PFAS70/ 100Good
Overall52/ 100Good
Silicone Menstrual Cups

Flex · Menstrual Cups

Silicone Menstrual Cups

Good

Lower-concern product since silicone cups don't require PFAS-prone treatments, but manufacturer silence on sourcing limits full confidence.

Verdict: BuyMedical-grade silicone is chemically stable for internal use; no reported leaching or degradation issues; manufacturer silence on PFAS sourcing is a minor caveat, not a disqualifier.

Flex menstrual cups are silicone, a non-fluorinated polymer with no inherent PFAS risk for the product itself. Menstrual cups lack features that typically drive PFAS use like nonstick coatings, water repellency, or stain resistance. Flex doesn't disclose PFAS testing or manufacturing transparency.

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We flunk more products than we pass. This one earned its grade. How we grade

Material

Medical-grade silicone (body-contact surface)

Brand disclosure

Brand is silent on PFAS

Lab data

No public lab test

What’s concerning

♾️

Category baseline

PFAS exposure happens more often with clothing products.

75/ 100
♾️

No PFAS disclosure

The company has not publicly discussed PFAS in this product.

85/ 100
⚠️

Bacterial or fungal biofilm growth on cup surface

If cups are stored wet or in airtight containers, or not fully dried after cleaning, silicone's smooth surface can accumulate biofilm. This is not a manufacturing defect but a user-maintenance issue; proper boiling and air-drying eliminate risk.

70/ 100

Surface degradation or discoloration over extended use

User reports document yellowing or slight surface roughening after 2-3 years of use, typically linked to heat exposure, soap residue buildup, or mineral deposits from tap water. This is cosmetic and does not indicate chemical breakdown into the vaginal tract; replacement is recommended for hygiene and user confidence.

45/ 100
🏷️

PFAS

Flex does not publicly disclose PFAS testing or supplier audits. Medical-grade silicone itself does not require PFAS-coated manufacturing (unlike non-stick cookware), but fluorinated solvents may be used in polymerization. Manufacturer silence prevents full confidence, but silicone chemistry does not inherently drive PFAS risk as high as other consumer goods.

Source: ATSDR
70/ 100

What’s reassuring

Safe base material

Made from ceramic, mineral, or natural fiber with no PFAS risk.

100/ 100

Silicone monomer leaching (oligomers and low-molecular-weight polymers)

Medical-grade silicone used in Flex cups is cross-linked to minimize monomer release. No documented cases of cyclic or linear oligomer contamination in clinical use of medical-grade menstrual cups; heating to sterilization temperatures (100°C boiling) does not mobilize residual monomers at measurable levels in published silicone biocompatibility literature.

95/ 100

Allergic contact dermatitis or irritation from silicone additives or residual processing c

Medical-grade silicone formulations are tested for skin irritation and sensitization under ISO 10993. No publicly reported cases of contact dermatitis from Flex cups; silicone allergies are rare, and FDA clearance implies skin compatibility testing.

95/ 100

The full breakdown

What it's made of and why it matters

Flex menstrual cups use medical-grade silicone, a synthetic rubber polymer that does not contain BPA, phthalates, or latex. Medical-grade silicone is selected for this category specifically because it resists degradation in warm, acidic environments (vaginal pH 3.8-4.5) and withstands repeated boiling sterilization without leaching. Unlike lower-grade silicone or rubber products, medical-grade formulations are cross-linked to minimize monomer migration.

The brand's record and disclosure

Flex has marketed its cups as FDA-cleared (as a Class II medical device) and does not publicly disclose PFAS testing or sourcing transparency. The company's website emphasizes safety certifications but does not address per- and polyfluoroalkyl substance (PFAS) content or manufacturing controls. No recalls, contamination incidents, or health complaints are documented in FDA databases or independent safety databases for Flex menstrual cups.

How it compares in its category

Medical-grade silicone cups (Flex, Diva Cup, Saalt, etc.) are chemically the safest menstrual product option; they avoid the bacterial growth and absorbency concerns of tampons and pads, and silicone is more chemically inert than thermoplastic elastomers or lower-grade rubbers. Flex's FDA device classification and multi-year market presence without reported adverse events place it in the established, lower-risk tier of this category.

If you buy it

Boil or use a dedicated silicone cup sterilizer between cycles; do not expose to extreme heat (e.g., dishwasher high heat or direct flame), which can degrade the surface over time. Replace every 2 years or if you notice discoloration, roughness, or persistent odor that cleaning does not remove. Store in a breathable cotton pouch, not airtight plastic, to prevent bacterial or mold growth.

What we don’t know

Basis
Model estimate, 72% confidence, not a lab result
Lab test
None on record for this exact product
Brand statement
Flex has made none

Formulations change between production runs, so check the current label. How we grade.

More menstrual cups grades

How we score: every product runs through the same public 0–100 rubric based on materials, coatings, brand disclosure, lab findings, and recalls. See the full methodology → Spotted a mistake? Report an error.