Acceptability and feasibility of using menstrual cups as an alternative menstrual hygiene product: a tertiary care-based prospective study
DOI:
https://doi.org/10.18203/2394-6040.ijcmph20251727Keywords:
Menstrual cups, Menstrual hygiene management, Sustainable menstrual products, Women's health, Menstrual health, Reusable menstrual productsAbstract
Background: Menstrual hygiene remains a vital yet often overlooked aspect of women’s health, particularly in resource-limited settings where cost, access, and sustainability pose significant challenges. Menstrual cups offer a reusable, eco-friendly, and cost-effective alternative, but their adoption in India is hindered by social, cultural, and practical concerns.
Methods: This prospective observational study was conducted at a tertiary care center in Chennai from September 2022 to April 2024. A total of 200 first-time menstrual cup users were enrolled following education on proper use. Participants were followed for three consecutive menstrual cycles. Data on demographics, menstrual history, and experiences were collected using pre-tested questionnaires and Likert scales. Statistical analysis was performed using SPSS version 22.
Results: Of 434 women initially surveyed, 200 completed the study. Most were aged 21-30 years (51%), married (57%), and graduates (46%). At baseline, 82.5% used sanitary napkins, with common issues being leakage (41%) and rashes (34.5%). Across three cycles, ease of insertion improved from 72% to 85%, removal from 72% to 82%, and comfort from 90% to 98%. Leakage decreased from 17% to 5%. By the third cycle, 96.5% intended to continue use, and 96% would recommend it to others.
Conclusions: Menstrual cups demonstrated high feasibility and acceptability, with progressive improvement in comfort and reduced leakage. Educational initiatives could play a key role in increasing adoption, offering a sustainable and effective solution for menstrual hygiene management (MHM).
Metrics
References
Aparnavi P, Ramanathan R, Shanmugam J, Narayanan S, Kumar M, Ramya V, et al. Suitability, acceptability, feasibility of modern menstrual methods: a qualitative study in Coimbatore district, Tamil Nadu, India. Front. Glob. Womens Health. 2024;5:1497686. DOI: https://doi.org/10.3389/fgwh.2024.1497686
Pokhrel D, Bhattarai S, Emgård M, Von Schickfus M, Forsberg BC, Biermann O. Acceptability and feasibility of using vaginal menstrual cups among schoolgirls in rural Nepal: a qualitative pilot study. Reprod Health. 2021;18(1):20. DOI: https://doi.org/10.1186/s12978-020-01036-0
Jamkhandi SS, Tile R. Awareness, Acceptability, and Feasibility of the Menstrual Cup: A Descriptive Study. J South Asian Feder Obst Gynae 2024;16(4):346-9. DOI: https://doi.org/10.5005/jp-journals-10006-2431
Patel K, Dwivedy S, Panda N, Swagatika S, Sanghamitra P, Subrata KP. Is menstrual cup a sustainable and safe alternative in menstrual hygiene management? A qualitative exploratory study based on user’s experience in India. Clinical Epidemiology and Global Health. 2023;20:101212. DOI: https://doi.org/10.1016/j.cegh.2022.101212
Kakani CR, Bhatt JK. Study of adaptability and efficacy of menstrual cup in managing menstrual health and hygiene. Int J Reprod Contracept Obstet Gynecol. 2017;6(7):3045-53. DOI: https://doi.org/10.18203/2320-1770.ijrcog20172932
Firdos A, Vijayalakshmi K. Awareness, Acceptability, and Feasibility of the Menstrual Cup Among Working Women. J Neonatal Surg. 2025;14(8s):69-75. DOI: https://doi.org/10.52783/jns.v14.2496
Behera SM, Epari V, Behera P, Patro BK. Promotion and strategies of menstrual cup use among healthcare providers: A primer towards a sustainable solution for menstrual health and hygiene management in India. Indian J Comm Health. 2024;36(1):07-11. DOI: https://doi.org/10.47203/IJCH.2024.v36i01.003
Shanmugham V, Murugesan A, Vijayakrishnan G. Usage of menstrual cups among the doctors of reproductive age group in a tertiary care centre in Kancheepuram, Tamil Nadu, India- An observational study. Clin Epidemiol Global Health. 2024;25:101473. DOI: https://doi.org/10.1016/j.cegh.2023.101473
Mason L, Nyothach E, van Eijk AM, Obor D, Alexander KT, Ngere I, et al. Comparing use and acceptability of menstrual cups and sanitary pads by schoolgirls in rural Western Kenya. Int J Reprod Contracept Obstet Gynecol. 2019;8(8):2974-82. DOI: https://doi.org/10.18203/2320-1770.ijrcog20193506
Gharacheh M, Ranjbar F, Hajinasab N, Haghani S. Acceptability and safety of the menstrual cups among Iranian women: a cross-sectional study. BMC Women’s Health. 2021;21(1):105. DOI: https://doi.org/10.1186/s12905-021-01259-8
Van Eijk AM, Zulaika G, Lenchner M, Linda M, Muthusamy S, Elizabeth N, et al. Menstrual cup use, leakage, acceptability, safety, and availability: a systematic review and meta-analysis. Lancet Public Health. 2019;4(8):e376-93. DOI: https://doi.org/10.1016/S2468-2667(19)30111-2
Sreedevi C, Jayasree AK, Zachariah SM, Divyamol N, Deepak KS. Experience and adaptability of menstrual cup as a menstrual hygiene management method among its users in Kerala. Int J Community Med Public Health. 2022;9(2):918-23. DOI: https://doi.org/10.18203/2394-6040.ijcmph20220263
Arenas-Gallo C, Ramírez-Rocha G, González-Hakspiel L, Merlano-Alcendra C, Palomino-Suárez D, Rueda-Espinel S. Acceptability and safety of the menstrual cup: a systematic review of the literature. Revista Colombiana Obstetr Ginecol. 2020;71(2):163-76. DOI: https://doi.org/10.18597/rcog.3425
Kolil VK, Achuthan K. Development and validation of a survey instrument for reusable sanitary products toward sustainable menstrual hygiene. Scientific Rep. 2024;14(1):22062. DOI: https://doi.org/10.1038/s41598-024-72122-7
Shrivastava A, Saroshe S, Khare V, Dixit S. Awareness about Menstrual Cups and Hygiene amongst Undergraduate Medical Students of Government Medical College of Central India. Indian J Public Health Res Develop. 2025;16(1):85-93. DOI: https://doi.org/10.37506/r805ty97
Eroğlu V, Çakır D, Özbek H. Use of Menstrual Cup in Turkish Women and Affecting Factors. Nursing Heal Sci J. 2024;4(4):361-9. DOI: https://doi.org/10.53713/nhsj.v4i4.419
Nanjappan D, Ashwini, Debnath B, Ghosh A, Barman A, Avani PS, et al. A study to assess the knowledge about menstrual cup; it’s acceptability, safety, leakage and availability among the teenage girl and their mother in a particular rural area in Bengaluru. Int J Adv Res. 2023;11(12):336-42. DOI: https://doi.org/10.21474/IJAR01/17992
Hennegan J, Orozco A, Head A, Jennifer LM, Yasmin J, Megan SCL. Menstrual cup acceptability and functionality in real- world use: A cross- sectional survey of young people in Australia. Aust N Z J Obstet Gynaecol 2024;1-8. DOI: https://doi.org/10.1111/ajo.13910
Dangraa S, Pandeya N, Senguptab S, Kadam SD. Application of cluster analysis for customer segmentation: Study on menstrual cups. Model Assisted Statistics Applications. 2022;17:273-7. DOI: https://doi.org/10.3233/MAS-220408
Phillips-Howard PA, Nyothach E, Kuile FO, Jackton O, Duolao W, Clement Z, et al. Menstrual cups and sanitary pads to reduce school attrition, and sexually transmitted and reproductive tract infections: a cluster randomised controlled feasibility study in rural Western Kenya. BMJ Open. 2016;6(11):e013229. DOI: https://doi.org/10.1136/bmjopen-2016-013229
Garg P, Gupta R, Agrawal H, Verma A. A Study on Acceptability and Adaptability for Using Menstrual Cups amongst Reproductive Aged Females. Int J Pharma Clin Res. 2023;15(10):732-5.
Andrea G, Nirmala D’souza. Perception and Acceptability Regarding the Use of Menstrual Cups as An Alternative to Sanitary Napkins Among Women of Reproductive Age. Afr J Biomed Res. 2024;27:1075-83. DOI: https://doi.org/10.53555/AJBR.v27i1S.1566
Seeli PB, Yasodai R. Assessment of Knowledge and Practices Regarding Menstrual Health Hygiene and Usage of Menstrual Cup among Women! Stud Anat Physiol. 2024;3(1):20-5. DOI: https://doi.org/10.36959/357/455