What's wrong with emptying it out? I can see why some women might be squeamish about putting their fingers into their own vagina or worried about infection (although it's really fine, the vagina can cope with clean hands, think what else it has to cope with) but what's wrong with pouring away your menstrual blood?

Also you don't have to reach into your vagina to expand the cup. It pops open by itself. You just fold it and insert. Maybe twizzle the base with fingertips to make sure it has opened properly.

so for me personally i can't stand the idea of pulling it out, emptying it, and shoving it back in without washing it. and there is no way i am doing that in a public rest room. I know a lot of people do it just like that and it's fine, but I have ... OCD issues. Not a germ thing per say but a need to reset thing completely before doing a task. I was the kid who lined up her legos before building. So it's totally a personal hang up... and not anything I would advise anyone else to take stock of.