I LOVE my pixie cup! I had always been put off by something collecting blood in a cup in my body, but it honestly is not gross at all. It's definitely difficult to get out your first time, but I found that if you stand with one leg elevated on a sink or counter that is the easiest way to do it. And you'll get the hang of it quickly. This thing is incredibly comfortable. Once you're able to get it into the correct position, you can't even feel it. And you can leave it in for 12 hours - how cool is that! I really love this cup, thrilled I bought it, thrilled I will never have to buy tampons again, and would highly recommend to any menstruating woman. It's safer, more environmentally friendly, and more cost effective. This worked perfectly for me and it was less than half of the price of competing brands. And they give one to a woman in need. I have already recommended this brand to several of my friends and will continue to support them. -Anna W