Diaphragm

WHAT IS IT?

The only diaphragm currently available in Nova Scotia is the Milex Wide-Seal Diaphragm: Omniflex Style®. It is a hypoallergenic, silicone diaphragm with a unique wide seal that increases suction for extra protection. The Milex Wide-Seal diaphragm has been around for more than 40 years. In the past, there was also a latex diaphragm, but it is no longer being produced in Canada.

 

HOW DOES IT WORK?

The diaphragm is a barrier method. It is a flexible, dome-shaped cup that covers the cervix and prevents sperm from entering the uterus so that the sperm cannot fertilize an egg. It comes in eight different sizes, so people are required to be fitted by a doctor to find the size that works best for them.

It is very important that the diaphragm is always used with a spermicidal jelly or cream. The spermicide should kill any sperm that may slip over the rim. Unfortunately, spermicidal jelly is no longer being made in Canada, so it is difficult to find it in stores. We highly recommend that you do not use spermicidal foam, as the Nonoxynol-9 concentration is very high and may cause irritation.

The diaphragm does NOT protect you from sexually transmitted infections (STIs). You can use the diaphragm and a latex condom together to reduce the risk of both pregnancy and STIs.

 

HOW EFFECTIVE IS IT?

If used perfectly, the diaphragm is 92 – 96% effective in preventing pregnancy. Based on average use, it is estimated to be 68 – 84% effective.

It is recommended that you use a back-up method of birth control the first 8-10 times you use the diaphragm or until you feel confident with it.

 

HOW DO YOU USE THE DIAPHRAGM?

If you choose to use a diaphragm as your method of birth control, you will need to see a doctor to get fitted for the size you need. The doctor will show you how to put it in and take it out.

Each time you use the diaphragm, you should put in spermicidal jelly or cream. If you have sex more than once, don’t take the diaphragm out, but put more jelly or cream in your vagina with an applicator. If you have the diaphragm in more than two hours before you have sex, put an extra application of the cream or jelly into your vagina before having sex.

Always check that the diaphragm is covering your cervix before having sex. Your cervix feels like a bump or the tip of your nose under the middle of the diaphragm.

Only use water-based lubricants for lubrication. Don’t use oil-based lubricants such as Vaseline, hand lotions, body oils, or silicone.

The diaphragm must be left in the vagina for 6-8 hours after intercourse. It can be left in for up to 24 hours. To reduce the risk of getting toxic shock syndrome, be sure not to leave the diaphragm in longer than 24 hours.

Do not douche, take a bath, or swim with the diaphragm inside you. Showers are okay.

Wash the diaphragm with warm water after you remove it, then dry it well. Check it for holes by holding it up to the light and always store it in a dry place.

You need to see your doctor to check the fit of your diaphragm if:

  • The diaphragm dislodges more than once
  • You have lost or gained 10 lbs (5 kg) or more
  • You have a baby, a miscarriage, or an abortion
  • Your diaphragm should be replaced every 1-2 years.

 

WHAT ARE THE ADVANTAGES AND DISADVANTAGES OF USING THE DIAPHRAGM?

ADVANTAGES:

  • it does not contain any hormones
  • it can be used by people who are breastfeeding
  • it offers privacy and control because users can insert it before intercourse

DISADVANTAGES:

  • must be used with spermicidal cream or jelly, which is no longer being made in Canada
  • must be available at the time of intercourse
  • requires proper insertion technique
  • does not protect against STIs
  • cannot be used by people who are allergic to spermicides
  • may become dislodged during intercourse
  • may require multiple spermicide re-application

 

HOW TO BOOK AND PREPARE FOR YOUR APPOINTMENT

BOOKING AN APPOINTMENT

Booking an appointment with us is easy! Give us a call at 902.455.9656 ext. 0. You will be speaking with either a volunteer or a medical administrator. We cannot book appointments over email or Facebook. You cannot book an appointment for someone else, even if they are your partner or child. We will need to speak with them directly. To book, we will need your full name, birth date, phone number, and a very brief reason for your visit. That’s it! The person on the phone will outline anything you need to know to prepare for your appointment. For most general appointments, we run very short waitlists! While this is not a guarantee, we can often book you in the same or next week from the day you call.

Make sure you bring your valid provincial health card with you to your appointment. Clients without health cards are subject to doctors and lab fees.

Are you a youth? You do not need parental consent for any of our appointments.

Don’t have access to or lost your health card? You are entitled to your health card information! Call MSI toll-free at 1-800-563-8880 (in Nova Scotia) or at 902-496-7008 from Monday-Friday 8am-5pm. We require the number and the expiry date. Another tip: take a picture of your card! You will never lose it again!