Diaphragm

The diaphragm does not contain hormones, so it is considered safe for people with a history of breast cancer. It does not increase the risk of breast cancer coming back or of developing a new breast cancer. This is true regardless of the breast cancer type, stage, or hormone receptor status.

Some people experience vaginal dryness or sensitivity during or after breast cancer treatment. Because the diaphragm is placed inside the vagina, it may cause irritation or discomfort for some users.

Using a vaginal lubricant that is safe to use with the diaphragm (e.g. silicone and water based) may help to decrease any irritation and make this method more comfortable.

With perfect use, 16 out of 100 people will get pregnant over a year. This means people use the diaphragm correctly, and every time they have sex. The diaphragm should be used with spermicide gel.

Most of the time, people don't use the diaphragm correctly or every time they have sex. This is called typical use. With typical use, 17 out of 100 people will get pregnant over a year.

You can use another birth control method at the time of sex. We call this a Method Boost because it prevents pregnancy better than the diaphragm and spermicide alone. Method Boost options include the outer condom (penile), pull out, or the vaginal gel (Phexxi). You can also use these as a Method Backup when you forget to put the diaphragm in before sex.

It covers the cervix (the opening to the uterus) and blocks sperm from getting in. The diaphragm should be used with spermicide jelly, which also kills sperm.

Put a teaspoon of spermicide jelly into the diaphragm first. Then use your fingers to slip the diaphragm in your vagina so it covers the cervix snugly. You should put the cap in before sex and before you are sexually excited. Leave the diaphragm in for least six hours after sex. If you want to have sex again, you need to put in another teaspoon of spermicide.

Do not leave the diaphragm for more than 24 hours in a row.

The diaphragm will not affect your period.

The diaphragm is hormone free, latex free, easy to clean, and reusable.

You can put the diaphragm in before sex so you do not have to interrupt sex. Once the diaphragm is in place, you and your partner should not be able to feel it.

You can have sex as many times as you want while the diaphragm is in place. Make sure to put more spermicide in the vagina before you have sex again.

Some might find it hard to put the diaphragm in correctly.

The Milex diaphragm requires a pelvic exam to fit you for the right size diaphragm. (The Caya Diaphragm is one-size-fits-most and does not require a pelvic exam)

The diaphragm is very safe. For some, it can irritate the vagina. Though uncommon, some may be more prone to a urinary tract infection (UTI). Very rarely, there can be a serious infection if the diaphragm is left in too long. The diaphragm should be taken out within 24 hours.

No. However, correct use of condoms can prevent HIV and STIs.

You will need a prescription from a health care provider. You can get Caya One Size Fits Most Diaphragm through an online health service.

Your health insurance may cover the diaphragm. If you pay out of pocket, it may be up to $100 or more.

For more info, click here:

Planned Parenthood: The Diaphragm

If you need a birth control provider, click here:

Bedsider: Find Birth Control