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IMPORTANT: Whenever possible, show the woman the location of the pubic bone and cervix with a model or a picture. Explain that the diaphragm is inserted behind the pubic bone and covers the cervix.
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| Explain the 5 Basic Steps to Using a Diaphragm |
| Basic Steps |
Important Details |
| 1. Squeeze a spoonful of spermicidal cream, jelly, or foam into the diaphragm and around the rim |
- Wash hands with mild soap and clean water, if possible.
- Check the diaphragm for holes, cracks, or tears by holding it up to the light.
- Check the expiration date of the spermicide and avoid using any beyond its expiration date.
- Insert the diaphragm less than 6 hours before having sex.
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| 2. Press the rim together; push into the vagina as far as it goes |
- Choose a position that is comfortable for insertion—squatting, raising one leg, sitting, or lying down.
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| 3. Feel diaphragm to make sure it covers the cervix |
- Through the dome of the diaphragm, the cervix feels like the tip of the nose.
- If the diaphragm feels uncomfortable, take it out and insert it again.
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| 4. Keep in place for at least 6 hours after sex |
- Keep the diaphragm in place at least 6 hours after having sex but no longer than 24 hours.
- Leaving the diaphragm in place for more than one day may increase the risk of toxic shock syndrome. It can also cause a bad odor and vaginal discharge. (Odor and discharge go away on their own after the diaphragm is removed.)
- For multiple acts of sex, make sure that the diaphragm is in the correct position and also insert additional spermicide in front of the diaphragm before each act of sex.
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| 5. To remove, slide a finger under the rim of the diaphragm to pull it down and out |
- Wash hands with mild soap and clean water, if possible.
- Insert a finger into the vagina until the rim of the diaphragm is felt.
- Gently slide a finger under the rim and pull the diaphragm down and out. Use care not to tear the diaphragm with a fingernail.
- Wash the diaphragm with mild soap and clean water and dry it after each use.
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