• Covers the cervix (opening to uterus).
• Holds spermicidal cream or jelly which kills sperm.
  
   

• Pelvic exam needed to measure correct size.
  
   

• Diaphragm with cream or spermicidal jelly is inserted into vagina no more than 2 hours before sexual intercourse. New application of spermicidal cream or jelly is needed before each act of intercourse.
• Diaphragm is left in place at least 6 hours after intercourse but no more than 24 hours.
  
   

• No major health concerns.
• Spermicidal cream or jelly can be bought in a drugstore without prescription.
• If properly cared for, diaphragm can be used for several years.
• Provides some protection against STIs/HIV.
  
   

• Can be messy.
• Occasionally a man or woman is allergic to a brand of spermicidal cream or jelly (can change brands).
• May increase risk of urinary tract infection (bladder infection).
  

Effectiveness: 82% - 94%

More information on the Diaphragm.