What is a Diaphragm?
A diaphragm is a barrier method of contraception used by women. It is a shallow, dome-shaped cup made of silicone or latex that is inserted into the vagina to cover the cervix and prevent sperm from entering the uterus.
How is a Diaphragm Positioned?
The diaphragm must be correctly positioned to effectively prevent pregnancy. It should cover the cervix completely. Before insertion, it is recommended to apply spermicide to the diaphragm to increase its effectiveness.
Steps to Insert a Diaphragm
1. Wash hands thoroughly before handling the diaphragm.
2. Apply a teaspoon of spermicide to the dome and a little around the rim.
3. Fold the diaphragm in half with the dome pointing down.
4. Insert the diaphragm into the vagina, aiming for the small of the back.
5. Use a finger to ensure the diaphragm covers the cervix completely. How to Check the Position of a Diaphragm?
After insertion, it is important to check that the diaphragm is in the correct position:
1.
Feel the cervix through the dome of the diaphragm to ensure it is covered.
2. Ensure the rim of the diaphragm is snugly behind the pubic bone.
When Should a Diaphragm be Inserted?
The diaphragm can be inserted up to six hours before intercourse. It must remain in place for at least six hours after intercourse but should not be left in for more than 24 hours to avoid the risk of
toxic shock syndrome.
Advantages of Using a Diaphragm
- It is a non-hormonal form of contraception.
- It can be used only when needed.
- It allows for spontaneity as it can be inserted ahead of time.
- It is reusable and can last up to two years with proper care.
Potential Issues with Diaphragm Position
- Incorrect placement can lead to contraceptive failure.
- It may slip out of position during intercourse.
- Difficulty in insertion and removal for some women. Who Should Not Use a Diaphragm?
- Women who are allergic to latex or silicone.
- Those with a history of
urinary tract infections.
- Women with anatomical abnormalities that make insertion difficult.
Consultation with a Health Professional
It is crucial to have a proper fitting and instructions from a gynecologist or healthcare provider. Regular follow-ups ensure the diaphragm remains effective and fits correctly, especially after significant weight changes or childbirth.
Conclusion
The diaphragm is a valuable contraceptive option for many women. Proper positioning and consistent use, along with periodic consultations with a healthcare provider, are key to its effectiveness. As with any contraceptive method, understanding the correct usage and potential risks is essential for making an informed choice.
