I use either OB tampons with no applicator or a Keeper, not both at the same time or anything. It depends on what situation I'm going to be in - if I can't have privacy to deal with my Keeper, and if I'm not sure that I'll be able to clean it well, I use tampons. Or if I'm just lazy, because the Keeper's very hard to remove for me, and slightly painful. (Not suction-painful, just too much pressure in the outer area of the vagina) I use the Keeper a lot when my flow's just starting or ending, or when I'm in a "blood is cool" mood.