Head to head

Menstrual cup vs tampons

One is medical-grade silicone you reuse for years. The other is plastic-containing single-use, roughly 11,000 times a lifetime.

Over a menstruating lifetime a person uses on the order of 5,000 to 15,000 disposable period products, most containing plastic: tampon applicators and strings, and pads that can be up to 90% plastic by weight. That is a large volume of single-use plastic in the most intimate contact possible.

A menstrual cup or disc replaces almost all of it with one reusable piece of medical-grade silicone that lasts up to ten years. There is a short learning curve, and it is genuinely worth reading the product notes on fit, but for cost, waste and plastic contact it is not close.

 Tampons and padsSingle-use, plastic-containingMenstrual cup or discReusable silicone, up to 10 years
Plastic contentApplicators, strings and pad layers are plasticMedical-grade silicone, no plastic
ReuseSingle use, then binnedReused for up to 10 years
Wear time before changing4-8 hoursUp to 12 hours
Cost per yearRecurring, every cycleOne purchase amortised over years
WasteThousands of items over a lifetimeOne cup, occasionally replaced
Learning curveNoneA cycle or two to get insertion and fit right

The verdict

For plastic, cost and waste the cup or disc wins clearly, and most people who push through the first cycle or two do not go back. Keep organic-cotton pads or period underwear as plastic-free backup for the very start, and choose between a cup and a disc on fit: discs sit higher and many find them less noticeable.

The plastic-free picks

Common questions

Are menstrual cups safe?
Cups are medical-grade silicone with decades of use behind them. Follow the cleaning and sterilising routine on the product page, and a single cup lasts up to ten years. Toxic shock is rare and the same basic precautions apply as with tampons.
Cup or disc: what is the difference?
A cup sits lower and seals against the vaginal walls; a disc sits higher behind the pubic bone. Many people find discs less noticeable and usable during sex. Fit is personal, so it is worth reading both product pages.
How much plastic is in a tampon or pad?
Tampons commonly have plastic applicators and strings, and studies put conventional pads as high as 90% plastic by weight across the top sheet, core and backing. Over a lifetime that is thousands of single-use plastic items a cup can replace.

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