General Practice 2022

Contraceptive diaphragm: what é, how to use it and advantages

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Contraceptive diaphragm: what é, how to use it and advantages
Contraceptive diaphragm: what é, how to use it and advantages

The diaphragm is a barrier method of contraception that aims to prevent the sperm from coming into contact with the egg, preventing fertilization and, consequently, pregnancy.

This contraceptive method consists of a flexible ring, surrounded by a thin layer of silicone or rubber, which must have the appropriate diameter for the size of the cervix and, therefore, it is important that the woman consults the gynecologist for that a physical examination be performed and, thus, the most suitable diaphragm can be indicated.

The diaphragm can be used for up to 2 years, and it is recommended to change after this period. In addition, it is indicated that it be placed before sexual intercourse, along with a little spermicidal gel, and removed after about 6 to 8 hours of sexual intercourse, so that there is security that the spermatozoa do not survive.

How to put

The diaphragm is quite simple to place and should be placed about 15 to 30 minutes before sexual intercourse, it is always recommended to use a spermicidal gel, following these steps:

  1. Place the spermicidal gel on the diaphragm and fold it round side down;
  2. Introduce the diaphragm into the vagina with the round part down;
  3. Push in the diaphragm and adjust it to be correctly placed.

In some cases, the woman may apply a little lubricant to facilitate placement of the diaphragm. After intercourse, this contraceptive should be withdrawn after about 6 to 8 hours, as this is the average sperm survival time. However, it is important not to leave it for longer, otherwise it may favor infections.

After being removed, the diaphragm must be washed with cold water and neutral soap, dried naturally and stored in its packaging, and can be reused for a maximum of 2 years. However, if a hole or crack is found, it is becoming wrinkled, or if the woman becomes pregnant or gains weight, the diaphragm should be replaced.

When not indicated

The use of the diaphragm is not indicated when the woman has some change in the uterus, such as prolapse, uterine rupture or change in position, or when the vagina muscles are weaker, as in these cases the diaphragm may not be positioned correctly and therefore not be effective.

Furthermore, the use of this contraceptive method is not recommended for virgin women or women who are allergic to latex, and it is not recommended during the menstrual period, as blood may accumulate in the uterus, favoring the development of inflammation. and infection.

Advantages of the diaphragm

The use of the diaphragm may have some advantages for women, and it may be indicated by the gynecologist when the woman cannot use the contraceptive pill or has many side effects with its use. Thus, the main advantages of using the diaphragm are:

  • Prevention against pregnancy;
  • No hormonal side effects;
  • Usage can be stopped at any time;
  • It is easy to use;
  • Rarely felt by partner;
  • Can last up to 2 years;
  • Cannot enter the uterus or get lost in the woman's body.

On the other hand, the use of the diaphragm can also have some disadvantages, such as the need to clean it after each use and to change the diaphragm when there is weight gain, in addition to being associated with a 10% chance of failure and vaginal irritation.

Furthermore, the diaphragm does not protect against sexually transmitted diseases, so if you have multiple partners, it is better to use a condom to avoid possible infections.

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