HOW TO USE DIAPHRAGMS
What is a Diaphragm?
A diaphragm is a dome shaped silicon cup, which is inserted into the vagina before sex. It is placed over the cervix and acts as a barrier to entry of sperm. It is used along with spermicide. It can be used safely at home but getting the right size is important.
It is an every time use solution and if you want a child, simply stop wearing the diaphragm.
Effectiveness: 92-96% effective when used along with spermicide
How long does it Last: Diaphragm can be re-used multiple times. After each use, wash it with soap and warm water.
You need to leave the diaphragm inside the vagina for at least 6 hours (or at max 24 hours) after sex. You need to fill it again with spermicide if you have sex 3 hours after inserting it. Don't take out the diaphragm, simply put more spermicide inside the vagina.
It's time to replace a diaphragm if it starts leaking, has developed odour, if you have developed an STI or vaginal infections, you have delivered a baby or if you have gained/lost more than 3 kgs. Immediately replace it in this case. Otherwise, replace it every 2 years.
Cost: Cost varies from INR 6000 to INR 18000 or above per piece
Where to Buy: Available in Pharmacy and Health centres, but sold only on a prescription by a doctor
STD Protection: No
Safe During Pregnancy: No
Can cause cystitis (bladder infection) in some women
Allergy to latex and spermicide can cause irritation
Can cause toxic shock syndrome
When to Avoid:
If the position and shape of cervix is abnormal
Allergy to latex or spermicide chemicals
If the vaginal muscles are weak due to childbirth
History of Toxic Shock Syndrome
If you are currently infected with UTI, STI or vaginal infections
Wait for 6 weeks after childbirth, before you use the diaphragm again.