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Diaphragm is a birth control method used by women. The diaphragm itself is made from silicone. It is inserted inside of the vagina to cover the cervix and works as a barrier which stops the sperm from reaching the cervix. Contraceptive diaphragm is always used together with a spermicide gel or cream.
Contraceptive diaphragm is inserted every time before the sexual intercourse. You should visit your gynecologist first, when you decide to use diaphragms as a contraceptive method in order to determine the size of the diaphragm which will suit you. Contraceptive diaphragm can be inserted up to two hours before sexual intercourse. The use of a spermicide gel or cream is necessary in order to kill any possible sperm that can leak under the diaphragm. It is important to empty the bladder before inserting it. Make sure to insert it deep into the vagina in order to totally cover your cervix, just as your health care provider has showed you. Do not remove the diaphragm immediately after sexually intercourse. It should be removed at least after 6 hours from the sexual intercourse. Contraceptive diaphragm should not be kept longer than 12 hours inside of the vagina. If you still continue to have sexual intercourse within the 24 hours, use another contraceptive method like a condom. Remove the diaphragm by sticking your index finger under the rim and gently pulling it out. After removal it should be washed well with mild soap and warm water. It is also important to completely dry it with a clean cloth, put it in its original container and store it in a room temperature away from direct sunlight.
Diaphragms are not recommended to use during the menstrual cycle. Use another contraceptive method, like a condom instead.
If used right contraceptive diaphragm is 94% effective. It is obvious that if used every time while having sexual intercourse, if used together with a spermicide gel or cream and if inserted correctly to totally cover the cervix the chances of getting pregnant are low. But, if not used correctly as it should be, the effectiveness drops to 88% (Read about: pregnancy termination in Brooklyn)
Diaphragms should be changed after every two years, sometimes even sooner. It all depends from the way how you store it. If you clean and dry it correctly after use, if you store it in its original content and keep it away from the sunlight than it can be used for a while. Instead, if you notice any change in its color or if you notice any tear, you should visit your gynecologist and change it. You should also see a gynecologist and probably change your contraceptive diaphragm if you have gained or lost more than 10 pounds recently, if you have had a child or if you notice that your diaphragm does not fit well any more.
Does Diaphragms Protect Against STD? No, diaphragms do not protect against STD ( Read more about STD: Genital Herpes) .
Dmitry Bronfman, MD, is a board-certified gynecologist who specializes in all aspects of contemporary women’s health, preventive medicine, pelvic pain, minimally invasive and robotic surgery, and general, adolescent, and menopausal gynecology.
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