Diaphragm A Barrier Method Of Contraception
Understand the Risk of Cystitis
The
diaphragm is a barrier method of contraception: a small rubber dome
filled with a spermicidal (sperm killing) cream and placed in the
vagina to wall off the cervix, the opening to the uterus, thus preventing
sperm from entering.
When inserted correctly, this flexible latex cup sits just behind
the pubic bone, covering the cervix.
In order to be effective, it must be used in tandem with spermicide,
but it is far more effective than spermicide alone.
A diaphragm is different from cervical caps, which are smaller
and placed directly over the cervix.
Diaphragms are available by prescription only, as they have to
be individually sized; they must be initially fitted by a health
care provider. Diaphragms are inserted before sexual intercourse
and have to remain in the vagina for 6 hours after the act.
Diaphragms lead to an increased risk of cystitis. Although the
reasons for this are not fully understood, two factors may be responsible:
- Pressure from the rim of the diaphragm pushing on the neck of
the bladder
- The diaphragm traping bacteria and secretions in the vagina
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