Detailed reviews of the numerous menstrual cup models currently on the market are found here. If you have not checked out the reviews on Amazon, you may want to peruse. Beware of the counterfeit menstrual cups. They are not the same quality as the more popular brands.
Become a member. Sign in. Get started. Angela LeMire Follow. Contraceptive access, body literacy and sex education knowledge sharer. Wife of one husband. Mom of two daughters. Lover of Colorado. Write the first response. Desquamation of her skin rash began on postadmission day 4.
How exactly do you use a menstrual cup?
The patient remained stable on her antibiotic regimen, ultimately being discharged in good health eight days postadmission. Control cultures including nasal swab for S aureus remained negative. It did not come to public attention until , when an association between TSS and young menstruating women using tampons was discovered 2. Risk factors included the use of high-absorbency tampons and prolonged, continual usage 3. Cases occurring in men and nonmenstruating women were thereafter identified and it was recognized that TSS can occur in any population.
There has been a recently published report of recurrent TSS in a year-old girl even after she ceased to use tampons 4. Increased public awareness and change in the composition of tampons to less-absorbent materials led to a substantial decrease in the incidence of menstrual TSS over the next decade 3. Menstrual TSS is a severe, multisystem, toxin-mediated disease associated with multiorgan failure Table 2 5. Muscular: severe myalgia or creatine phosphokinase level at least twice the upper limit of normal. Hepatic: total bilirubin, alanine aminotransferase enzyme or asparate aminotransferase enzyme levels at least twice the upper limit of normal for laboratory.
Central nervous system: disorientation or alterations in consciousness without focal neurological signs when fever and hypotension are absent. Blood or cerebrospinal fluid cultures blood culture may be positive for Staphylococcus aureus. A case that meets the laboratory criteria and in which four of the five clinical criteria described above are present. A case that meets the laboratory criteria and in which all five of the clinical criteria described above are present, including desquamation, unless the patient dies before desquamation occurs.
This toxin acts as a superantigen, stimulating excessive and nonconventional T cell activation and, subsequently, cytokine expression 7. Eventually, significant cytokine release causes multiorgan failure. Treatment includes active fluid resuscitation, early use of vasopressors and appropriate antimicrobial therapy.
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Clindamycin has been demonstrated to reduce the expression of superantigens 9. Theoretically, clindamycin suppresses the protein synthesis and, as a result, more effectively inhibits toxin production compared with vancomycin, which inhibits cell wall synthesis. To our knowledge, we report the first case of menstrual TSS that was successfully treated with combination of linezolid and clindamycin.
Although rapid clinical improvement has been previously described with the use of linezolid in TSSTproducing S aureus, our patient remained hypotensive while receiving linezolid Her blood pressure significantly improved only after the addition of clindamycin. She did not require intravenous immunoglobulin.
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Although both clindamycin and linezolid inhibit bacterial protein synthesis and, therefore, toxin production, our patient remained hypotensive until clindamycin was included in her antibiotic regimen. Further experimental and comparative studies are required to determine the inhibitory effects of these two medications against TSST Menstrual cups are a reusable alternative to conventional tampons.
Designed to collect rather than absorb menstrual flow, they are made of silicone and worn internally Figure 1. In a recent multicentre randomized controlled trial by Howard et al 11 , the use of tampons was compared with The DivaCup in a total of women. The present case report identified increased vaginal irritation with The DivaCup compared with tampons, but was not powered to detect a difference in infectious complications Tierno 12 explained the probable reasons for the association between hyperabsorbable tampons and TSS as follows:.
Accumulation of blood in the polyester foam cubes and chips of carboxymethylcellulose. These three main factors provide a condition for S aureus growth. In a narrative review, Vostral 13 , concluded that the gelled carboxymethylcellulose, in essence, acted like agar in a petri dish, providing a medium on which the bacteria may grow.
Menstrual cups are made of silicone or rubber, and carboxymethylcellulose is not used in their structure. Silicone itself does not support microbiological growth. However, because of accumulation of blood, menstrual cups appear to provide a medium for bacterial growth with the same three conditions mentioned above.
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The perks go on and on. Of course, everyone's body is different, so there are a few tips when it comes to finding the best menstrual cup for you. When you're just starting out, you'll want something that's comfortable, flexible, easy to get the hang of, and provides the right fit. Here are a few of the best options, so you can start off your menstrual-cup journey on the right foot — and hopefully become a life-long advocate like me.
The Lena menstrual cup is the most well-reviewed option on Amazon, and it's also one of the most reasonably priced. It's available in two sizes small and large , so you can choose the best fit for your body, but they recommend a small if you're just starting out. Beginners find it easy and comfortable to insert thanks to its bell-shaped design and soft, flexible rim — plus the textured removal stem adds some extra peace of mind. It uses medical-grade silicone and skips the additives, and you can wear it for up to 12 hours without irritation, dryness, or toxicity.
Personally, this is the one I use and I was able to comfortably insert it on my first try, but there are countless how-to videos on YouTube if you're having some trouble.
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The beginners in the review section are loving the Saalt menstrual cup , but even more telling are the buyers who have used other options. They say it's "softer," "more comfortable," "forms better to [their body]," and "holds more" than the other leading brands on the market. Due to its molding abilities, reviewers say it causes fewer leaks and is more comfortable to insert, which is great news for newbies.