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Birth Control: Diaphragm and Cervical Cap

Pregnancy Rates

Typical use: 18% Perfect use: 6–9%

The diaphragm and the cervical cap protect against pregnancy by covering the cervix. They keep sperm from entering the uterus to meet the egg.

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Using the Diaphragm or Cervical Cap

  • These devices must be prescribed and fitted by a healthcare professional. He or she will instruct you how to insert them.

  • These devices must be used with spermicides.

  • Both devices can be inserted up to 2 hours before sex.

  • The diaphragm can be left in place for up to 24 hours, the cervical cap for up to 48 hours.

Pros

  • Provides birth control right away.

  • Can be inserted ahead of time.

  • Easy to stop if you decide you want to become pregnant.

  • May protect against certain STDs (but not HIV, the virus that causes AIDS).

Cons

  • Requires planning ahead.

  • May be hard for some women to insert.

  • May increase risk of urinary tract infection (UTI) or toxic shock syndrome (TSS).

  • Must be left in place for 6 to 8 hours after sex.

  • Cervical cap: can’t be used during your period.

  • Cervical cap: less effective (26% pregnancy rate with perfect use) for a woman who has given birth.

The diaphragm or cervical cap may not be for you if…

  • You’re allergic to all spermicides.

  • You can’t reach your cervix or insert the device correctly.

  • You are not willing to plan ahead or to interrupt lovemaking to use it.

Date Last Modified: 12/29/2003