The diaphragm can be inserted into the vagina at the time of intercourse or up to 2 hours before intercourse. After intercourse, the diaphragm must be left in place for at least 6 hours.
After intercourse, the diaphragm must be left in place for at least 6 hours. Using it longer than 24 hours is not recommended because of the very rare but possible risk of toxic shock syndrome. The diaphragm is fitted by a healthcare provider. Insertion and removal instructions are given at the time of fitting.
It works by 1) blocking the opening to the uterus and 2) holding spermicide that may destroy sperms' cell membranes. The diaphragm can be inserted into the vagina at the time of intercourse or up to 2 hours before intercourse. After intercourse, the diaphragm must be left in place for at least 6 hours.
A diaphragm may be inserted up to six hours before intercourse and must be used at each coitus to prevent pregnancy. The woman should urinate and wash her hands before inserting the diaphragm. A limited amount of spermicide should then be placed in the cup and around the edge of the device.
The diaphragm can be put in up to 2 hours before having sex, and must be left in place at least 6 hours after sex. The diaphragm should not stay in longer than 24 hours. More spermicide must be used each time a young woman has sex while wearing the diaphragm.
Spread more spermicide along the rim of the diaphragm. Insert the diaphragm into the vagina just before, but not longer than six hours before, sexual intercourse. Also, insert another applicatorful before each time you have sexual intercourse or if six hours have passed since you inserted the diaphragm.
Proper diaphragm use Tuck the forward rim of the diaphragm up behind the bone that forms the front of the pelvis (pubic bone) and the back rim up behind the cervix. The spermicide inside the diaphragm will be held against the cervix. Insert the diaphragm no more than 6 hours before having sexual intercourse.
Often called the morning-after pill, emergency contraceptive pills (ECPs) are pills that can be taken up to 120 hours (5 days) after having unprotected sex. Some types of emergency contraception work best when taken within 72 hours (3 days) after intercourse.
You should be able to feel your cervix through the dome of the diaphragm. It may feel like a soft lump or even like the tip of your nose. A diaphragm that's placed correctly should fit snugly above your pubic bone and shouldn't cause irritation. After you've inserted the diaphragm, apply spermicide inside your vagina.
Insert a finger into the vagina until the rim of the diaphragm is felt. Gently slide a finger under the rim and pull the diaphragm down and out. Use care not to tear the diaphragm with a fingernail. Wash the diaphragm with mild soap and clean water and dry it after each use.
Check your diaphragm often for holes, tears, or leaks. To do this, fill the dome with water and look for damage. If you find any, do not use the diaphragm again. Get a new one from your doctor.
More questions from patients: How effective is a diaphragm if you use it with spermicide? A diaphragm is 88% effective when you use it with spermicide (a cream or gel that kills sperm). So it's really important to use a diaphragm with spermicide — every time you have sex.
Disadvantages to the use of a diaphragm include: Diaphragm may need to be intermittently refitted. You may need to be refitted for a new diaphragm after a full term pregnancy, abdominal or pelvic surgery, miscarriage, abortion after 14 weeks or a weight change of 20%. Diaphragms should be replaced every 1 to 2 years.
Results. The trial found no significant differences in pregnancy or discontinuation rates between the two arms. The 12 month cumulative pregnancy rate per 100 women for typical use for diaphragm-without-spermicide was 28.6 (95% CI, 17.4–39.8) and diaphragm-with-spermicide was 21.2 (95% CI, 11.0–31.4).
Insertion and removal instructions are given at the time of fitting. With proper care, diaphragms can ideally last up to two years.
Vaginal spermicides are creams, foams, gels, or suppositories containing chemicals that prevent sperm motility. They can be used alone, but for highest protection against pre gnancy spermicide should always be used alongside the cervical cap and diaphragm.
Use your finger to tuck the edge of the rim behind the pubic bone, and make sure the diaphragm lays snugly against the cervix. After insertion, you should not be able to feel the device. If the fit feels uncomfortable, remove the diaphragm, and repeat the insertion process. If it continues to be uncomfortable contact your doctor about size adjustment and refitting.
The diaphragm, a shallow silicone cap is a barrier method of birth control for females. Inserted deep within the vagina, the diaphragm creates a seal against the cervix to prevent sperm from entering the uterus. Spermicidal cream or jelly is applied onto the diaphragm before insertion to immobilize and kill sperm before they enter the uterus. Once professionally fitted by a healthcare provider, the diaphragm may be used repeatedly. The diaphragm should be checked annually during a gynecological exam and replaced every two years or when there are/or any signs of damage.
Spermicidal cream or jelly is applied onto the diaphragm before insertion to immobilize and kill sperm before they enter the uterus. Once professionally fitted by a healthcare provider, the diaphragm may be used repeatedly.
Find a comfortable position for insertion. You could squat, lie on your back, or stand with one foot propped up onto something. Pinch the rim of the diaphragm between your thumb and fingers. Be sure not to squeeze out any of the spermicidal cream or jelly.
Barrier Methods. Diaphragm or cervical cap —Each of these barrier methods are placed inside the vagina to cover the cervix to block sperm. The diaphragm is shaped like a shallow cup. The cer vical cap is a thimble-shaped cup.
It releases a small amount of progestin each day to keep you from getting pregnant. The LNG IUD stays in your uterus for up to 3 to 6 years, depending on the device.
Hormonal vaginal contraceptive ring —The ring releases the hormones progestin and estrogen. You place the ring inside your vagina. You wear the ring for three weeks, take it out for the week you have your period, and then put in a new ring. Typical use failure rate: 7%. 1.
Injection or “shot” —Women get shots of the hormone progestin in the buttocks or arm every three months from their doctor. Typical use failure rate: 4%. 1. Combined oral contraceptives —Also called “the pill,” combined oral contraceptives contain the hormones estrogen and progestin. It is prescribed by a doctor.
The sponge works for up to 24 hours, and must be left in the vagina for at least 6 hours after the last act of intercourse, at which time it is removed and discarded. Typical use failure rate: 14% for women who have never had a baby and 27% for women who have had a baby. 1.
For women who have recently had a baby and are breastfeeding, the Lactational Amenorrhea Method (LAM) can be used as birth control when three conditions are met: 1) amenorrhea (not having any menstrual periods after delivering a baby), 2) fully or nearly fully breastfeeding, and 3) less than 6 months after delivering a baby. LAM is a temporary method of birth control, and another birth control method must be used when any of the three conditions are not met.
Voluntary informed choice of contraceptive methods is an essential guiding principle, and contraceptive counseling, when applicable, might be an important contributor to the successful use of contraceptive methods.
Insertion and removal instructions are given at the time of fitting. With proper care, diaphragms can ideally last up to two years.
Vaginal spermicides are creams, foams, gels, or suppositories containing chemicals that prevent sperm motility. They can be used alone, but for highest protection against pre gnancy spermicide should always be used alongside the cervical cap and diaphragm.