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The Diaphragm

It is a rubber cup, which is placed into the woman’s vagina. It blocks the opening to the uterus so that the man‘s semen cannot enter the uterus and reach the egg. Some sperm may get around the diaphragm, so it should always be used with a spermicide that is placed on the diaphragm to kill sperm.

Advantages of using a diaphragm
The diaphragm is fairly effective and gives the woman control. When used correctly, only 6 couples in 100 become pregnant the first year using a diaphragm.
The diaphragm can be put in several hours before initiation of sexual activity.
Your partner can put it in as part of love–making.
The diaphragm is safe and contains no hormones. Thus, there are no hormonal side effects. The penis can remain inside the vagina after ejaculation. Intercourse during a woman's period is less messy with a diaphragm because the diaphragm holds back menstrual blood.

Disadvantages of Diaphragm
  • You must be fitted for a diaphragm by a clinician.
  • Insertion of the diaphragm may interrupt sex.
  • You must remember to take your diaphragm with you on vacations or trips.
  • Use of the diaphragm increases your risk for urinary tract infections.
  • Some women find the diaphragm unattractive.
  • If you do not like touching your vagina, the diaphragm may not be a good method for you.
  • It is difficult for some women to insert a diaphragm correctly.
  • If left in for too long, the diaphragm slightly increases your risk for a very serious infection called toxic shock syndrome. Don’t leave your diaphragm in for more than 48 hours.
  • The diaphragm may slip out of place during sex. If you change positions, you may want to check to see that the diaphragm is still covering the cervix.
  • After putting it in, you have to check to be sure the diaphragm is covering the cervix.
  • A new fitting may be necessary after having a baby, abortion, miscarriage, or gaining 15 pounds.
  • The diaphragm must be left in place 6 hours after the last act of intercourse.


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