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Diaphragm

The diaphragm is a latex rubber dome with a firm, flexible rim. It covers the cervix and holds a spermicidal jelly or cream against it. The diaphragm is available by prescription only. A clinician will need to measure your cervix to prescribe the correct size.

Effectiveness

• 84-94%
• 67% among college age women

Advantages

• There are virtually no health risks associated with using the diaphragm.
• The diaphragm causes no physical, chemical or hormonal changes in a woman's body.

Problems

• It is possible to have an allergic reaction to the rubber or spermicide.
• Using the diaphragm (especially if left in too long) may contribute to vaginal infections, bladder or urinary tract infection.
• Using the diaphragm (especially if left in too long) slightly increases the risk of Toxic Shock Syndrome.
• The diaphragm may be felt during intercourse.

How to use the diaphragm correctly

1. It must be used every time you have intercourse.
2. Before using, check for holes by holding the diaphragm up to a light.
3. Spread at least a teaspoon of spermicide inside the dome and along the rim.
4. Insert diaphragm before sexual contact occurs. The diaphragm can be inserted up to 6 hours in advance so that it does not interrupt sexual activity. To insert, pinch the sides together and push it down and back into the vagina. Make sure you feel your cervix through the rubber dome. The rim should fit comfortably around the cervix. If it feels uncomfortable, remove it and try again.
   IMPORTANT: If you have intercourse more than once, do not remove the diaphragm. Use a condom for additional protection because spermicide should not be used more than once each 24 hours.
5. The diaphragm must stay in place at least 6 hours after the last act of vaginal sex.
6. To remove the diaphragm, hook your finger behind the rim and pull the diaphragm down and out. Wash the diaphragm with mild soap and water, dry it and place it in its container.
7. If you have any problems, see your clinician. Be sure to have your diaphragm checked at your annual checkup, if you gain or lose more than ten pounds, if you become pregnant, or if you have a baby.