Diaphragm
What is a
diaphragm?
A diaphragm is a latex disc a woman places
into her vagina. It should be left in the vagina at least 6 hours but no more than 24 hours after intercourse. The diaphragm blocks a man's semen from entering
the cervix (the opening to the womb). A
spermicide placed onto the diaphragm kills sperm. A diaphragm and the spermicide
keep sperm from getting to the egg. Among typical couples who initiate use
of the diaphragm, about 16 percent of women will experience an accidental pregnancy
in the first year. If the diaphragm is used consistently and correctly, about
6 percent of women will experience pregnancy. Use condoms as
well as the diaphragm for the most effective protection. Complete information
about this contraceptive is available through a family planning association
or clinician or through the package insert accompanying a diaphragm.
What
are the advantages of choosing a diaphragm?
- A diaphragm
gives a woman fairly good control over contraception.
- When
used perfectly, only six women in 100 become pregnant
the first year using a diaphragm.
- It
can be put in up to several hours in advance of sexual
intercourse.
- Diaphragms
are safe; there are no hormones and no side effects
from hormones.
- The
penis can remain inside the vagina after ejaculation.
What are the
disadvantages?
- A diaphragm does not provide adequate protection from HIV. Use condoms as well.
- The
diaphragm must be fitted by a clinician.
- You
must wash your hands with soap and water before putting
a diaphragm in.
- Inserting
the diaphragm may interrupt sex.
- A
woman has to take it with her on vacations or trips.
- A
diaphragm increases a woman's risk for urinary tract
infections.
- It is difficult
for some women to insert a diaphragm properly even
after being taught.
- If
left in too long, it slightly increases a woman's risk
for a very serious infection called toxic shock syndrome.
Don't leave a diaphragm in for more than 24 hours after intercourse.
- It
may slip out of place during sex. If you change who
is on top, you may want to check to see that the diaphragm
is still covering the cervix.
- After
putting it in, a woman should check to be sure it is
covering the opening of the cervix.
- A
new fitting may be necessary after having a baby, abortion
or miscarriage, or gaining 15 pounds.
- It is not recommended that you use a diaphragm during menstruation.*
Where
can I get a diaphragm?
A woman must be fitted in a clinician's office for a diaphragm. Be sure to
be shown how to insert and remove a diaphragm. Then a woman must be given a
prescription for the specific type of diaphragm she will use. The actual diaphragm
and the spermicide used with the diaphragm are located at the local pharmacy
or a drugstore.
* MayoClinic.Com. Birth Control Guide: Diaphragm; http://www.mayoclinic.com/health/birth-control/BI99999/PAGE=BI00009; accessed 10/03/2006.
Adapted from Hatcher RA et al. Contraceptive Technology. 18th rev. edition. New York, NY: Ardent Media, 2004.
Additional Information >> Contraceptive Choices
Chart Comparing the Effectiveness of Various Methods :: Contraceptive
Myths & Facts :: Local Clinics & Hotlines
 Send this page to a friend >>
|
