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Thank you for your enquiry. The Mooncup is actually surpisingly un-messy to use. Yes, when you insert it it's the same as inserting a tampon with regard to the amount of blood you come in contact with. When you remove the Mooncup the outside of it is relatively clean, with the vast majority of the blood collected inside of it. It stays upright (and is rarely full anyway) until you tip it up to empty it down the loo. Then you simply rinse, or wipe, befor re-inserting. You will see your blood, but you will not have much actual contact with it. Many women find that once they get used to it, seeing your blood is actually a very good way of being in touch with your body and can lead to a greater sense of acceptance and well-being during menstruation! It's really not horrible, it's just different at first. Let me know if you have any further questions at all.