Usually, a woman with any of the conditions listed below should not use the diaphragm. In special circumstances, however, when other, more appropriate methods are not available or acceptable to her, a qualified provider who can carefully assess a specific woman’s condition and situation may decide that she can use the diaphragm with spermicide. The provider needs to consider the severity of her condition and, for most conditions, whether she will have access to follow-up.

• History of toxic shock syndrome
• Allergy to latex, especially if the allergic reaction is mild (see “Mild irritation in or around the vagina or penis or mild allergic reaction to condom” in Chapter 14 – Male Condoms)
• HIV infection