It took me a little while to get used to my Mooncup but I wouldn't be without it now. The first time I tried to get it out I had a near-panic because I just didn't seem to be able to get a grip on it (I've always found the stem completely pointless as it's too slippery to grab) but I worked out that it's OK if you consciously relax and bear down as if doing a poo, then grab & squeeze the bottom of the cup itself. Since my periods came back after giving birth I've found that it sits very low, even with the entire stem removed, but turning the cup inside out has completely eliminated the problem (although I guess it must have reduced the capacity a bit). I do get very slight leakage but as long as I wear dark underwear it's not a problem!