Like Ilan said, I use a cup. I think they are really great, but of course if you're squeamish about touching down there, it might not be for you. But ever since using a cup, I notice I'm bleeding 2.5 times less than I used to, and I experience no more back pain (I never experienced cramps or PMS so that was never a problem for me). Cups have literally changed my life and made periods much more managable, it's like I don't even have a period anymore.