Contraception - diaphragms
Contraception - diaphragms
What is a diaphragm?
A diaphragm is a non-hormonal barrier
method of contraception
. It fits inside the vagina and covers the cervix (entrance to the uterus or womb) to stop sperm from meeting and fertilising an egg.
A diaphragm is a soft, shallow cup made of silicone. In Australia, the one-size diaphragm is sold as Caya®. It is used with a special gel (jelly-like material, sold as Caya Gel®).
Other barrier methods include
external (male)
and
internal (female) condoms
.
View transcript
Diaphragm risks
Diaphragms:
Do not protect you from
STIs
.
Should be checked carefully for holes.
Usually last around 2 years.
Do not suit everyone.
Diaphragm effectiveness
If used correctly every time you have sex, diaphragms are 86% effective at preventing
pregnancy
.
If used incorrectly (for example, not inserting properly before sex or removing too soon after sex), they may only be 82% effective.
A diaphragm may not work if it is:
not inserted correctly
used without the gel
taken out less than 6 hours after sex
torn
past its use-by date.
How to use a diaphragm
To use a diaphragm:
Place a teaspoon of gel in the cup of the diaphragm.
Put the diaphragm inside your vagina so it covers the cervix (opening to your uterus).
Insert the diaphragm up to 2 hours before having sex.
Leave it in place for at least 6 hours after sex.
Do not leave the diaphragm in place for longer than 24 hours.
Before you use the diaphragm for the first time, you can ask a doctor or nurse to check that it fits well and you are inserting it correctly.
Diaphragms are the wrong shape for about one in 7 women.
Doctors and nurses can provide advice about how to insert the diaphragm comfortably.
Caya® has a video with instructions on how to use the
diaphragm
External Link
.
How diaphragms work
The diaphragm and gel work as a barrier to prevent sperm from passing through the cervix into the uterus. The sperm die off quickly in the vagina.
Advantages of diaphragms
The advantages of using diaphragms include:
You can insert them hours before having sex.
They have little or no side effects.
You can buy them without a script.
They are a choice for those who do not want to use hormonal contraception.
Possible side effects from diaphragm use
Possible side effects for a small number of users can include:
irritation of the vagina or penis
increased risk of
bladder infection (cystitis)
.
Rarely, use of a diaphragm might cause
toxic shock syndrome
.
When diaphragms are not recommended
A diaphragm might not be a good option if you:
Are prone to bladder infections.
Gave birth 6 weeks ago or less – this is because the size of diaphragm required may change as the uterus returns to normal size.
Are unable to feel if your cervix is correctly covered by the diaphragm.
Speak to a doctor or nurse for advice.
Forgetting to use a diaphragm
You may need
emergency contraception
if you had sex without using your diaphragm and did not use other contraception (check with your doctor, nurse or pharmacist).
If you get pregnant while using a diaphragm
, it is safe to continue the pregnancy (and stop using the diaphragm) or to have an
abortion
.
Diaphragm use after having a baby
You should usually wait 6 weeks after having a baby to start using a diaphragm.
Where to get diaphragms
You can buy a diaphragm from some pharmacies, sexual health clinics, family planning clinics and online.
Where to get help
Your GP (doctor)
Your school nurse or welfare coordinator. Some secondary schools provide access to an adolescent health trained GP on site
Your local community health service
Your
pharmacist
External Link
1800 My
Options
External Link
– Victoria’s sexual and reproductive health information and phone line service Tel. 1800 My Options (
1800 696 784
)
Sexual Health Victoria
(SHV)
External Link
–
book an appointment
online
External Link
or call Melbourne CBD Clinic:
(03) 9660 4700
, Box Hill Clinic:
(03) 9257 0100
or (free call):
1800 013 952
(Monday to Friday 9 am – 5 pm). These services are youth friendly.
Women’s sexual and reproductive health hubs
(multiple locations in Victoria)
Ballarat Community Health Sexual Health
Clinic
External Link
– book online or Tel.
(03) 5338 4541
Bendigo Community Health Services Sexual and Reproductive Health
Hub
External Link
- book online Tel.
(03) 5406 1200
or
(03) 5448 1600
Gateway Health Sexual and Reproductive Health – Clinic
35
External Link
, Wodonga (Monday to Friday 9 am – 5 pm) Tel.
(02) 6022 8888
and Wangaratta Tel.
(03) 5723 2000
or email:
Sunraysia Community Health
Services,
External Link
Mildura (Monday to Friday 8:30 am – 5 pm) Tel.
(03) 5022 5444
or email to:
Barwon Health Sexual Health
Clinic
External Link
(no GP referral, walk-in service Tuesdays 2 pm – 6:30 pm) Tel.
(03) 5226 7489
Victorian Aboriginal Health
Service
External Link
Fitzroy: Tel.
(03) 9419 3000
and Preston Tel.
(03) 9403 3300
(Monday to Friday 10 am – 4 pm) and after-hours locum service Tel.
132 660
or Epping: Tel.
(03) 8592 3920
(Monday to Thursday 9 am-5 pm, Friday 9 am-4 pm)
Sexual Assault Crisis
Line
External Link
Tel.
1800 806 292