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Using Lena Cup

Inserted like a tampon, Lena sits comfortably inside of your vagina. When inserted correctly, your Lena Cup seals gently to your vaginal walls and moves with you throughout the day, during physical activities, and overnight. The body adjusts to your cup’s presence immediately and there is no sensation from either the cup or the stem.

Inserting Lena Cup

When inserting Lena you will need to first fold your cup. There are three main folds: the 7 Fold, Punch-Down and the C-fold.

Practice using all three folds to find which one works best for you, as each fold guides and positions your cup differently. When inserting your cup, you need to hold your cup folded until it is inside of your vagina – this can take some practice.

Positioning correctly

When inserted correctly, your Lena Menstrual Cup offers a sensation and leak free experience. If you are experiencing leaking or a sensation when your cup is inserted, adjusting your insertion method and placement can help to ensure your cup is inserted in a way that fits your body.

I cannot insert my cup

Learning how to effortlessly insert and remove your cup will take some practice and time.

If you cannot insert your cup on your initial try, first and foremost – relax! It is essential to relax your pelvic muscles for both successful insertion and removal.

Consider using a different folding method, or changing the position in which you are inserting your cup. There are three main folding methods, as outlined in the Lena User Guide.

If this is your first time using a cup, we suggest trying out several different folds to see which one suits you best. Most people insert and remove their cups while sitting on the toilet, while some stand with knees slightly bent or with one foot on the toilet or bathtub for insertion.

Squatting is not recommended for insertion but is helpful for removal, as this can help your body naturally bear down to guide your cup closer to the opening of the vagina.

How long can I wear it for

You can wear your Lena Cup for up to 12 consecutive hours. This means that you need to empty your cup at least twice per day.

Everyone’s cycle is different, so with time and practice you will establish how often you need to empty your cup. During your heavier days, or if you generally have a heavy flow, you will need to empty your cup more often during the day. Try to never let your cup overflow while wearing it.

Leaks and Spotting

Leaking associated with menstrual cups is most commonly attributed to your cup being positioned incorrectly or not creating a secure suction seal.

Adjusting your insertion method using a different fold or placement height can improve your experience and ensure that your cup is inserted correctly and sealing completely.

Cup moves up or down

If your cup is falling out or moving up, it means that it has not created a seal to your vaginal walls and it is just resting in your vagina.

How high or low your cup is positioned depends on the location of your cervix during menstruation – it can go high or descend low in your vagina. We are all different and the Lena Cup will be positioned differently for each of us.

For most users, Lena will position itself at the base of the vagina, just above the pelvic bone. If your cup is not sealing, you can re-insert it using a different fold.

How to remove your cup

In order to remove your cup, it is essential to release the suction seal your cup has created and then remove your cup slowly. Never pull your cup out by the stem alone – you can gently pull the stem until you reach the base of your cup, then squeeze the base to release the suction and guide your cup outside of your body.

Your Lena Cup has three grip rings at the base of your cup to ensure that even when your hands are wet, you can grip your cup to release the suction and remove it.

If you cannot remove your cup easily, most importantly, do not panic! Your cup cannot get lost inside of your body! 

Sit on the toilet and relax your pelvic muscles to let your cup move lower. You can also squat or bear down your weight as if you are having a bowel movement in order for your cup to naturally move down.

Keep in mind that if positioned correctly, your cup has created a suction seal inside of your vagina – please follow the above steps to remove your cup.

How often to empty cup

You must to empty your cup at least twice per day. Most users empty their cups in the morning and in the evening.

Trimming the Stem

Trimming your cup's stem is not required and is done by personal preference. If your cup sits comfortably in your vagina and the stem does not stick out or cause any sensation, then you do not need to trim it. Once you are comfortable with inserting and removing your cup correctly, if the stem causes sensation or sticks out of your vagina, you may consider trimming your stem.

Please remember never to attempt trimming your cup’s stem while it is still inside of you; remove your cup completely and trim the stem accordingly on a steady surface.

If you are unsure of which size to select or if you think you chose the wrong size, please contact us at:

Which cup size to choose

Most people can wear either size Lena Cup but choose one over the other primarily based on flow amount, cervix height during menstruation and general physique.

At Lena we do not believe that age and birthing history play a significant role in choosing a menstrual cup. Mothers with multiple births are happily using Lena Small while teenagers, with a heavy flow, choose Lena Large.

Lena Small is ideal for users with a normal flow.

Lena Large is suited for users with a heavy flow.

You can visit our Sizing Guide page for further guidelines.

Or, pick our Lena Cup 2-pack with both small and large to be covered in all situations.

Measure Cervix Height

When measuring your cervix, always do so with clean hands. It is not uncommon for your cervix to move during your cycle, and it is most commonly at its lowest point during your heavy day(s).

Gently insert your longest finger and feel along the walls of your vagina. Your cervix will feel like a small nub with a little dent in the middle of it and may be soft or firm depending on where you are in your cycle.

Your cervix height is:

Low: When you feel your cervix with your finger inserted less than half way or below the middle knuckle.

Medium: When you feel your cervix with your finger inserted to the middle knuckle.

High: When you feel your cervix with your finger inserted higher than the middle knuckle or cannot reach your cervix.

Folding Lena Menstrual Cup

When inserting Lena you will need to first fold your cup. There are three main folds: 7 fold, punch-down fold, and the C-fold. Practice using all three folds to find which one works best for you, as each fold guides and positions your cup differently. When inserting your cup, you need to hold your cup folded until it is inside of your vagina – this can take some practice.

Sports and activities

Lena was designed with active people in mind. While wearing your Lena Cup, you can dance, swim, run, practice yoga and engage in any other activities you would normally do. Your cup will create a secure suction seal providing a leak free experience so you have the freedom to live your life participating in all of your favorite activities without worrying about your period.

Yoga and Inversions

While wearing your Lena Cup, you can dance, swim, run, do yoga, and engage in any other activities you would normally do. However, some users prefer not to invert their bodies while they are menstruating. Ultimately, it comes down to a personal choice. The Yoga Journal published an informative article on the subject that you may find useful: Menstruation+Inversions

Sleeping with a cup

Lena is safe to use overnight. You can wear your Lena for up to 12 consecutive hours including overnight. Over time, you will learn what the best emptying schedule is for you. Never let your cup overflow while wearing it.

Depending on your flow, during your heavier days you might need to change more often. But most Lena users appreciate that they get a full night's sleep with their cup instead of waking up multiple times to change tampons or pads.


With proper cleaning and care, your menstrual cup should not develop an odor, unlike tampons and pads.

When cleaning your cup, it is best to use an unscented, water-based, non antibacterial, natural if possible, mild soap from a brand of your choice and warm water.

Oils, chemicals and fragrances can cling to your cup’s silicone and cause premature wear and odor development, as well as irritation when your cup is in use.

Teens and Virgins

Lena Small is a perfect choice for girls who are just beginning to menstruate, as long as they feel confident in the insertion and removal process, and feel comfortable getting to know their bodies better.

Lena is successfully used by people who have not engaged in penetrative sex – if you have strong personal or religious feelings about keeping your hymen intact, it is best not to use a menstrual cup. But do keep in mind though that in modern times, girls can break their hymen by riding a bike, doing yoga or participating in strenuous activities.

Where is Lena Cup made

Our silicone and dyes, cup production, printing and assembly are all based in California. As a company we make conscious choices to ensure that Lena does not create any unnecessary waste.

Is Lena Cup safe

Lena Cup is biocompatible with the body and made from 100% US medical grade silicone and medical grade dyes. The FDA (Food and Drug Administration) has deemed menstrual cups safe for human use since August 1st, 2014. The silicone used in making each Lena Cup does not leach any chemical or toxins and is BPA and latex-free.

Quality and Standards

At Lena Cup we pride ourselves on using the most sustainable manufacturing practices available on the market.

Lena Cup LLC and our manufacturing facility are registered and regulated by the FDA (Food and Drug Administration) and are ISO13485 certified.

The ISO13485 certification ensures that each Lena Cup is manufactured in accordance with the standards imposed by the International Organization of Standardization in Geneva, Switzerland.

Lena’s silicone and dyes, cup production, printing and assembly are all based in California.

The Lena Cup’s unique shape is patented (U.S. Patent D746,452) and protected by the USPTO (United States Patent and Trademark Office). Each cup has the Lena logo embossed on the inside rim guaranteeing that you are purchasing an original Lena product.

All Lena packaging paper is certified by the FSC ( Forest Stewardship Council ) which means that it has been sustainably sourced, produced and printed. All of our paper is 100% recycled post-consumer waste, chlorine-free, manufactured using bio-gas energy, and printed with vegetable-based inks.

Care, Cleaning and Discoloration

You can clean your Lena Cup using any mild, unscented, non antibacterial, water-based soap. Harsh chemicals can potentially compromise your cup’s composition and cause irritation when inserted. Antibacterial hand soaps ( such as those in public restrooms ) and heavy-duty facial cleansers should never be used to clean your cup.

Keeping your Lena Cup clean is essential for your vaginal health as well as for prolonging the cup’s life. During your period, wash your cup with mild soap and warm water whenever emptying it. We advise that you boil your cup between periods*.

Inspect your cup often – if you notice any surface damage, please replace your cup immediately.

Before using Lena Cup for the first time:

  1. Boil your Lena Cup*
  2. Wash your hands with mild soap and warm water
  3. Insert your cup following the instructional manual

*Immerse your Lena Cup in boiling water for 5-7 minutes at a time to sterilize it – try to keep your cup from touching the sides or bottom of the pot by using a pair of tongs to keep it steady and remove it from the boiling water. Let your Lena Cup cool down completely before use.


Mild silicone discoloration is possible over the lifespan of your cup – mild to moderate discoloration does not affect the way the cup is performing but always inspect your cup for any visible surface or component damage. If your cup gets heavily discolored, we suggest that you replace it.

To avoid staining, rinse your cup with cold water before washing it with a mild soap and warm water. 

Using lubricants

It is best not to use lubricants as over time they can compromise the surface your Lena Cup. You can get your cup wet to facilitate its insertion.

Menstrual cup and IUD

The Lena Cup is successfully used by many users who also use an IUD. We recommend that you consult your physician prior to using your Lena with an IUD - your physician can help to ensure that there is enough room between the two devices and trim your IUD’s strings to avoid the two devices from coming into contact.

If you choose to use Lena with an IUD please keep the following in mind:

Leave enough room between your Lena Cup and cervix. If your cervix sits too low, there may not be enough room for your Lena Cup to safely reside in your vagina.

You may need to insert your cup lower in your vagina to accommodate the strings of your IUD and avoid dislodging your IUD.

It is essential to release your cup’s suction seal before attempting to remove your Lena Cup.

Retroverted Uterus

Users with retroverted uteri have successfully used Lena. However, we are all different and what may work for one may not work for another. If you are unsure about using Lena with a retroverted uterus, please contact our Support team.

Toxic Shock Syndrome (TSS)

Toxic Shock Syndrome (TSS) is a serious and potentially fatal disease caused by toxin-producing strains of the staphylococcus aureus bacterium. TSS symptoms include, but are not limited to, sudden high fever, diarrhea, vomiting, sunburn-like rash, fainting or blacking out. If you experience any of the above symptoms during or shortly after your period, seek medical assistance immediately.

Candida and Yeast Infections

Menstrual cups are not associated with the development of yeast infections.

On the contrary, many users report that they generally experience fewer yeast infections after switching to menstrual cups. It is important to note that yeast infections can develop for a number of reasons including but not limited to diet and lifestyle changes, stress, antibiotic use, etc. Also feminine wipes can cause yeast issues as they can affect your pH level.

Cup instead of tampon

For many tampon users one of the biggest issues is the dryness caused by tampons – when having a sensitive skin even the "natural" tampons and pads can cause irritation and itchiness.

If tampons cause your vagina to dry out and the tampon hurts going in and out when you insert and remove it, a menstrual cup can be the solution as cups don't soak up all the moisture in the vagina.

It's good to also realize that some of the commercial tampons may not be FDA regulated and tampon/pad products could actually contain harmful chemicals or linings that may not be good for prolonged long term use. 

What is Lena made of

Each Lena Cup is made from 100% premium medical-grade silicone and dyes – the same silicone that the medical industry uses for human implantation and not the kind used in breast implants. All silicone and dyes used in the making of Lena are made and tested in the USA.

Is my Lena original

Since a lot of the menstrual cups available today are made from questionable materials, exercise extra caution when purchasing a cup. You will find our logo debossed on the inside rim of every Lena cup, which guarantees that you are buying the original. Lena's unique shape is patented under U.S.D746,452.

Orders and Shipping

Order Confirmation

Once your payment has processed, you will receive an email confirming your order. Your order will ship within one business day and you will receive an email with your tracking number. If you do not receive an order confirmation email, please contact us at

Payment Methods

We accept all major credit cards (VISA, Master Card, Discover, JCB) and PayPal.

Shipping times and Cost

We offer shipping via USPS, FedEx and UPS. Shipping is calculated based on the total weight of the order and the delivery address. The best way to estimate the shipping amount for your order is to add the items you wish to purchase to your cart and select Check Out – after entering your address, a list of shipping options including cost will be provided.

Can I change my order

All orders, domestic and international, are processed within one (1) business day. If you need to make a change to or cancel your order, please email us immediately at with all of the details to request the update. Once your order is placed, we will do our best to accommodate requested updates but cannot guarantee that orders can be adjusted. Please verify that all information is accurate prior to submitting your order.

Can I track my order

Yes you can. Depending on the carrier you select to deliver your order, you will be provided with a tracking number.

International Orders

International orders may experience delays of up to eight weeks due to COVID-19 safety measures and carrier procedures.”

Lena Cup cannot guarantee international delivery dates as this will depend on the delivery address and local postal and customs practices. Please allow up to 21 business days for international destinations.

Please note that USPS does not always offer package tracking outside of continental US. If your order appears to be in the same US location for an extended period of time, it means that it is in transit between that location and the final destination.

Your order may be subject to import duties and taxes which are applied when the delivery reaches the destination. We have no control over these charges and you will be responsible for payment of any such import duties and taxes. If you choose not to accept your package, we will refund you the product cost only upon receipt of the returned package.


Return Policy

If you are not happy with your Lena Cup, please contact us at

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