since I'd never had one before, my first Diva Cup was uncomfortable. I cut all the nubby thing off, and I never had a problem getting it out - you just have to bear down a bit and quite a bit of it comes out so you just pull on it.

The second cup I got is much better (I cut off most of the nub on it, too). Not sure why, but I often had leak problems with the first one, and never with the second. I guess my first was a dud, but I used it for over 5 years.