Safety Instructions

Please note the following information on using the Merula Cup:

• Always wash your hands thoroughly before and after removing your cup.
• Only wear your cup during your period and not during your puerperium.
• Always release the vacuum before removing your cup.
• Clean your cup after 8 hours at the latest and boil it at least once during your cycle, prior to the beginning of the next period.
• Always keep your cup out of reach of children and pets.
• Remove your cup should you feel any pain.
• Remove your cup prior to sexual intercourse because there is a risk of injury. The Merula Cup is not intended for contraception nor does it prevent sexually transmittable diseases.
• Seek medical advice prior to using menstrual cups if you have an IUD (intrauterine pessarine) (coil/chain/ball/…). Should the thread of your IUD appear longer, it is possible that it has shifted.
• Please consult a physician if the pain persists after removal of your cup.
• If your cup starts to show signs of material fatigue, please dispose of it in the general waste bin and buy a new one. Please consider exchanging your cup after 3-5 years.

Menstrual Toxic Shock Syndrome (TSS)

TSS is a rare, but serious condition that can occur in every type of person. There are hardly any known cases of TSS that can be connected to menstrual cups, however: it can lead to death in rare cases.

The following symptoms that develop quickly and are initially similar to the flu, may be first signs of the TSS disease:

Sudden onset of high fever (>39°C / >102°F), emesis, diarrhea, skin rashes similar to sunburns, sore throat, vertigo and/or syncopes.

Should you suffer from one or more symptoms during your period, remove the cup and seek immediate medical advice. Mention TSS and that you are menstruating. This way, the condition can be detected early and effectively treated. Seek medical advice if you have TSS prior to the continued use of cups or tampons.