
Simple guidance for comfort, fit, and confidence.
Lena Cup Sizing Guide: How to Choose the Right Menstrual Cup
Choosing a menstrual cup should feel simple, not overwhelming. But if you're wondering whether to choose Small or Large, or Lena Original or Sensitive, you're not alone.
The right menstrual cup is one that fits your body, feels comfortable and works with your routine. Your flow matters, but it's not the only thing to consider.
Here is our simple recommendation:
- Small: Our recommendation for most beginners, including those with heavy flow.
- Large: For experienced users or anyone who wants extra capacity, especially overnight.
- Original: Medium firmness that helps the cup hold its shape.
- Sensitive: Softer and more flexible for those who prefer a softer feel.
Small or Large: Which Menstrual Cup Size Is Right for Me?
Small: A Great Starting Point
We recommend Lena Small for most beginners. It can work for light, medium and heavy flow, depending on how quickly your cup fills.
Small may be right for you if you're new to menstrual cups, prefer a smaller cup or want a manageable size while you learn. If you have a lower cervix, a shorter cup may also feel more comfortable.
Large: Extra Capacity When You Want It
Lena Large is a good option for experienced cup users or anyone who wants extra capacity, particularly overnight. You don't automatically need Large just because you have a heavy flow.
If you have a higher cervix, consider whether you can comfortably reach the cup for removal. Cervix height can affect comfort and ease of removal, but it doesn't automatically determine which size you need.
Both sizes are available in Lena Original and Lena Sensitive. Your flow, comfort, anatomy and personal preferences all matter when choosing a size.
Lena Original vs. Lena Sensitive
Lena Original
Medium firmness. Holds its shape.
Lena Original may be easier to open if you’re new to menstrual cups or prefer a cup with a little more firmness. It’s designed to provide reliable protection when positioned and opened correctly.
Choose Original if: You prefer a cup that feels a little firmer and holds its shape.
Lena Sensitive
Softer and more flexible.
Lena Sensitive is designed for those who prefer a softer cup or find firmer cups uncomfortable. Like Original, it’s designed to provide reliable protection when positioned and opened correctly.
Choose Sensitive if: You prefer a softer feel or experience pressure or discomfort with firmer cups.
Good to know: Original and Sensitive have the same capacity in matching sizes. The main difference is firmness, not how much they hold.

Measuring your Cervix
- Wash your hands and gently insert one finger until you feel your cervix, which feels firm and rounded, like the tip of your nose.
- Notice how far your finger goes before reaching it. The sooner you reach it, the lower your cervix.
Your cervix changes throughout your cycle: It often sits higher around ovulation and lower during your period, but this varies. Pregnancy and childbirth can also change your cervix and pelvic floor, so it’s worth checking again after childbirth once you’ve recovered.
Remember: Cervix height is just one factor when choosing your Lena Cup. Comfort, flow and ease of removal matter too.
Want to learn more about how cervix height affects comfort, insertion and removal? Read our guide to choosing a menstrual cup for a low, high or tilted cervix.

Not sure?
Try a Lena 2-Pack
If you're unsure which size or firmness to choose, a 2-pack gives you more flexibility.
- Original Small + Large 2-Pack: Two sizes in the medium-firm Original style.
- Sensitive Small + Large 2-Pack: Two sizes in the softer Sensitive style.
- Small Original + Small Sensitive 2-Pack: Compare two firmness levels in the same size.
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"It’s cost-effective … if you can swing it once, you won’t need to buy another for up to 10 years … It holds up to 12 hours of blood … I haven’t experienced leaks … I sometimes forget I have my period with this in … no pad, no strings hanging …"
Jennifer M.
★★★★★
"I was highly skeptical to switching from tampons to a menstrual cup, but I’m glad I did. I chose Lena because many reviews rated it as a good choice for beginner’s. After one cycle I’ve converted to menstrual cups and I will continue to use Lena products from now on."
Lena S.
★★★★★
“After my first insertion, I let the Lena Cup in for twelve hours with absolutely no leaks. I did squats and step-ups at the gym with no issues. The firmness around the rim helps it pop open right away and stay sealed really well. Lena is great for active days.”
Burles
Need help?
Frequently Asked Questions
The Small Lena Cup is a good starting point for most beginners, including those with heavy flow. Choose between Lena Original with medium firmness and Lena Sensitive, which is softer and more flexible. Read our menstrual cup beginner’s guide for tips on getting started.
👉 Explore sizes: Small Original, Large Original, Small Sensitive, Large Sensitive.
The Original Lena Cup has medium firmness, designed for most users and active lifestyles. The Sensitive Lena Cup is softer and more flexible, made for people with bladder or vaginal sensitivity, cramping, or discomfort with firmer cups.
You can contact us through our contact page! We will be happy to assist you.
Take our Fit Quiz for personalized guidance based on your flow, cervix height, and comfort needs.
Many users prefer a 2-Pack for flexibility: the Small for lighter days and the Large for heavier flow or overnight. Choose the Original 2-Pack for a firmer fit, or the Sensitive 2-Pack for a softer, gentler option.

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