Patrick C

You have to manually add them to a menu entry or toolbar icon; or assign a shortcut.

By default User Menu 1 is assigned to ctrl+k :

As far as I understand (and the way I use them) is that the user menus will appear at the cursor location, similar to right clicking, but with different menu options.

To assign a shortcut / button / menu entry to a user menu, you will find them under
Category: Tools
Commands: User Menu (x)

PS Let me know if you need further detail