Original Articles

Knowledge, Attitude and Practices Regarding Menstrual Cup Among Females in an Urban Setting of South Kerala


Objective: This study aims to assess the knowledge, attitude, and practices regarding menstrual cups use and the factors associated with it among females of the reproductive age group in an urban setting of South Kerala.
Materials and methods: We conducted a cross-sectional study from December 2021 to January 2022 among females of the reproductive age group. Data was entered in MS Excel and was analyzed using Statistical Package for Social Sciences version 26.0. The significance of association was tested using the Chi-square test. Binary logistic regression was done to predict the factors associated with knowledge levels regarding menstrual cup.
Results: The mean age of study participants was 25.68(SD 6.64) years. Lack of knowledge (22.6%) and fear of insertion (56.2%) were the major reasons for not trying a menstrual cup.  Out of the 350 study participants, 258(73.7%) had good knowledge scores and 92(26.3%) had poor knowledge scores. Discomfort and leakage were the most important problems reported by participants.  A statistically significant association was found between younger age, educational status, socioeconomic, status, marital status of females in the reproductive age group, and knowledge about the menstrual cup.
Conclusion: Most of the participants (93.4%) were aware of menstrual cups. Even though two third of the participants had good knowledge regarding menstrual cups, only 15.1% have tried to use a menstrual cup. Fear of insertion was the most common concern for not trying a menstrual cup. Discomfort and leakage were the most important problems reported by participants. Younger age and higher educational qualifications were found to be independently associated with knowledge levels regarding menstrual cups.


1. Hawkins SM, Matzuk MM. Menstrual Cycle: Basic Biology. Ann N Y Acad Sci 2008; 1135: 10–8.
2. Rosner J, Samardzic T, Sarao MS. Physiology, Female Reproduction. [Updated 2022 Jul 7]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022.
3. van Eijk AM, Zulaika G, Lenchner M, Mason L, Sivakami M, Nyothach E, et al. Menstrual cup use, leakage, acceptability, safety, and availability: a systematic review and meta-analysis. Lancet Public Health 2019; 4: e376-e93.
4. Wall LL, Teklay K, Desta A, Belay S. Tending the 'monthly flower:' a qualitative study of menstrual
beliefs in Tigray, Ethiopia. BMC Womens Health 2018; 18: 183.
5. Schmitt, M.L., Clatworthy, D., Ratnayake, R. et al. Understanding the menstrual hygiene management challenges facing displaced girls and women: findings from qualitative assessments in Myanmar and Lebanon. Confl Health 11, 19 (2017).
6. Hennegan J, Nansubuga A, Akullo A, Smith C, Schwab KJ. The Menstrual Practices Questionnaire (MPQ): development, elaboration, and implications for future research. Glob Health Action 2020; 13: 1829402.
7. C S, K JA, Zachariah SM, N D, S DK. 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: 918.
8. Peberdy E, Jones A, Green D. A Study into Public Awareness of the Environmental Impact of Menstrual Products and Product Choice. Sustainability 2019; 11: 473.
9. Yadav RN, Joshi S, Poudel R, Pandeya P. Knowledge, Attitude, and Practice on Menstrual Hygiene Management among School Adolescents. J Nepal Health Res Counc 2018; 15: 212-16.
10. S M, E G. Knowledge, attitude, and practices regarding menstrual cup among reproductive women in a rural tertiary care Hospital. Int J Clin Obstet Gynaecol 2021; 5: 211–4.
11. Mitchell MA, Bisch S, Arntfield S, Hosseini-Moghaddam SM. A confirmed case of toxic shock syndrome associated with the use of a menstrual cup. Can J Infect Dis Med Microbiol 2015; 26: 218-20.
12. Gharacheh M, Ranjbar F, Hajinasab N, Haghani S. Acceptability and safety of the menstrual cups among Iranian women: a cross-sectional study. BMC Womens Health 2021; 21(1):105.
IssueVol 16, No 4 (December 2022) QRcode
SectionOriginal Articles
DOI https://doi.org/10.18502/jfrh.v16i4.11354
Menstrual Cup Knowledge Attitude Practices Kerala

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How to Cite
Devan G, Mohanan G, Ajitha G, Kavitha H, Majeed I, Nalinakumari Kesavan Nair A. Knowledge, Attitude and Practices Regarding Menstrual Cup Among Females in an Urban Setting of South Kerala. J Family Reprod Health. 2022;16(4):243-247.