Too embarrassed, too busy or just don’t know the right question? This page should cover a lot of aspects of what you need to know.


    The diaphragm can be inserted immediately before or up to 6 hours before intercourse. Some people do find that this might interfere with spontaneity.

    Yes, your diaphragm will remain in position, but you will have to apply more spermicide every time you have intercourse.

    Wearing the diaphragm for longer than 24 hours without interruption can promote bacterial growth inside the vagina. These bacteria can lead to Toxic Shock Syndrome. Toxic shock is a rare but serious infection.

    This is unlikely. However, some partners may feel the rim of the diaphragm.

    A pelvic examination by either a physician or a skilled healthcare provider is required for fitting diaphragms. Fitting rings are produced by diaphragm manufacturers in various sizes and with different rim types. Sizes range from 50 to 105 mm. They are most commonly available in flat spring or coil spring rim types. Diaphragms between 60 -85 mm in diameter will provide the correct fit for most women. Initially the fitting ring size is estimated by clinical assessment of the vaginal length. Smaller or larger sizes are then inserted until the correct fit is achieved. It is important that each individual is fitted with the type of rim that she will ultimately use as the rim type can affect fit and ease of insertion. It should fit snugly into the upper half of the vagina. The user should practice insertion under supervision and placement should be inspected to ensure that the fitting ring is correctly positioned in the vagina. Fitting is best done when the bladder is not empty so that the user can test to ensure that urination is easily accomplished with the selected fitting ring in place. The diaphragm may require resizing following a full-term pregnancy, pelvic surgery, or abortion, or if there is a major change in weight.

    The use of the diaphragm during menstruation is possible.

    Re-insert the diaphragm again after applying some more spermicides. If the diaphragm comes out after your partner has ejaculated or if you do not feel safe, visit your doctor or healthcare provider to discuss whether you may need the emergency contraception to avoid an unintended pregnancy.

    There is no reason for the diaphragm to get lost or stuck inside your body. A diaphragm will be specifically fitted by a healthcare provider to ensure it fits and can be used effectively by you. If you are having a diaphragm fitted, you should practice insertion, placement and removal with the healthcare provider. The diaphragm should also be checked every six months by a healthcare provider to make sure it still fits properly.

    Remove the diaphragm and visit your doctor or healthcare provider for a medical examination.

    The diaphragm is a hormone free vaginal contraceptive that does not disrupt your menstrual cycle.

    A diaphragm should be removed no sooner than 6 hours after intercourse and can be left in place for up to 24 hours after intercourse. 

    Removing your diaphragm is easy: simply hook your finger over the top of the front rim and gently pull it down and out. Just remember to leave it in place for at least 6 hours after having sex!





    A coalition of international partners with an interest in sexual and reproductive health