Diaphragm

A diaphragm is inserted prior to intercourse with 1 teaspoon of spermicidal cream or jelly around the rim and in cup. The diaphragm is inserted through the vagina, covering the cervix. Push the edge of the diaphragm under to symphisis pubis causing a "popping sensation." Correct placement may be checked by touching the cervix with the fingertip through the cup. If more than 2 hours lapse between insertion and intercourse, additional cream should be applied. The diaphragm must be left in place for at least 6 hours to 24 hours after intercourse. Inspect diaphragm periodically for holes or tears.

Effectiveness
  • 90-94% effective, dependent upon application, fit, and insertion
Advantages
  • can be used repeatedly
  • great for women who do not wish to take an oral contraceptive
  • reduces risk of cervical gonorrhea, pelvic inflammatory disease, and tubal infertility
  • inexpensive ($45 per diaphragm at UHS)
Disadvantages
  • must be fitted by a trained professional
  • should be rechecked after childbirth and weight gain/loss of 15 pounds or more.
  • must be inserted prior to sexual intercourse
  • may increase the incidence of toxic shock syndrome
  • not recommended for women who have frequent urinary tract infections, history of toxic shock syndrome, abnormal discharge, or during menstruation.

Barrier Methods of Contraception A link to an excellent faq sheet for more information