Tampons or Menstrual Cups with an IUD: Which Is Safer?

If you have an intrauterine device (IUD) and are wondering “Can you use tampons with an IUD?”—you’re not alone. With menstrual care products like tampons and menstrual cups becoming increasingly popular, many women using IUDs are concerned about safety, effectiveness, and comfort.

Let’s break down the risks, myths, and facts about using tampons or menstrual cups with an IUD and help you decide what’s best for your body.

What Is an IUD?

An intrauterine device (IUD) is a small T-shaped contraceptive device inserted into the uterus to prevent pregnancy. It comes in two main types: hormonal (like Mirena, Skyla, or Kyleena) and copper (like Paragard). IUDs are more than 99% effective and can last from 3 to 10 years depending on the type.

Many IUD users experience changes in their menstrual cycles—some get lighter periods, others continue to have regular flow. This brings us to the key question: Can you use tampons with an IUD?

Can You Use Tampons with an IUD?

Yes, you can use tampons with an IUD, but with caution. Gynecologists generally agree that using tampons doesn't interfere with your IUD as long as you use them correctly. The key is avoiding accidental pulling on the IUD strings.

Here are the top guidelines to follow:

• Avoid tugging the IUD strings when inserting or removing the tampon.

• Choose a tampon with a rounded applicator to avoid irritation.

• Avoid super-absorbent sizes unless necessary; regular tampons apply less suction.

Tampons are inserted into the vaginal canal, while the IUD sits in the uterus. Since they occupy different spaces, interference is rare—but not impossible.

What About Menstrual Cups?

Menstrual cups are silicone or rubber cups inserted into the vaginal canal to collect, rather than absorb, menstrual blood. They sit lower in the vagina than a tampon, often closer to the cervix—and therefore, closer to your IUD strings.

So, can you use menstrual cups with an IUD?

Yes, but they pose a slightly higher risk of dislodging the IUD, especially if not inserted or removed properly.

Best Practices for Using a Menstrual Cup with an IUD:

• Always break the suction before removing the cup.

• Ensure your cup isn’t too long or too firm.

• Trim your IUD strings to reduce the chance of catching them.

• Talk to your OB-GYN to confirm compatibility.

Risk of IUD Displacement

The risk of IUD expulsion—either partial or complete—is generally low (2–10% in the first year). But improper removal of tampons or menstrual cups can slightly increase this risk.

Signs of IUD displacement include:

• Increased cramping

• Changes in bleeding

• Feeling the plastic part of the IUD near the cervix

• Inability to feel the strings

If you notice any of these symptoms, see your healthcare provider immediately.

Expert Opinions

Most OB-GYNs support using tampons with an IUD. In fact, the American College of Obstetricians and Gynecologists (ACOG) has not issued warnings against using tampons or menstrual cups for IUD users. However, they do emphasize patient education about how to safely insert and remove menstrual products.

FAQs About Using Tampons with an IUD

Q: Can you use tampons with an IUD right after insertion?
A: It’s best to wait 24–48 hours after IUD insertion before using tampons. Your cervix will be more sensitive during this time.

Q: Can tampons pull out my IUD?
A: It’s very rare. Just make sure to insert the tampon gently and avoid pulling on the IUD strings.

Q: What should I do if I accidentally tug on my IUD string while removing a tampon?
A: Don’t panic. If you feel any pain or notice the strings are longer or shorter than usual, schedule a check-up with your doctor.

Q: Can I still check my IUD strings while using tampons?
A: Yes. It's a good idea to check monthly. Wash your hands, squat or sit, and gently feel for the strings near your cervix.

Post-Insertion Care and Monitoring

Once you start using tampons or menstrual cups after IUD insertion, follow these tips for ongoing safety:

• Check strings monthly.

• Use sanitary pads for the first period after insertion if you’re unsure.

• Report abnormal bleeding or pain to your doctor.

• Schedule follow-up visits to ensure your IUD remains in place.

Final Verdict: Which Is Safer?

Both tampons and menstrual cups are safe for IUD users if used correctly. Tampons are slightly safer due to their lower risk of suction and displacement. However, many IUD users successfully use menstrual cups with no issues.

The choice ultimately depends on your comfort level, personal preferences, and ability to follow proper technique.

Conclusion: Know Your Body, Protect Your Choice

If you’ve been asking, “Can you use tampons with an IUD?”—the answer is yes. But like with any reproductive health product, education and care go a long way.

Listen to your body. Choose products that suit your flow, comfort, and lifestyle. And when in doubt, consult your healthcare provider.

In the end, your period, your protection, your rules.