The diaphragm is a contraceptive device commonly used by women to prevent pregnancy. The diaphragm is shaped like a shallow bowl that is soft and flexible, and is made of latex or silicone. The main function of this tool is to prevent the meeting of sperm and egg cells. However, the use of a diaphragm alone is not sufficient to prevent pregnancy, so it must be used in conjunction with a spermicide cream or gel. When used properly, the diaphragm success rate is up to 95%.
Step
Part 1 of 3: Inserting the Diaphragm Correctly
Step 1. Wash your hands
Make sure your hands are clean before touching and handling the diaphragm. There are bacteria on your hands, and washing your hands before inserting the diaphragm can keep your vagina clean.
- Wash hands with warm water and soap. Be sure to dry your hands before touching the diaphragm.
- You can also rinse the diaphragm if needed.
- You should urinate before washing your hands if necessary.
Step 2. Check the diaphragm before use
Always check the diaphragm before use to make sure there are no holes or tears.
- Lift the diaphragm toward the lamp so you can see all of it clearly.
- Gently stretch the entire edge of the diaphragm. That way, you can make sure there are no holes or tears in the parts.
- You can also check for holes or tears by pouring water into the diaphragm. There should be no water that can flow out. If there is water flowing out, do not use this diaphragm and use other means of contraception.
Step 3. Pour the spermicide cream into the diaphragm
Do not forget to pour spermicide gel or cream before inserting the diaphragm, or the device will be less effective.
- Pour at least a teaspoon of spermicide cream into the diaphragm bowl. Smooth the spermicide over the edges and inside of the bowl with your finger.
- Always follow the directions on the spermicide packaging, as different products have slightly different guidelines.
Step 4. Find a comfortable position to insert the diaphragm
You can insert your diaphragm while lifting one leg into a chair, lying on your back, or squatting down. Try different positions until you find the one that suits you best.
- Once you've found a comfortable position, locate your cervix (the opening that leads to your uterus).
- You can find the location of the cervix at the end of the vaginal opening. This is where the diaphragm will be inserted.
Step 5. Insert the diaphragm at least 6 hours before sexual intercourse
Press the diaphragm with your index finger and thumb so that the inside of the bowl (and the spermicide in it) is pointing toward the vagina.
- Open the lips of the vulva and push the diaphragm into the vagina until it reaches the cervix.
- Make sure that the edge of the diaphragm is placed just below the pubic bone so that it can cover the entire cervix.
- If your diaphragm feels loose, it's probably not the right size for you. Consult a doctor if you think you need a different size.
Step 6. Wash hands after the diaphragm is attached
Wash your hands to remove body fluids and spermicide. You should always wash your hands before and after inserting and removing the diaphragm.
Step 7. Add more spermicide (if needed)
If you are going to have sex again a few hours after your first intercourse, you can add spermicide cream without removing the diaphragm first.
- You should also add spermicide if you have your diaphragm in place hours before sexual intercourse.
- Most spermicide products are sold in tapered tube packaging. You just need to insert the end of the tube as far as you can, as long as it's still comfortable, until it reaches the cervix. Then, press the tube to insert a tablespoon of spermicide cream into the vagina before sexual intercourse.
Part 2 of 3: Caring for and Removing the Diaphragm
Step 1. Wash your hands
Always wash your hands before and after inserting and removing the diaphragm.
Good hygiene will make the diaphragm last longer and prevent vaginal infections
Step 2. Wait at least 6 hours after sexual intercourse before removing the diaphragm
Do not immediately remove the diaphragm after sexual intercourse, because it can lead to an unplanned pregnancy.
You should not leave the diaphragm on for more than 24 hours. This is unhygienic and can lead to serious complications such as toxic shock syndrome
Step 3. Find and remove the diaphragm
Insert a finger into the vagina and locate the upper edge of the diaphragm. Close your finger tightly to the upper edge of the diaphragm and release the suction.
- Pull the diaphragm out with your finger.
- Be careful that the diaphragm does not hit the hole in your fingernail.
Step 4. Wash the diaphragm with warm water and mild soap
Always wash the diaphragm after use to rid it of body fluids and spermicide.
- Do not use harsh soaps or soaps that contain fragrances as they can loosen the rubber diaphragm.
- After washing it, let the diaphragm dry by itself. Do not use a towel to dry the diaphragm as this may tear it.
- If you wish, sprinkle cornstarch around the diaphragm. However, remember to rinse the diaphragm before reuse.
- Avoid using products such as baby powder, body or face powder, Vaseline, or hand cream. These products can damage the rubber diaphragm.
Step 5. Store the diaphragm in a container in a dry and cool place
With proper care, diaphragms can be used for up to 2 years. This includes storing them in containers and keeping them away from exposure to heat or humidity.
Avoid the diaphragm from direct sunlight, because it can heat the rubber and degrade the quality of the diaphragm
Step 6. Replace the diaphragm after 1-2 years or as directed by your doctor
If the diaphragm is torn or damaged before the end of its useful life, contact a doctor and have it replaced.
- Do not use the diaphragm if it appears damaged.
- In addition, if you doubt the quality of the diaphragm, it is better not to use it.
Part 3 of 3: Choosing the Right Diaphragm
Step 1. Determine the correct diaphragm
Determining the right type of diaphragm is important. Currently, there are three types of diaphragms that you can choose from.
- Arching spring diaphragm: this is the most common type of diaphragm and is the easiest to insert. This diaphragm has two points that form a curve so that it is easy to insert.
- Coil spring diaphragm: This diaphragm has soft edges that are flexible, but do not bend when pressed. Women with weaker vaginal muscles can take advantage of this diaphragm. This type of diaphragm is equipped with an insertion tool.
- Flat spring diaphragm: this tool is similar to coil spring diaphragm, but the edges are thinner and softer. You can also insert this diaphragm with the help of a tool. This option is more suitable for women whose vaginal muscles are stronger.
- The diaphragm is made of silicone or latex. Silicone diaphragms are harder to find and must be ordered from the manufacturer.
- Warning: if you are allergic to latex, use a silicone diaphragm instead. Seek immediate medical attention if you have an allergic reaction (rash, itching, redness, restlessness, trouble breathing, or loss of consciousness).
Step 2. Determine the right size
The correct size of the diaphragm is very important to ensure its effectiveness. A loose diaphragm can detach during sexual intercourse and lead to pregnancy.
- Use the measuring ring to determine the correct flat diaphragm size. You can order this ring from a diaphragm manufacturer.
- You can also ask your doctor for help to determine the right diaphragm size. This is especially useful when you are going to use the diaphragm for the first time.
- If you make an appointment with your doctor, this procedure will take about 10-20 minutes, and you may feel a little uncomfortable during the diaphragm measurement.
- Once you know the correct size of your diaphragm, your doctor will also teach you how to insert your own diaphragm.
- You may have to adjust the size of your diaphragm after weight loss or gain, childbirth, and/or miscarriage.
Step 3. Know when it is safe to use the diaphragm
There are certain medical conditions that do not support the use of this form of contraception, so you should share your medical history with your doctor (such as allergies, and uterine or pelvic disorders) that may affect your body's suitability for using the diaphragm.
If your health condition does not support the use of this contraceptive, there are other options. Consult with your doctor to find out other contraceptives that are suitable for you
Step 4. Know the advantages and disadvantages of using a diaphragm
In terms of contraception, there are various choices of tools that you can choose from. Knowing the advantages and disadvantages of using a diaphragm is very important so that it allows you to choose the right contraceptive method.
- Unlike hormonal contraceptives, diaphragms do not pose any hormonal side effects or risks.
- The diaphragm does not interfere with sexual intercourse and can be inserted several hours earlier.
- You can control your use of contraception yourself.
- The process of inserting the diaphragm may be uncomfortable for some women who are reluctant to touch their genitals.
- The detachment of the diaphragm during sexual intercourse can lead to an unplanned pregnancy.
- The diaphragm does not protect you from sexually transmitted diseases.
- Women who use a diaphragm are at a higher risk of urinary tract infections (UTIs). Note: UTIs can be easily treated with medication. However, seek medical attention if you are suffering from a UTI or recurrent UTI.
- Urethritis (urethritis infection) and recurrent cystitis (bladder infection) can be caused by pressure of the rim of the diaphragm against the urethra.
- The diaphragm increases the risk of toxic shock syndrome, especially if used incorrectly. To prevent toxic shock syndrome, practice good hygiene before inserting or removing the diaphragm, and do not leave the diaphragm in the cervix for more than 8 hours after sexual intercourse.
Tips
- During the examination by the doctor, ask for guidance on how to use this contraceptive.
- The correct size is very important, as the diaphragm can detach during intercourse, and lead to pregnancy.
- Be sure to always use the diaphragm with spermicide cream or gel.
- Be sure to check for holes or tears in the diaphragm by pouring water into it, watching it in the light of a lamp, or by gently tugging at the edges.
- If you are going to have sex again, or have sex a few hours after you insert the diaphragm, add more spermicide without removing the diaphragm first.
- Do not use harsh soaps or soaps containing fragrances when cleaning the diaphragm, as these can soften the rubber.
Warning
- Do not leave the diaphragm in the cervix for more than 24 hours. This is unhygienic and can lead to complications such as infection.
- Some diaphragms are made of latex. If you are allergic to latex, do not use this type of diaphragm. Seek immediate medical attention if you develop a rash, itching, redness, restlessness, difficulty breathing, or loss of consciousness.
