A client request information about the use of a diaphragm for birth control
A diaphragm is a barrier form of birth control. Combined with spermicide, it prevents pregnancy by blocking the uterine opening, and by stopping the sperm from moving and fertilizing an egg Show
The device is a shallow, dome-shaped, rimmed cup that is placed in the vagina to cover the cervix. Used correctly, it can be 94 percent effective in preventing unintended pregnancy. Fast facts about diaphragm birth control
What is a diaphragm?Share on PinterestLalocracio/Getty Images A diaphragm, or cap, is a reusable, dome-shaped cup that fits over the cervix. It is made from latex or silicone. It is used with spermicide, a cream or gel that prevents the sperm from successfully fertilizing an egg. There are several types. The arching spring diaphragm is the most common type. It has a firm rim it is easier to insert. It is suitable for women with poor vaginal muscle tone. The coil spring diaphragm has a soft, flexible rim. It is suitable for a woman who has average vaginal muscle tone. The flat spring diaphragm has a thin, flexible rim. It works best for women who have strong vaginal muscle tone. The flat spring and coil spring diaphragms can both be inserted with an introducer tool. The wide seal rim diaphragm is a silicone ring that is useful for women who are allergic or sensitive to latex. It is available in arching spring or coil spring shapes. Different sizes are available, but the standard size is 75 millimeters (mm) across. To get a good fit, your health care provider will carry out a physical examination. How to use itA healthcare provider will normally explain how to use a diaphragm correctly. They can teach the user if there is difficulty inserting or removing the diaphragm. An inserter device may help. To use the diaphragm:
If it is not correctly positioned, you may have to remove it and start again, remembering to reapply the spermicide. The diaphragm can be put in place around 1 hour before having sex, and it should remain in place for at least 6 hours after intercourse. It must not be left in the vagina for more than 24 hours. If the user is going to have intercourse again within 6 hours, more spermicide should be placed in the vagina, without removing the diaphragm. It is important to note that diaphragms do not provide protection from contracting sexually transmitted infections (STIs). Using a condom in addition to the diaphragm will reduce this risk and provide extra protection against unwanted pregnancy. Is it safe and effective?Used correctly and consistently, the diaphragm can be 94 percent effective in preventing pregnancy. However, to be effective, it has to:
To increase effectiveness, the man can use a condom or pull out before ejaculation to further decrease the risk of pregnancy. Using a condom also reduces the risk of a sexually transmitted infection (STI), because a diaphragm does not protect against this. Diaphragms are safe for most women to use, but for some women, they may not be suitable. These include:
A doctor can advise about alternative options. Pros and consAll forms of birth control have both advantages and disadvantages. A diaphragm can be a good option because it:
It can be safer than oral contraceptives for use by women over the age of 35 years and those who smoke, because there is no risk of cardiovascular problems. DisadvantagesDisadvantages of using a diaphragm include:
A woman needs to be refitted for her diaphragm after each full-term pregnancy, abdominal or pelvic surgery, miscarriage, abortion after 14 weeks or a weight change of 20 percent, or around 15 pounds. A diaphragm should be replaced every 1 to 2 years. Some substances, such as petroleum jelly, should not be used with a diaphragm, as they can cause erosion in the material. Risks and side effectsA diaphragm is unlikely to pose a health risk, and serious problems are rare. However, some problems may occur. Urinary tract infections (UTIs) and vaginal irritation have been linked to diaphragm use. Urinating before applying the diaphragm and after intercourse can help prevent a UTI. Vaginal irritation may occur due to silicone sensitivity or as a reaction to the spermicide. If vaginal irritation occurs, it may be a good idea to use a different spermicide. Most spermicides contain nonoxynol-9. This can become an irritant when used several times in a day, or if the user has HIV. It can increase the risk of contracting HIV and other STIs. Anyone who is concerned about a UTI or vaginal irritation should speak to their health care provider. Toxic shock syndrome (TSS) affects around 2.4 users in every 100,000, but this is usually after leaving the device in for over 24 hours. It is important to consult a physician if the following symptoms occur:
Does it always work?According to Planned Parenthood, diaphragm used perfectly is 94 percent effective. Overall, it is 88 percent effective, as people do make mistakes. Other estimates put the success rate between 70 and 99 percent. It is important to remember also that any birth control method that is not used according to the instructions may not be successful in preventing pregnancy. A diaphragm is available from a health care provider or a family planning clinic and must be fitted by a health care provider. What important information should the nurse give a client about the use of a diaphragm during menstruation?You should never use a diaphragm during your menstrual period. You will need to use another form of birth control at this time.
When using a diaphragm for contraception The client should be instructed to?Leave the diaphragm in place for 6 to 8 hours after intercourse. Do not leave it in for longer than 24 hours. If you have sex more than one time when the diaphragm is in place, apply more spermicide. Avoid using any petroleum-based vaginal creams, oils, or ointments, which can damage a rubber diaphragm.
What is a diaphragm used for in birth control?A diaphragm or cap is a barrier method of contraception. It fits inside your vagina and prevents sperm passing through the cervix (the entrance of your womb).
What are the side effects of diaphragm birth control?But possible side effects include:. from the spermicide, irritation of the vagina and surrounding skin or an allergic reaction.. strong odors or vaginal discharge if the diaphragm is left in too long.. an allergic raction to the material in the diaphragm (this is rare). a higher risk for urinary tract infections (UTIs). |