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You are here: home > gynecologic topics > birth control options > diaphragm

Diaphragm

The diaphragm is a flexible rubber cup-shaped device you fill with contraceptive jelly and insert into the vagina up to six hours before any act of sexual intercourse. The diaphragm, when properly inserted, covers the cervix (the opening of the uterus). The diaphragm itself acts as a physical barrier against sperm, while the contraceptive jelly kills any sperm that happens to get past the device. It must be left in place for six hours after intercourse.

The effectiveness of the diaphragm is 84-94% when used with spermicide. Using condoms along with the diaphragm increases the effectiveness to almost 99%. You must be comfortable touching your body though, to insert the diaphragm. There is also an increased risk of urinary tract infections with diaphragm use. Once the diaphragm is inserted, more contraceptive jelly or cream must be inserted into the vagina with each additional act of intercourse.

The diaphragm must be fitted by your doctor or midwife. The size should be rechecked after the birth of each baby, and if you have a significant weight loss or gain.

In order to reverse this method, simply stop inserting the diaphragm!

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