Diaphragm
It is a soft latex rubber shallow domed shaped cap with a flexible ring in its rim they varies in size when inserted correctly the diaphragm fits well in the vagina between the posterior fornix and the symphisis pubis it should be left in the place for 6 to 8 hours after intercourse then removed dried powdered and kept away
Diaphragm keeps sperm from joining egg by blocking the opening of the uterus, and the spermicides immobilizes the sperm. If a woman wants to get a diaphragm, she must be fitted for one by a clinician, or a nurse because they come in different sizes. She must insert the diaphragm every time she has sex in order for it to be effective. Diaphragms are designed to be used over and over again, for about two years It is a simple method free of side effects and fairly effective especially if used with spermicides jelly of cream warning it offers no protection against infection
Advantages of a Diaphragm
- It has no effect on a woman's natural hormones
- Is reversible, so fertility immediately returns Usually cannot be felt by either partner
- Very few side effects are seen
Breastfeeding mothers can use a diaphragm
· Is effective immediately
· Can be easily carried in a pocket or purse
· It may lower the risk of catching certain sexually transmitted diseases
· May prevent against some types of precancerous changes in the cervix
· Can be inserted hours ahead of time, so it does not interrupt sexual activity
Disadvantages:
· Some women report that this method is messy and inconvenient
· Requires some planning ahead (must be in place every time you have sex)
· Some women find diaphragms difficult to insert
· They may require refitting
· Diaphragms may be pushed out of place by some sexual positions, penis sizes, and thrusting angles and techniques
· The spermicide and/or semen may leak out during the 6 hours after intercourse (which some women report as being uncomfortable) - wearing a panty liner may help
Possible Side Effects:
The most concerning side effect is the slight risk of toxic shock syndrome (TSS) if the diaphragm has been left in place for longer than 24 hours. In these rare cases, symptoms of TSS include diarrhea, vomiting, a sunburn-type rash, dizziness, sudden high fever, faintness, weakness, and sore throat, aching muscles and/or joints. If you are experiencing these symptoms, remove your diaphragm and contact your doctor immediately.
Some women who use diaphragms may get repeated urinary tract/bladder infections. This may be alleviated by urinating before inserting the diaphragm. Sometimes, if your diaphragm is too large, the rim can press against the front wall of the vagina thereby irritating the urethra (the tube that carries urine from your bladder), and so you may need to have your diaphragm refitted.
