If you have unprotected sexual intercourse contact a Family Planning clinic, pharmacy or your doctor for emergency contraception within 72 hours (24 hours if possible). The sooner the better. Diaphragms Condoms help protect against sexually transmissible infections. Instructions for use AFTER YOUR FIRST VISIT You have been fitted with a practice diaphragm. You will be given 1 or 2 diaphragms to take home. Your Health Professional familyplanning.org.nz © Written and produced by Family Planning April 2010. Over the next week practise putting in and taking out your diaphragm. Keep it in place for at least 6 hours at different times of the day. Always check that it covers your cervix completely. A correctly fitting diaphragm should feel comfortable. Your partner should not feel it during sexual intercourse. It should not move out of position at any time. Do not rely on this diaphragm for contraception during the practice time. When having sexual intercourse with your practice diaphragm in place use another contraceptive such as condoms. If you want to practise using spermicide cream or jelly put 5cms on both sides of your diaphragm. After each practice wash your diaphragm in warm soapy water, rinse and dry thoroughly. When you return to the clinic please wear your diaphragm so that it can be checked. Using your diaphragm • Use your diaphragm every time you have sexual intercourse. It is possible to get pregnant even during your period. • Always use spermicide. Put 5cms of cream or jelly on both sides of your diaphragm. Care of your diaphragm • After taking out your diaphragm wash in warm soapy water, rinse and dry thoroughly. • Inspect your diaphragm regularly to check for holes or flaws. Hold it up to the light and gently stretch the rubber. • Your diaphragm may be put in at any time before you have sexual intercourse. If you have sexual intercourse more than 2 or 3 hours after putting in your diaphragm put more spermicide in your vagina (with an applicator) without disturbing the diaphragm. • Some vaginal preparations may damage the rubber of your diaphragm such as some thrush treatments. Check with your health professional. • Your diaphragm must be left in for at least 6 hours after sexual intercourse. • Store your diaphragm in a cool, dark place. • If you are going to have sexual intercourse again within the 6 hours do not remove the diaphragm but put in some more spermicide. The diaphragm must stay in place for a further 6 hours. • Douching, bathing and sitting in a spa or swimming after sexual intercourse are not recommended when your diaphragm is in place. You may kneel in a bath, or have a shower but do not allow any flushing of water into the vagina – this may wash out the spermicide. • It is recommended that your diaphragm does not stay in for more than 24 hours at a time. • Keep your diaphragm in a circular shape by rolling the rim in your hand. Check Ups • If you lose or gain more than 3 kilograms (1/2 stone) your diaphragm should be checked. • If you are due for a cervical smear do not wear your diaphragm to the appointment. • If you have any problems with this method of contraception contact your health professional. REMEMBER Use your diaphragm every time you have sexual intercourse. Always use it with spermicide. If your diaphragm was not correctly in place or it did not stay in for at least 6 hours after sexual intercourse you should see your doctor about the Emergency Contraceptive Pill (ECP).
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