Can I get TSS when using a menstrual cup?
- There has been a case of TSS linked to the use of a menstrual cup in Canada. Due to the nature of the product the TSS warning applies to all menstrual cups.
Toxic shock syndrome (TSS) is a rare but serious illness. It is caused by a toxin produced by bacterium staphylococcus aureus, which is commonly found in the skin, nose and vagina. TSS can occur in men, women and children. The risk of TSS is greater in adolescents and women under 30 than in older women. Although it is rare, it is important to know how to act if necessary. Recognition of symptoms and early treatment is important. It is estimated that the occurrence of TSS is 1 to 17 per 100,000 women and girls of childbearing age.
Symptoms that warn of possible TSS are sudden high fever (39 degrees or more) dizziness, diarrhoea, vomiting, fainting, muscle aches and skin irritation similar to sunburn. In more advanced stages of the disease, the skin might start to peel. Be aware that not all symptoms might be present. TSS can appear with your period or a little while later. It can advance rapidly with flu-like symptoms, to a serious illness with fatal consequences. If you have one or more of these symptoms, remove your menstrual cup straight away. If you have ever had TSS do not use a menstrual cup.
I’m a first-time user, do you have any tips?
- It can take time to get used to using a cup. When using it for the first time remember to relax and be patient.
Follow the insertion guidelines carefully which can be found in the leaflet included with the cup or in these FAQs. If you’re having trouble inserting, try the two different folding techniques to find which works best for you. Do not use oil-based lubricants.
We hear from many first-time users than for first use they have used liner or pads for added protection. This is because with any cup you can potentially experience leakage if it’s not placed correctly. Until you have the cup placed accurately you might want to consider using a liner as a precautionary measure.
How do I dispose of the TOTM cup?
- The TOTM cup can be used for years and years (if excellent hygiene is routinely applied). For safe and sustainable disposal, sterilise your cup and recycle.
If your cup shows signs of damage or has changed shape, colour or texture then it’s advisable to replace it.
How do I sterilise the TOTM cup?
- To sterilise the TOTM cup wash your hands and place the cup in a saucepan. Add enough water to ensure the cup is covered. Bring to the boil and allow to simmer for 3-4 minutes. Do not use abrasive cleansers or disinfectants on the cup such as tea tree oil. Allow the cup to cool off before using.
Remember to sterilise the cup at the end of each cycle. For storage between cycles, use your breathable organic cotton drawstring bag (included with every TOTM cup). Do not use sealed containers or plastic bags.
How do I remove the TOTM cup?
- To remove the TOTM cup, find a comfortable position. Place your index finger and thumb into the vagina to locate the handle or the bottom of the cup. Push with your abdominal/pelvic muscles for easier removal.
Empty the contents into the toilet and wash the cup with clean (preferably warm) water. If you do not have access to water, then you can use toilet paper just remember to wash thoroughly on your next change!
How do I use the TOTM cup?
- It can take a few attempts to get used to a menstrual cup. To get started make sure you choose the correct size. Start by washing your hands and sterilising the cup in boiling water (guidelines included in the box when the cup is purchased).
Choose to stand, squat or sit on the toilet to insert the cup. Fold the cup inward to form a ‘U’ shape (as demonstrated in the GIF on the product page).
Separate the labial lips and put the cup in the vagina, toward the tailbone or base of the spine. The ideal placement of the cup sits lower than a tampon. Once inserted, release the cup. To ensure it is comfortably placed, try turning it 360 degrees. A correctly positioned cup will turn easily in each direction.
The cup can be worn for up to 12 hours, but for safe use, we recommend changing every 4-8 hours.
Can I use the cup overnight?
- A TOTM cup gives long-lasting protection making it ideal for heavy bleeds and/or overnight use. TSS warnings apply to all menstrual cups. We, therefore, advise emptying every 4-8 hours.
Our consultant Gynaecologist advises applying to same rules to a cup as you would a tampon. Therefore, alongside frequent changing, we also recommend switching to pads at night when possible.
What size cup should I choose?
- The TOTM cup is available in 3 sizes. We have guidelines to help you find the right cup for you:
Size 1: Under 18 years old who do not have sex regularly
Size 2: Under 25 years old and have not given birth vaginally.
Size 3: Over 25 years old or have given birth vaginally.
If you are unsure of our size or need advice, contact our team anytime and we can happily assist.
Is the TOTM cup hypoallergenic?
- Yes! And suitable for sensitive skin.
Is the cup suitable for vegans?
- It sure is! All TOTM products are PETA certified cruelty-free and vegan.
What is the cup made from?
- The TOTM cup is made with FDA approved medical grade TPE. Free from BPA, latex, rubber, and phthalates.
We use medical grade TPE in place of silicone because it’s softer to insert, not tested on animals and is a widely recycled material.