup at least every 12 hours.
If you experience any of the above-mentioned symptoms, remove the menstrual cup immediately, and contact a doctor and tell them about your TSS suspicions.
Careful hygiene when using a menstrual cup and emptying the cup according to the instructions are very important in the prevention of infection!
Menstrual cup safety
ARE THE MENSTRUAL CUP MATERIAL AND COLOURS SAFE TO USE?
Nomai Menstrual Cups are made from 100% medical silicone proven to be safe and that has received FDA approval. The colours used in the menstrual cups have been tested according to international standards and found to be suitable for medical use. The colours are free of harmful chemicals, latex, phthalates, BPA and parabens.