Just used for the first time, found it easy to insert, but took a bit of practice to remove. But I was really surprised on how good it worked, especially for a first time user. I usually have a heavy flow and have to change tampons frequently, but found I did not need to remove the cup (minimum time 6hrs and maximum time of 11hrs) to even go to the toilet. Also had no problems sleeping with the cup in with no leakage. Definitely converted to using the cup permanently.