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Client Information
How to Use the Diaphragm
If you use a diaphragm to prevent pregnancy, be sure to read the package insert first. The information
may be different from ours. Let us know if you have questions.
Do not leave your diaphragm in for more than 1 day.
To put it in:
1. Apply spermicide according to package directions.
2. Find a comfortable position, like standing with one foot on a chair or squatting.
3. Separate the lips of your vulva with one hand.
1. Fold diaphragm with the other hand and insert into the vagina “dome side” down. For Caya, insert
the edge with the removal dome last.
2.
3. Push the diaphragm as far up and back in your vagina as possible.
4. Tuck front edge in place behind your pubic bone.
5. Once in place, make sure cervix is covered.
To take it out:
1. For Milex, hook a finger over the top of the rim to break the suction. For Caya, insert the edge with
the removal dome last.
2. Pull the diaphragm down and out gently.
PP1166-How to use the diaphragm.eng.1-2017
Taking care of your diaphragm.
 Wash with mild soap and warm water after every use.
 Allow it to air dry.
 Don’t use powder on it.
 Don’t use oil-based lubricants – like Vaseline or cold cream – with the diaphragm – they can damage
silicone and latex.
 Store it away from heat.
 Check it regularly by holding it up to the light. Light will shine through weak spots or holes. Or, fill it with
water and look for leaks.
 Stop using your diaphragm if you find holes, weak spots, cracks, or wrinkles and talk to your doctor or
nurse about a replacement. In the meantime, use another form of birth control or don’t have sex.
For Milex, have your fit checked by your doctor or nurse if you lose or gain 10 pounds or more or if you
were pregnant.
What else can you do to help your diaphragm work better?
•
Use the diaphragm every time you have vaginal sex.
•
Insert it before you feel aroused.
•
Always use with spermicide cream or jelly.
•
Add more cream or jelly before every time you have sex.
•
Always leave the diaphragm in place for at least 6 hours after the last time you had sex.
This form is proprietary to Planned Parenthood of Orange and San Bernardino Counties (PPOSBC).
It may not be used or reproduced by any person outside of the workforce of PPOSBC.
PP1166-How to use the diaphragm.eng.1-2017