Can you wear menstrual cups with a tilted cervix? Yes, the cup is designed to sit below the cervix and create a seal with the vaginal walls; no matter how tilted your cervix it has little effect on wearing a menstrual cup.

Be Cervix Aware

One scenario where a tilted cervix can affect your menstrual cup is if you insert past the cervix. If the cervix has more room to one side and the cup can fit at an angle and bypass where your period blood is exiting. If you suspect this is happening to you try to locate your cervix with your finger. When inserting your cup make sure you don’t insert any higher than your cervix.
Related Resource: How to Measure Your Cervix Height
Other Tilted Cervix Issues

If your cervix is tilted and lower it’s more likely that you find getting your cup situated to be an issue. Many users have to wear their cup with the cervix “dipping” into the center with their low cervix height. If yours is tilted you might find the cup sits more angled in your body, or becomes so after hours of wear. If this happens to you and it’s uncomfortable or causes leaks a shorter cup could fix the issue. Low cervix cups are worth considering. Trial and error can be part of the process of finding a good-fitting menstrual cup for everyone.
Menstrual Discs and a Tilted Cervix

A tilted cervix can have a greater impact on the ability to wear a menstrual disc. The disc needs enough space to tuck behind the cervix. If your cervix is tilted towards your back vaginal wall without room for the rim it might be hard or impossible to wear a disc successfully. Some users can “scoop” the rim under and behind the cervix but without the ability to see where things are this is quite difficult. When discs are leaking profusely the likely scenario is that it hasn’t tucked behind the cervix and is instead sitting directly in front of it. This isn’t always because of a tilt, but it’s one scenario to consider.
I’ve been using Flex disposables and SoftCups for years and somewhere along the line I definitely figured out that I have to go up, then back, then down to get it to pop into place. Otherwise the front rim doesn’t really tuck, because it seems like the back of the cup is just pushing against my cervix. The issue I’m having with trying to switch to the Flex reusable is that the rim seems to be too soft for that very precise movement. Since I’m reading that the Flex has the firmest rim of all reusables, I think I might just have to stick to disposables.