Aceptabilidad y seguridad de la copa menstrual: revisión sistemática de la literatura

Arenas‐Gallo, Camilo; Ramírez-Rocha, Gabriela; González-Hakspiel, Laura Constanza; Merlano-Alcendra, Catalina; Palomino-Suárez, Daniela; Rueda-Espinel, Santiago

doi:10.18597/rcog.3425

Cited by 21 publications

(16 citation statements)

References 35 publications

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“…However, very few clients chose to swap out the reusable pads for the menstrual cup in the study. In contrast to other studies [ 41 , 42 ], we found that, given product choice, menstrual cups were not the preferred MH product among young women in Zimbabwe. The reluctance to opt for and/or use the menstrual cup may be due to an unwillingness to try a novel menstrual product or unwillingness to use an insertable product that may affect their “virginity” [ 28 , 30 , 43 ].…”

Section: Discussioncontrasting

confidence: 99%

High uptake of menstrual health information, products and analgesics within an integrated sexual reproductive health service for young people in Zimbabwe

Tembo,

Simms,

Weiss

et al. 2024

Reprod Health

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Background Despite being integral to women’s well-being, achieving good menstrual health (MH) remains a challenge. This study examined MH services uptake (including information, analgesics, and a choice of MH products - the menstrual cup and reusable pads) and sustained use of MH products within an integrated sexual and reproductive health intervention for young people in Zimbabwe. Methods This mixed-methods study was nested within a cluster randomised trial of integrated sexual and reproductive health services (CHIEDZA) for youth in three provinces (Harare, Mashonaland East, and Bulawayo). The study collected qualitative and quantitative data from 27,725 female clients aged 16–24 years, who accessed CHIEDZA from April 2019 – March 2022. Using a biometric (fingerprint recognition) identification system, known as SIMPRINTS, uptake of MH information, products, and analgesics and other services was tracked for each client. Descriptive statistics and logistic regression were used to investigate MH service uptake and product choice and use over time, and the factors associated with these outcomes. Thematic analysis of focus group discussions and interviews were used to further explore providers’ and participants’ experiences of the MH service and CHIEDZA intervention. Results Overall, 36,991 clients accessed CHIEDZA of whom 27,725 (75%) were female. Almost all (n = 26,448; 95.4%) took up the MH service at least once: 25433 took up an MH product with the majority (23,346; 92.8%) choosing reusable pads. The uptake of cups varied across province with Bulawayo province having the highest uptake (13.4%). Clients aged 20–24 years old were more likely to choose cups than reusable pads compared with those aged 16–19 years (9.4% vs 6.0%; p < 0.001). Over the implementation period, 300/1819 (16.5%) of clients swapped from the menstrual cup to reusable pads and 83/23346 (0.4%) swapped from reusable pads to the menstrual cup. Provision of the MH service encouraged uptake of other important SRH services. Qualitative findings highlighted the provision of free integrated SRH and MH services that included a choice of MH products and analgesics in a youth-friendly environment were key to high uptake and overall female engagement with SRH services. Conclusions High uptake demonstrates how the MH service provided much needed access to MH products and information. Integration of MH within an SRH intervention proved central to young women accessing other SRH services.

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Section: Discussioncontrasting

confidence: 99%

High uptake of menstrual health information, products and analgesics within an integrated sexual reproductive health service for young people in Zimbabwe

Tembo,

Simms,

Weiss

et al. 2024

Reprod Health

View full text Add to dashboard Cite

show abstract

“…The fact that the menstrual cup is an environmentally-friendly option was another reason for participants to use it, as other research has found [ 32 ]. Previous evidence also supports our findings on the acceptability of the menstrual cups as a more comfortable and preferred product, compared to non-reusable products [ 8 , 9 ].…”

Section: Discussionsupporting

confidence: 91%

Use and perceptions on reusable and non-reusable menstrual products in Spain: A mixed-methods study

et al. 2022

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Background Menstrual products are necessary goods for women and people who menstruate to manage menstruation. Understanding the use and perceptions of menstrual products is key to promote menstrual equity and menstrual health. This study aimed at assessing the use and perceptions on menstrual products among women and people who menstruate aged 18–55 in Spain. Methods A mixed-methods study was conducted, including a cross-sectional study (N = 22,823), and a qualitative study (N = 34). Results Participants used a combination of products. Non-reusable products were the most used, while over half used reusable products. Usage changed when data were stratified by age, gender identification, completed education, country of birth and experiencing financial issues. It also varied between trans and cis participants. Menstrual products’ use also shifted based on experiences of menstrual poverty and access to information and products. Overall, reusable products were perceived to be more acceptable than non-reusable. Barriers to use the menstrual cup were also identified, including experiences of menstrual inequity (e.g., menstrual poverty, lack of access to information or menstrual management facilities). Conclusion Perceptions and choices of menstrual products need to be acknowledged, especially when designing and implementing menstrual policies to address menstrual inequity and menstrual health.

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“…Despite eventual case reports in the literature of complications associated with menstrual collectors, a robust set of recent evidence reinforces our observations, indicating their safety. [3,[27][28][29][30][31][32][33] Additionally, we report a great acceptance of this method by most participants. Claims of initial adaptation difficulties and leaks are consistent with other studies.…”

Section: Discussionmentioning

confidence: 52%

The use of menstrual cups is associated with the maintenance of healthy vaginal microbiota: A prospective longitudinal study

Gracioli

Ignacio

Ferreira

et al. 2023

PRM

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Background: Menstrual cups are reusable flexible collectors adjustable to the body. Besides the economic and environmental advantages, it is possible that the use of menstrual cups influences modifications in the vaginal microbiota. We aimed to evaluate the influence of menstrual cups on the vaginal microbiota of reproductive-age women in comparison to sanitary pads and to determine its acceptance. Methods: A prospective longitudinal study was conducted with undergraduate/graduate volunteers, whose usual method of menstrual management was sanitary pads. In the first three menstrual cycles (M1 to M3), participants kept using sanitary pads. In the three consecutive cycles (M4 to M6), they used the menstrual cup offered by the research group. A questionnaire was used to obtain gynecological background and sexual behavior. In the first (M1) and third (M3) follow-up visits, participants underwent gynecological examinations including vaginal microbiota evaluation, oncotic cytology, diagnosis of Human Papillomavirus (HPV), Chlamydia trachomatis and Neisseria gonorrhoeae, and Trichomonas vaginalis. At each visit, vaginal samples were collected for analysis of microbiota. A generalized linear model with binomial distribution for repeated measures was used and the model was adjusted for confounding factors, using the SAS software. Results and Discussion: We included 47 participants who completed the 6 follow-up examinations. The prevalence of HPV was 48.9% at M1 and 51.1% at M3 and the prevalence of C. trachomatis infection was 2.1% and 6.7%, respectively. None of the participants were infected by N. gonorrhoeae or T. vaginalis. One participant had altered cytology results and was referred to the colposcopy service. Patients with C. trachomatis and/or altered vaginal microbiota were treated. During the three months of sanitary pad usage, 27.7%, 12.8%, and 10.6% of women presented altered vaginal microbiota (bacterial vaginosis, intermediate microbiota, aerobic vaginitis, and/or vulvovaginal candidiasis), while only 8.5%, 12.8% and 8.5% of them had vaginal dysbiosis while using a menstrual cup (P = 0.04). Overall acceptance of menstrual cups among those who completed all the examinations was 93.6%. Conclusion: Our results show that menstrual cups are associated with the maintenance of healthy vaginal microbiota. Additionally, the acceptance of menstrual cups was high in our population.

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Aceptabilidad y seguridad de la copa menstrual: revisión sistemática de la literatura

Cited by 21 publications

References 35 publications

High uptake of menstrual health information, products and analgesics within an integrated sexual reproductive health service for young people in Zimbabwe

High uptake of menstrual health information, products and analgesics within an integrated sexual reproductive health service for young people in Zimbabwe

Use and perceptions on reusable and non-reusable menstrual products in Spain: A mixed-methods study

The use of menstrual cups is associated with the maintenance of healthy vaginal microbiota: A prospective longitudinal study

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