woman's health

Diaphragm and Contraception: Advantages and Disadvantages

Advantages of the diaphragm

The diaphragm is a barrier (mechanical) method of contraception, thus preventing sperm from reaching the uterus: it does not cause any side effects typical of hormonal-release contraceptive methods, such as nausea, headache, breast enlargement, weight gain, etc.

Furthermore, the diaphragm can be used by the woman as she likes, without respecting some "deadlines" (typical of the contraceptive pill, for example) and is only used at the time of the report (although it is advisable to enter it a few moments before and leave it inside too) 6 hours after the report).

The reversibility of the method is immediate, since the woman can decide at any time not to use the diaphragm. Again, the diaphragm has no effect on future female fertility: the woman can decide on a pregnancy at any time.

  • It is a purely mechanical means that does not interfere with the normal functions of the reproductive system;
  • it can be inserted a few hours before the report, so it does not interfere with its progress;
  • the presence of the diaphragm is not perceived by either man or woman during sexual intercourse.

Disadvantages of the diaphragm

Taking stock, often the disadvantages deriving from the use of the diaphragm far outweigh the advantages: not by chance, the diaphragm represents a contraceptive method, so-called mechanical, by now in disuse.

First of all it must be reiterated that the diaphragm does not protect from sexually transmitted diseases, although many sources do not fully approve the above theory; therefore, this contraception could be chosen only by fixed or married couples, able to positively accept a possible pregnancy. Furthermore, the diaphragm does not guarantee a high guarantee of success, therefore it does not completely protect against a possible pregnancy; the risk coefficient could be reduced by the concomitant use of spermicide (a synthetic substance that neutralizes spermatozoa), but it is good to remember that these substances are not easily marketed and the cost is relatively high.

The use of the diaphragm is not recommended in women who are susceptible to bacterial infections, as it could favor urinary tract infections.

Considering that the diaphragm should be inserted into the vagina by the woman some time before the intercourse, it is necessary to program the sexual act, a decidedly unfavorable factor for the couple's affinity: one runs the risk of considering the sexual relationship only as a miserable act mechanic that must be consumed only at a certain time.

Again, the application of the contraceptive is not very simple, especially for young women with little experience: the method, therefore, requires a preliminary "training" phase by the gynecologist, who has the duty to instruct the woman on the correct modality of insertion and extraction of the diaphragm.

  • We must think about inserting it before sexual intercourse;
  • it is contraindicated in the presence of malformations or malpositions of the vagina or cervix (uterine prolapse, cystocele or rectocele), or in case of allergy to spermicidal creams;
  • some consider the use of spermicidal products annoying;
  • in the case of vaginal inflammation, the use of the diaphragm must be suspended until recovery.

Key points

To fix the concepts ...

Contraceptive method Contraceptive diaphragm
Description Small soft rubber dome, mounted on a fairly foldable metal ring: the woman inserts the diaphragm near the cervix a few moments before intercourse
Features Diaphragm body: soft silicone or latex dome

Support: flexible metal

Duration: 6 months-2 years

It does not require medical prescription, but the woman must undergo a gynecological examination

Reliability Poor (mainly depends on the correct application of the diaphragm):
  • Index of Pearl = 2-3
  • Failure index around 20%
Inserting the diaphragm (subject to medical training)
  • Spread the dome of the diaphragm with spermicide
  • Insert the diaphragm completely into the vagina near the cervix (covering the anterior vaginal wall and the cervix)
  • Insert the contraceptive some time before the report
  • Remove it after 6-8 hours (never after 24 hours) to allow the spermicide to take effect
Action mechanism Barrier contraceptive which, by mechanical action, prevents sperm from reaching the uterus
Preservation of the diaphragm After removal from the vagina, the diaphragm must be:
  • washed with soap and water
  • dried properly
  • placed in the container
  • stored away from light and heat
Advantages of the diaphragm The diaphragm:
  • does not cause any side effects typical of hormonal-release contraceptive methods
  • it can be used by the woman at will, without respecting some "deadlines"
  • it is used only at the time of the report
  • the reversibility of the method is immediate
  • does not affect in any way the future female fertility
Disadvantages of the diaphragm

The diaphragm:

  • so-called mechanical contraceptive method, now in disuse
  • it does not protect against sexually transmitted diseases
  • does not guarantee a high guarantee of success
  • it can create vaginal irritation due to the highly irritating spermicidal substances
  • not recommended in women sensitive to bacterial infections
  • programming of the sexual act is necessary
  • the application of the diaphragm is not very simple
  • requires a preliminary "training" phase by the gynecologist