I started using a Keeper yesterday. I'm finding it incredibly difficult to get it out. The directions say to pinch the base to break the suction, but it seems like doing that would require getting my entire hand up in my vagina? So instead I'm grabbing onto the stem and yanking as hard as I can. I've trimmed the stem a little bit, so there's not a lot to hold onto and it's (unsurprisingly) slippery.