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| Basic Information |
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| Description |
- The goal of contraception (or birth control) is to prevent an
unplanned pregnancy. The majority of methods of contraception enable
sexually active couples to temporarily avoid pregnancy. Permanent
birth control is accomplished through sterilization. Be sure you
know and understand the different types of birth control available
to you, the risks and benefits of each, and any side effects, so
that you can make an informed choice.
- The diaphragm is made of soft rubber in the shape of a shallow
cup or dome, with a flexible metal spring rim. It is considered
a barrier method of birth control because it provides a mechanical
barrier to sperm transport. A diaphragm is inserted into the vagina
and fits over the cervix behind the pubic bone. It must be used
with a spermicidal cream or jelly to inactivate any sperm that may
happen to move around the rim.
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| Advantages |
- It is generally effective for birth control (82-94%). Proper
and consistent usage increases the effectiveness.
- Easily transported.
- May be used only when needed.
- Does not involve the hormones, used in some other forms of birth
control, that can have side effects.
- May be left in place up to 24 hours following intercourse.
- Low cost and long wearing (should last about 2 years with proper
care).
- Offers some protection against sexually transmitted diseases
(STDs).
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| Disadvantages |
- Not 100% effective for birth control.
- Must be prescribed and fitted by a health care provider.
- Putting in the diaphragm may be awkward at first. It does become
quicker and easier with time.
- Must be used simultaneously with a spermicide. The discharge
from the cream or jelly can be a nuisance.
- May develop undetectable flaws.
- May become dislodged during intercourse.
- May contribute to urinary tract infections.
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| Treatment/Post Procedure Care |
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| General Measures |
Instructions for use
- Be carefully fitted for the diaphragm by a competent health care
provider. The diaphragm comes in various sizes to accommodate the
majority of women.
- Repeat the fitting every two years or after childbirth, miscarriage,
abortion, any surgical operation involving the female genitals,
or weight gain or loss of 12 or more pounds.
- The diaphragm can be inserted up to six hours before intercourse.
- Leave the diaphragm in place at least six hours after intercourse.
You may leave it in for up to 24 hours if you choose.
- 1) To insert:
- Before insertion, place 1 teaspoonful to one tablespoonful
of spermicide cream or jelly into the shallow cup.
- Never use a petroleum lubricant.
- Crouch, squat, lie down, or stand with one foot propped on
a chair. Squeeze the diaphragm, dome down, into a long narrow
shape with one hand while holding the lips of the vagina open
with the other.
- Slide the diaphragm deeply into the vagina until the lower
part of the rim passes the cervix.
- Push the front rim under the pubic bone, making sure the cervix
is encircled. Feel your cervix through the diaphragm (it feels
firm, similar in shape to the tip of your nose). When it is
properly in place, you should not feel the diaphragm at all.
- Don't douche while the diaphragm is in place.
- 2) To remove:
- Wait at least six hours after intercourse. (Do not leave
it in place past this initial time period if you are menstruating.)
- Choose a comfortable position. Carefully force the diaphragm
out by pulling on the lower rim. Avoid puncturing the diaphragm
with a fingernail.
- Wash the diaphragm with mild unscented soap and water. Dust
it with com starch if desired; never use a talcum powder.
- Hold up to the light after each removal to check for holes.
If any defects are found, call the doctor for advice.
- Store in a dry place in its container. Note: Follow the special
written instructions that come with the diaphragm if they differ
from those discussed in this instruction sheet.
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| Medication |
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No restrictions.
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| Notify Your Healthcare Provider If |
- You are interested in a diaphragm for contraception.
- You find defects in a diaphragm you are using.
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