April 4

No, Menstrual Cups Do Not Cause Pelvic Organ Prolapse

By fitness

April 4, 2022

A latest rumor means that menstrual cups trigger vaginal prolapse or the situation during which the pelvic ground muscular tissues weaken and inner organs protrude into the vaginal house. But the truth is simply that there isn't a proof that it cannot trigger prolapse, however it's not doubtless to do this.

An announcement by Put A Cup In It (PACII):

Prolapse shouldn't be unusual and the usage of menstrual cups is on the rise which means extra prolapse victims will probably be cup customers. This doesn't equal a correlation… Until there's precise proof that helps the ‘guesses’ put ahead on this article relating to cups resulting in prolapse our stance is that gentle bearing down isn't any extra more likely to trigger a prolapse than your day by day bowel motion.

That being mentioned, let’s break down the science behind what causes pelvic organ prolapse and the way (surprisingly) widespread it's amongst girls.

Who will get pelvic organ prolapse?

According to the Office on Women’s Health, pelvic ground problems have an effect on 1 in 5 girls within the U.S., or roughly 20%. While pelvic ground problems cowl a variety of situations similar to an absence of bladder and bowel management, pelvic organ prolapse itself impacts 3% of girls. 

What are the signs of pelvic organ prolapse?

Symptoms rely upon which organ is being affected (bladder, urethra, uterine, small bowel, rectum), however listed below are the commonest:

  • A sense of strain or discomfort on the pelvic space
  • Urinary leaks or power urination
  • A decrease backache
  • Painful intercourse
  • Vaginal recognizing or bleeding

What causes pelvic organ prolapse?

Pelvic organ prolapse might be attributable to quite a lot of issues, in keeping with healthcare professionals. Here is a few of them.

  • Pregnancy and vaginal childbirth
  • Constipation
  • Hysterectomies
  • Obesity
  • Smoking (that results in power coughing)
  • Menopause and ageing

Gynecologist Alyssa Dweck, MS MD FACOG says:

Pelvic ground muscle weak point is sort of widespread and usually as a consequence of genetic elements, being pregnant and being above excellent physique weight.  Menstrual cup use is unlikely to contribute to dangers already current.

How do you deal with pelvic organ prolapse?

Since the commonest type of pelvic organ prolapse is cystocele, and usually precipitated from childbirth, the most effective remedies is thru kegel workouts. These workouts are designed to strengthen or restrengthen, pelvic ground muscular tissues. If your prolapse is affecting your bowel, clear consuming and a fiber-rich weight-reduction plan might help take away any straining motion. 

But you should take note Kegels usually are not the one pelvic ground train, and extra importantly, there are different workouts that may show you how to much more.  That is commonly surprising to listen to since Kegels however in actuality, Kegels are sometimes over-prescribed.

Furthermore, individuals are often informed to do Kegels with out present process an examination to find out if they will truly carry out a Kegel accurately. This is vital as a result of some individuals are not capable of do a Kegel accurately with verbal instruction alone.  A pelvic ground examination can be vital to find out what the pelvic ground muscular tissues really feel like. If an individual has guarded, tense, or hypertonic pelvic ground muscular tissues, then doing Kegels wouldn't be an applicable train. This is why seeing a specialist and present process a pelvic ground examination previous to doing Kegel workouts is vital. It might help decide the suitable therapy and train program.

A pessary, or medical machine that's worn internally to assist maintain the organs in place, can be a standard therapy. The most excessive circumstances name for a hysterectomy or surgical removing of the affected organ. 

How are you able to stop pelvic organ prolapse?

Again, kegel workouts could also be a great way to forestall any kind of pelvic organ prolapse, nevertheless, you will need to word that they are often attributable to elements outdoors of your management, similar to ageing or household historical past. Things you possibly can management are sustaining wholesome consuming habits and opting out of smoking, since each of these items may cause strain on pelvic organs. 

Dr. Shreelata makes the next advice:

The very first thing to think about is the kind of menstrual cup you’re utilizing – vaginal cups sit decrease within the vagina while cervical cups sit additional up, overlaying the cervix. I'd suggest that you're snug and undisturbed in a quiet location when eradicating your menstrual cup, to loosen up your pelvic ground muscular tissues. Make positive you may have washed your fingers and dry them fully to get a superb grip of the stem. Squatting or resting a foot on the sting of the tub could make it simpler to really feel the stem of the cup. Pinch the cup to launch the seal after which gently pull it down and out. If this doesn’t work, you possibly can attempt to hook your finger across the cup to pull it down with care. In some circumstances, you could have to seek the advice of a health care provider to assist take away menstrual cups (extra generally cervical cups as they sit larger up within the vagina), however this isn't widespread. There is at the moment little proof to recommend that utilizing your pelvic ground muscular tissues to deliver the cup decrease within the vagina can alone trigger pelvic ground prolapse.

Whilst some girls can discover it tough to insert or take away the menstrual cup, there aren't any clear studies of prolapse related to utilizing a menstrual cup alone. The largest evaluation of menstrual cups, revealed in The Lancet in 2019 discovered that urinary tract complaints could happen when utilizing the menstrual cup, however there isn't a file of prolapse. Prolapse is a power situation that develops over time relatively than triggered by short-term use of menstrual cups or different menstrual merchandise.

Risk elements for prolapse embrace being obese, being pregnant and childbirth, power cough, or constipation. If you may have been recognized with a vaginal wall or uterine prolapse, it’s price consulting your Gynaecologist to seek out the correct menstrual cup for you.

We are stoked to dwell in a time with tons of choices, and much more stoked to listen to that menstrual cups present so many ladies with completely happy and wholesome durations.


  • Lancet Public Health. 2019 Aug; 4(8): e376–e393.
  • Published on-line 2019 Jul 16. doi: 10.1016/S2468-2667(19)30111-2
  • PMID: 31324419 Menstrual cup use, leakage, acceptability, security, and availability: a scientific evaluation and meta-analysis
  • Anna Maria van Eijk, PhD,a Garazi Zulaika, MPH,a Madeline Lenchner, MSc,c Linda Mason, PhD,a Muthusamy Sivakami, Prof, PhD,d Elizabeth Nyothach, MSc,e Holger Unger, PhD,b,f Kayla Laserson, ScD,g and Penelope A Phillips-Howard, Prof, PhDa,*
  • https://clinicaltrials.gov/ct2/present/NCT02924740

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