Diaphragm
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A diaphragm is a soft silicone “cup” inserted into the vagina before sex.
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The diaphragm covers the cervix (the opening to the uterus) and prevents sperm from entering. The diaphragm is most effective when used with Spermicide. (link to spermicide)
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Fitted diaphragms can be obtained from your doctor with a prescription. “One size” diaphragms can be purchased at a pharmacy without a prescription. They cost up to $15-$75.
Removing the diaphragm
It must stay in for at least 6 hours after sex. Don’t keep it in for more than 24 hours.
Wash your hands with soap and water for at least 20 seconds.
Hook your finger under the rim and gently pull the diaphragm down and out to avoid damaging it.
After each use, wash your diaphragm with mild, unscented soap and warm water. Rinse and dry it completely.
Store it in a cool, dry place.
How to use it
Inserting the diaphragm
Check the diaphragm for holes, cracks and tears by holding it up to the light. Check the expiry on the gel.
Empty your bladder before you put your diaphragm in to prevent a bladder infection.
Wash your hands with soap and water for at least 20 seconds.
Put spermicidal or acid buffering gel inside the diaphragm. The gel needs to be on the side of the diaphragm that will be right next to the cervix.
Put your diaphragm in up to 2 hours before you have sex.
Lie down, squat, or raise one leg on a chair or toilet.
Squeeze the rim together and push the diaphragm into the vagina, as far as it will go towards the backbone.
When the diaphragm is most of the way in, let go of it and tuck the front edge of the diaphragm up behind the pubic bone.
Make sure you can find your cervix (it feels like the tip of your nose) through the diaphragm.
If your diaphragm is in the right place, you should not feel it. If it isn’t comfortable, it’s likely not in the right place. Take it out and try again.