The diaphragm is a dome-shaped rubber cup with a flexible rim. It is used to help prevent pregnancy. Before intercourse the diaphragm is filled with a contraceptive cream or jelly and put into the vagina. The contraceptive cream or jelly contains a spermicide, a chemical that kills sperm. The diaphragm covers the cervix, which is the opening into the uterus. The diaphragm and spermicide work together to make a barrier that stops live sperm from reaching the uterus.
There are several sizes and types of diaphragms. They may be made from latex or silicone. You need a measurement and fitting by your healthcare provider to make sure that you get a diaphragm that fits correctly. The largest size that feels comfortable should be used.
Put the diaphragm into your vagina no more than 6 hours before you have sex.
Noncontraceptive lubricants can be used to help with insertion of the diaphragm, but they may lower the ability of the diaphragm to prevent pregnancy. Don’t use petroleum or oil-based lubricants with a diaphragm. They could weaken the material of a latex diaphragm and then the diaphragm might not prevent pregnancy.
If you have intercourse more than 6 hours after you put the diaphragm in your vagina, you will need to insert another dose of spermicide before you have sex.
Leave the diaphragm in place for at least 6 hours after intercourse. Remove it as soon after this as possible. A diaphragm should be removed and washed at least once every 24 hours. Do not douche with the diaphragm in place.
If you have sex more than once after you inserted the diaphragm, you should insert more contraceptive cream or jelly into your vagina before each time. Do not remove the diaphragm to do this. A plastic applicator is sold with the contraceptive cream or jelly. Use this applicator to put more jelly or cream into your vagina, in front of the diaphragm.
To take the diaphragm out, put your index finger in your vagina and hook it under the rim of the diaphragm behind the pelvic bone. Gently pull the diaphragm down and out.
Wash the diaphragm after every time you have sex with mild soap and water. Dry it with a towel and put it in its case. Store the diaphragm in its case away from heat.
Incorrect use of the diaphragm can cause infections. To help prevent infections:
You should get a new diaphragm every 1 to 2 years. You should examine your diaphragm carefully before each use to look for any holes or tears. If there are any holes or tears, use another form of birth control until you get a new one.
Ask your healthcare provider to check your diaphragm fitting:
The benefits of a diaphragm are:
Some of the disadvantages of a diaphragm are:
You should not use a diaphragm if you have ever been diagnosed with toxic shock syndrome. Do not use a latex diaphragm if you have a sensitivity or allergy to latex.
Call your provider right away if you have any of the following symptoms while your diaphragm is in place:
Call during office hours if you have any questions about the use of your diaphragm.