Sometimes you may have trouble removing the cup because it is so far inside the vagina that you can't get a hold of the bottom or stem (sometimes this happens during the night). First of all, do not panic! After waking up, wait at least half an hour to allow the cup to settle and then remove.
Breathe deeply, relax your vaginal muscles, and try to grasp the bottom or stem of the cup with your fingers. You can bear down your weight (pushing downward using the same muscles as when making a bowel movement) in order for the cup to move down. Squatting helps open the vagina and bring the cup down to the vaginal opening. The cup can’t get lost in the vagina; it will ultimately slip down by force of gravity. Find a comfortable position that will allow you to remove the cup more easily: try straddling the toilet bowl with the vagina open and legs relaxed. The vagina has a natural curve and the cup is usually above the pubic bone when sitting. Grasp the bottom of the cup tightly with your forefinger and thumb and pinch to release the suction, rock it back and forth, and gently ease it out.