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- Use the diaphragm every time you have intercourse.
- First, empty your bladder and wash your hands.
- Check the diaphragm for holes by pressing the rubber and holding it up to
the light or filling it with water.
- Squeeze a small amount of spermicidal cream or jelly into the cup of the
diaphragm. (To make insertion easier, a small amount of cream/jelly can be placed on the
leading edge of the diaphragm or in the opening to the vagina.) Squeeze the rim together.
- The following positions may be used for inserting the diaphragm:
- One foot raised up on a chair or toilet seat
- Lying down
- Squatting
- Spread the lips of the vagina apart.
- Insert the diaphragm and cream/jelly back in the vagina and push the
front rim up behind the pubic bone.
- Put your finger in the vagina and feel the cervix (feels like your
nose) through the rubber to make sure it is covered.
- The diaphragm can be placed in the vagina up to 6 hours before having
intercourse. If intercourse occurs more than 6 hours afterwards, another application of
spermicide must be put in the vagina. Additional cream or jelly is needed for each
repeated intercourse.
- Leave the diaphragm in for at least 6 hours after the last time
intercourse occurs. Do not leave it in more than 24 hours before removal. (Vaginal
douching is not recommended at any time. If done, vaginal douching should be delayed for 6
hours after intercourse.)
- Remove diaphragm by hooking finger behind the front rim and pulling it
out. If necessary, put your finger between the diaphragm and the pubic bone to break the
suction before pulling it out.
- Wash the diaphragm with mild soap and water and dry it thoroughly prior
to returning it to container.
Warning Sign for Diaphragm Users
If toxic shock syndrome is suspected, refer client to center where intravenous fluids
and antibiotics are available. Give oral rehydration as needed and a non-narcotic
analgesic (NSAID or aspirin) if fever is high (> 38°). |
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