Ensure client understands correct use
  • Ask the client to repeat how and when to insert and remove the diaphragm.
Explain that use becomes easier with time
  • Inserting and removing the diaphragm becomes easier with practice.
Describe the most common side effects
  • Itching and irritation in or around the vagina or penis.
Explain about emergency contraceptive pills (ECPs)
  • Explain ECP use in case the diaphragm moves out of place or is not used properly (see Chapter 3 – Emergency Contraceptive Pills). Give her ECPs, if available.
Explain about replacement
  • When a diaphragm gets thin, develops holes, or becomes stiff, it should not be used and needs to be replaced. She should obtain a new diaphragm about every 2 years.