DIAPHRAGM

The diaphragm is a shallow, dome shape,

latex device.
Firm and flexible rim which keeps the
diaphragm in place and covers the cervix.
The spring for the rim may come in
different ranges of diameters.
Available in various of sizes.

 Require a trained health provider to supply

the appropriate size.
Used with spermicidal cream, jelly or foam
to enhance the effectiveness.
Blocking sperm from entering the cervix
Should be inserted before intercourse

INDICATION
Safe for all women
CONTRAINDICATION
Just delivered a baby or had an abortion less
than 6/52
Allergy to latex
RVD or high risk infected by their partner
uterine prolapse or large cystocoele

Advantages
Simple to use
No serious systemic side
effects
Does not require partner
involvement
Good for persons who do
not have sex on regular
basis
Decreases risk of some
sexually transmitted
diseases
Does not interrupt
lovemaking
Decreases risk of cervical

Disadvantages
Consistent and use is
required to prevent
pregnancy
Persons with allergies to
latex or spermicide cannot
use
Increase risksfor
developing urinary tract
infection (UTI)
Remain in vagina for at
least 6 hours after
intercourse
Repeated sexual
intercourse requires
additional spermicide
Must remove within 24

WHEN TO USE?
Any time
6 weeks after delivery or abortion
Women switching from another method:
advisable to try diaphragm for a time while
still using her other method to built
confidence and use the diaphragm
correctly

HOW TO USE?
1. Preparation before using diaphragm:
- get the diaphragm from a reliable health provider
- ensure the condition of the diaphragm is suitable for
use
- ensure proper fitting
2. Wash hands before inserting to prevent infections
3. Insert diaphragm 6 hours before sexual intercourse
4. Check diaphragm for expiry date of spermicides and
ensure diaphragm is intact
5. Squeeze a spoonful of spermcdal cream, jelly or foam
into the daiphragm and around the rim

continue......

6. Hold the rim together, inserting it into the vagina as far

as it goes, while in a comfortable position
eg: squatting, raising one leg, sitting or lying down
7. Feel for the diaphragm to ensure it has covered the
cervix.
8. Retain the diaphragm in vagina for 6 hours, but not more
than 24 hours to prevent the risk of toxic effects.
9. remove the diaphragm by sliding a finger under the rim
of the diaphragm, pulling it down and out carefully.

CARE OF DIAPHRAGM
1. Avoid using oil based product such as body lubricant,
mineral oil, baby oil or vaginal lubricant. These products
can weaken the rubber.
2. Washed in warm and mild soap after used. Do not used
detergent soaps and soap containing oil products.
3. Dried thoroughly with towel after washing.
4. Dusted with cornstarch. Do not use talc or body powder.
5. To clean the introducer (if used) wash with mild soap and
warm water, rinse and dry thoroughly.
6. Place the diaphragm in the plastic case for storage. do
not stored near heat source or exposed to light for
extended period.