Menstrual cups have been reported to be an acceptable
substitute for tampons. These flexible cups have also been reported to provide
a sustainable solution to menstrual management, with modest cost savings and no
significant health risk.
The present article documents the first case of
toxic shock syndrome associated with the use of a menstrual cup in a woman 37
years of age, using a menstrual cup for the first time. Toxic shock syndrome
and the literature on menstrual cups is reviewed and a possible mechanism for
the development of toxic shock syndrome in the patient is described.
Below: The DivaCup (Diva International Inc, USA) (a brand of menstrual cup)
By: Michael A Mitchell, MD,1 Steve Bisch, MD,2 Shannon Arntfield, MD FRCSC,2 and Seyed M Hosseini-Moghaddam, MD MPH FRCPC1
1Department of Medicine;
2Department of Obstetrics and Gynecology, Western University, London, Ontario, Canada
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