CarrieA, where do you buy the keeper? Do you need a perscription from your doctor, or can you get it in the drugstore? (I am in Alberta too).Can you have sex with it in? Is it the same kind of thing as the instead cup?I switch between OB tampons, pads and the instead cup depending on what my daily activities are looking like. For work I use the instead cup, or tampons, but if I'm just at home I use pads. I've never really thought about the possibility of my cramps being worse from tampons, though I suppose it is possible.