Combined with spermicide, it prevents pregnancy by blocking the uterine opening, and by stopping the sperm from moving and fertilizing an egg. The device is a shallow, dome-shaped, rimmed cup that is placed in the vagina to cover the cervix. Used correctly, it can be 94 percent effective in preventing unintended pregnancy. A diaphragm, or cap, is a reusable, dome-shaped cup that fits over the cervix.
It is made from latex or silicone. It is used with spermicide, a cream or gel that prevents the sperm from successfully fertilizing an egg. There are several types. The arching spring diaphragm is the most common type. It has a firm rim it is easier to insert. It is suitable for women with poor vaginal muscle tone.
The coil spring diaphragm has a soft, flexible rim. It is suitable for a woman who has average vaginal muscle tone. The flat spring diaphragm has a thin, flexible rim. It works best for women who have strong vaginal muscle tone.
The wide seal rim diaphragm is a silicone ring that is useful for women who are allergic or sensitive to latex. It is available in arching spring or coil spring shapes. Different sizes are available, but the standard size is 75 millimeters mm across. To get a good fit, your health care provider will carry out a physical examination. A healthcare provider will normally explain how to use a diaphragm correctly. They can teach the user if there is difficulty inserting or removing the diaphragm.
An inserter device may help. If it is not correctly positioned, you may have to remove it and start again, remembering to reapply the spermicide. The diaphragm can be put in place around 1 hour before having sex, and it should remain in place for at least 6 hours after intercourse. It must not be left in the vagina for more than 24 hours. It should be replaced about every 2 years.
You will need a new one if you have a baby, have pelvic surgery, or gain or lose more than 15 pounds. The large range leaves room for misuse. Diaphragms do not protect you from sexually transmitted diseases STDs.
They also can cause urinary tract infections UTIs. American Family Physician: Diaphragm Fitting. Last Updated: July 27, This information provides a general overview and may not apply to everyone. Talk to your family doctor to find out if this information applies to you and to get more information on this subject.
Emergency contraception is a method of preventing pregnancy if used within a short period of time after having sex. Depo-Provera is a form of birth control.
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Birth Control Options. Intrauterine Device IUD. Emergency Contraception. Get your diaphragm ready Before you insert your diaphragm, you should apply spermicide to it. Insert your diaphragm You can insert your diaphragm from several positions. Hold your vagina open with your other hand. Put the diaphragm into your vagina and aim for your tailbone.
Push the diaphragm as far back into your vagina as you can. Use one finger to push the front rim of the diaphragm up behind your pubic bone. Aim for your belly button. Check the placement of your diaphragm With your finger, feel for your cervix through the dome of the diaphragm. Use your diaphragm You must use your diaphragm correctly each time you have sex.
After you have sex You need to apply more spermicide if you have sex more than once. Take care of your diaphragm Wash your diaphragm with mild soap and water after each use.
Things to consider Once a year, your doctor should check the fit of your diaphragm. When to see your doctor Call your doctor if you have any of the following problems: Vaginal pain. Besides sterilization, IUDs and the birth control implant are as effective as you can get, with less than a 1 percent failure rate after insertion.
Rogers agrees that if getting pregnant right now would be the worst thing in the world, a diaphragm may not be for you, at least not by itself. You can also use a diaphragm in conjunction with the pull-out method , although that has faults of its own. But if that spermicidal jelly contains the ingredient nonoxynol-9, it can irritate the vagina, leading to microtears that may make STD transmission more likely.
And speaking of irritation, diaphragms have also been linked with frequent urinary tract infections in some women, which may be caused by an improper fit. And no matter what, if you two haven't been tested, aren't monogamous, or are otherwise at risk of sexually transmitted diseases , you should be using condoms anyway—diaphragms don't protect against STDs.
SELF does not provide medical advice, diagnosis, or treatment. Any information published on this website or by this brand is not intended as a substitute for medical advice, and you should not take any action before consulting with a healthcare professional.
First, a primer on what diaphragms even are. Got it? Here are the pros of using a diaphragm. She has spent her career as a reporter and editor covering people's lives with a focus on wellness.
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