What is a diaphragm ?

 
A diaphragm is a thin , rubber dome shaped cup with a flexible rim. It is made of silicone. This birth control is placed in the vagina. When in place , it covers the cervix in order to prevent sperms from entering the uterus. It is a barrier method of birth control. You should note that diaphragms do not protect against sexually transmitted diseases . You need to use a condom to protect yourself against STDs.
 

 

How does the diaphragm work ?

 
This type of birth control works by blocking most sperms from entering the uterus. In order to make it as effective as possible, spermicides are added to kill the sperms that may get around the barrier.

 

How effective is the diaphragm ?

 
The diaphragm is most effective when used correctly. The failure rate is about 5% when used correctly.

 

You can take these precautions to increase the effectiveness of the diaphragm

• before you have intercourse each time, make sure the diaphragm covers the cervix
• make sure the  spermicide is used as directed

 
The effectiveness can also be increased if your partner uses a condom and pulls out each time before he ejaculates.

 

What are the advantages of the diaphragm ?

 
Some of the advantages of the diaphragm include the following :

• it is safe, simple and convenient to use
• it can be used during breastfeeding
• it is reusable and fairly inexpensive
• it can be carried in the purse or pocket
• it has no impact on the woman’s natural hormones
• it is immediately effective and reversible
• it usually cannot be felt by you or your partner
• it can be inserted hours before intercourse therefore there is no interruption to foreplay

 

What are the disadvantages of the diaphragm ?

 
Some of the disadvantages of the diaphragm include the following :

• it may be difficult for some women to insert
• a prescription is required
• it must be placed anytime a woman has vaginal intercourse
• it may be  pushed out  of  place  due to heavy thrusting, certain sexual positions and some penis size
• it may need to be refitted

 

What are the side effects of the diaphragm ?

 
The most common side effect is irritation of the vagina. This may be due to sensitivity to the spermicide or silicone. You can try switching the  brand to a different spermicide.  Some others have reported side effects such as urinary tract infections. To prevent this infection, urinate before inserting the diaphragm and after intercourse.

 

How long do I leave the diaphragm in ?

 
The diaphragm has to stay in place for 6 hours after your last vaginal intercourse . If you have intercourse again or more than 6 hours after you put the diaphragm in,  leave it in place and insert more spermicides deep into your vagina. The diaphragm should not be left in place for more than 24 hours.

 

How do you care for a diaphragm ?

 
With good care, the diaphragm may last about 2 years. Take these steps to care for your diaphragm.

• after you remove it , wash it with  soap and warm water
• allow it to air dry
• do not use oil based lubricants such as Vaseline. They can damage the silicone
• do not use powders on the diaphragm to reduce your risk of infection

 
You should examine the diaphragm regularly to look for holes. This can be done by filling it with water and looking out for leaks . You can also hold it up against light. If the light shines through, it means there are holes.

 

Contact your health care provider for a replacement if there are holes, cracks or wrinkles on your diaphragm.
 
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