Wash your diaphragm after each use with mild, unscented soap and warm water. HealthLink BC, your provincial health line, is as close as your phone or the web any time of the day or night, every day of the year. The only diaphragm currently available in Canada is made of non-latex silicone. This information may be printed and distributed without permission for non-profit, education purposes. The diaphragm is a form of contraception. Caya ® is inserted into the vagina, just like a tampon. Buying the necessary spermicidal jelly to use with the diaphragm is difficult. Planning, making available, and using birth control is called family planning. Talk to your health care provider. Importantly, they should understand that EC is a ‘backup’, not a primary, method of birth control. A sm… Diaphragms are not widely available in Canada. Some people could have an allergy to latex, silicone, or spermicide. If it isn’t comfortable, it’s likely not in the right place. If your diaphragm is in the right place you should not feel it. HealthLinkBC Files are easy-to-understand fact sheets on a range of public health and safety topics including disease prevention and immunizations. Health Canada, the Canadian regulatory authority, has approved a new single-size diaphragm for over-the-counter sale, giving women a nonhormonal option for contraception. This means that 12 women in 100 become pregnant in the first year of typical use. A one size diaphragm (FemCap®, Caya SILCS®) is available without a prescription at some pharmacies. A return visit with the diaphragm already in place is usually needed to be certain that you are using it correctly. This is the most striking difference in the Caya contoured diaphragm, as well as grip dimples, the removal dome, and the anatomically shaped rim. Pregnancy and childbirth can change the size of the cervix or vagina. The cream or gel is placed on the inside of the cup (nearest to the cervix) in case the diaphragm is displaced during intercourse. Intrauterine Contraception (IUC, IUD, IUS). History of Birth Control. If a longer interval has elapsed without removal of the diaphragm, fresh spermicide is added with an applicator. It is placed over the cervix with spermicide before sex and left in place for at least six hours after sex. The diaphragm is a barrier method of birth control. The gel needs to be on the side of the diaphragm that will be right next to the cervix. The diaphragm is effective at preventing pregnancy only when used with spermicide. As of April 1, 2018, Public Service Health Care Plan members and their eligible dependants will be covered for a wider range of contraceptive options.In addition to the contraceptive pill, coverage under the Plan will expand to include non-oral contraceptives, such as patches, vaginal rings, contraceptive implants (intrauterine and arm) and intrauterine devices (IUDs) including copper IUDs. You have the right to make the decision to have sex or not. A diaphragm fits inside the vagina and is used each time you have sex. The diaphragm should not be used by women who have ever had, Women who use diaphragms may get more bladder infections (. Diaphragms come in different sizes, so you must visit a health professional to be fitted and get a prescription for the right size and type of diaphragm. You will need to be refitted for the right size of diaphragm after: 1. The diaphragm is an internal contraception device that a person inserts into their vagina and over their cervix to prevent pregnancy. She stood accused of advertising contraceptives, which was then an obscenity under the Criminal Code of Canada. Get into a comfortable position, like when you’re putting in a tampon. These prevent contraception between 71 to 88 percent of the time when used individually. Diaphragms are domes made of silicone. It fits inside a woman's vagina and covers the cervix. Neither the woman nor her partner should notice its presence. Spermicide is applied to the diaphragm before insertion. https://www.healthlinkbc.ca/health-topics/tw9508, Find More Information on the Government of BC Website. It is less expensive than hormonal methods of birth control. It should always be used with a sperm-killing cream or jelly (spermicide). You will need to be refitted for the right size of diaphragm after: A small weight gain or loss or a therapeutic abortion usually does not require a new diaphragm size. But water-based personal lubricants, such as Astroglide and K-Y Jelly, are safe to use. Replace your diaphragm every 1 to 2 years to avoid an unintended pregnancy. She believed (contraception) was a woman’s right Palmer was one of these women. When you buy a diaphragm, always read and follow the enclosed manufacturer’s directions. The diaphragm doesn’t have hormones. Fitting by a healthcare provider is generally required. 4.4 out of 5 stars 124. When Canada celebrated its Centennial in 1967 the only legal methods of birth control here were abstinence and the “rhythm” method. 76. The diaphragm is a common form of female contraception that protects against unwanted pregnancy. It is important to check your diaphragm for any cracks, holes, or other damage that would reduce its effectiveness. People could be—and were—prosecuted for trying to teach or provide other methods of preventing pregnancies. It offers reasonably reliable contraception when needed without the potential side effects of hormonal contraception and infectious complications of IUDs. You can consider getting tested for STIs and HIV. The diaphragm must be left in place for 6 hours after intercourse and can be left in place up to 24 hours. Put spermicidal or acid buffering gel inside the diaphragm. Kaufman of Kitchener, Ontario. KESSEL is an ISO-13485-certified manufacturer of medical devices, qualified to develop the product “SILCS” into a marketable diaphragm: the “CAYA® contoured diaphragm”. Caya® Diaphragm – Safe and hormone-free contraception The Caya ® diaphragm is a new, safe contraceptive. Put spermicide in the cup, following the instructions on the package your diaphragm came in. Although Implanon or Nexplanon® (aka birth control implants) insertion has been recently approved for insertion in Canada, we are still waiting on information about availability/access. Forgotten contraception or a missed oral contraceptive; Failed contraception (for example, a condom broke, a diaphragm was dislodged, or the expulsion of an IUD or implant) Failed withdrawal; Starting an oral contraceptive too late in your cycle; A sexual assault or sex against your will. May 29, 2019, Author: Healthwise Staff Medical Review: Sarah Marshall MD - Family Medicine Anne C. Poinier MD - Internal Medicine Adam Husney MD - Family Medicine Kathleen Romito MD - Family Medicine Femi Olatunbosun MB, FRCSC - Obstetrics and Gynecology Rebecca Sue Uranga, Medical Review:Sarah Marshall MD - Family Medicine & Anne C. Poinier MD - Internal Medicine & Adam Husney MD - Family Medicine & Kathleen Romito MD - Family Medicine & Femi Olatunbosun MB, FRCSC - Obstetrics and Gynecology & Rebecca Sue Uranga. A contraceptive gel (or diaphragm gel) that contains lactic acid (such as Caya gel) should be used with the one-size diaphragm to improve the reliability of this type of contraception. A couple must be comfortable with using the diaphragm and be prepared to use it every time they have sex. GYNOL II EX STR JELLY 2.85OZ. Some people are embarrassed to use this method or feel the method interrupts foreplay or intercourse. Current as of: If you have questions, talk with your doctor or appropriate healthcare provider. The first advocacy organization in Canada was formed in Vancouver in 1923, and the first birth-control clinic was started in Hamilton in 1932. The SILCS diaphragm, developed by PATH and partners including CONRAD and research groups in multiple sites, is marketed under the name Caya® contoured diaphragm. The only diaphragm currently available in Canada is made of non-latex silicone. You need to get refitted for a new diaphragm: An extra application of gel needs to be inserted into the vagina each time you have sex or if it’s been more than 2 hours since the gel was originally applied. It should not be used in place of medical advice, instruction, or treatment. This page explains how the diaphragm works and tells you how to use it. A spermicidal cream or gel (which kills sperm) should always be used with a diaphragm. There are no Health Canada approved spermicidal gels containing nonoxynol-9 available in Canada. What is a diaphragm? People who use vaginal barrier methods for birth control have a slightly higher risk of toxic shock syndrome. Contact feedback@myhealth.alberta.ca. When the diaphragm is most of the way in, let go of it and tuck the front edge of the diaphragm up behind the pubic bone. This material is for information purposes only. Pregnancy. Take it out and try again. Do not remove the diaphragm to do this. Major weight gain or loss. $15.76 $ 15. Not using the diaphragm with every act of intercourse is the most common reason for failure. It covers your cervix (entrance to the uterus) and stops sperm from getting through to join an egg. Visit sexualityandu.ca; On-line resources for adults, teens, parents, health professionals [Society of Obstetricians and Gynaecologists of Canada] Emergency contraception is designed as a "last chance" measure, but it can't protect you from sexually transmitted infections. Squeeze the rim together and push the diaphragm into the vagina, as far as it will go towards the back bone. They are usually used with a spermicide and, together, provide an effective barrier to sperm. Some of the less effective forms of contraception include the withdrawal method, fertility awareness methods, spermicide, condoms, a diaphragm, a cervical cap or the sponge. Healthwise, Incorporated disclaims any warranty or liability for your use of this information. Check diaphragm for holes, cracks and tears by holding it up to the light. There's a good chance you can get a diaphragm for free (or a reduced price) if you have health insurance. With time and repeated use, small holes can form in the rubber or silicone. Hook your finger under the rim and pull the diaphragm down and out gently to avoid damaging it. Amazon's Choice for diaphragm contraceptive. It covers the opening of the uterus (cervix) and stops sperm from entering the uterus. It MUST be used with a contraceptive gel. More Buying Choices $12.80 (8 new offers) A diaphragm is generally a good choice for women for whom a 5% failure rate each year is acceptable. If this happens there is an increased chance of pregnancy. It does not affect future fertility for either the woman or the man. Only 2 left in stock - order soon. It is a round, dome-shaped device made of rubber that has a firm, flexible rim. So be sure to use a condom for STI protection unless you know that you and your partner are infection-free. Birth control has been used since ancient times, but effective and safe methods of birth control only became available in the 20th century. You can speak with a health service navigator, who can also connect you with a: Translation services are available in more than 130 languages. To be effective, it must be used with a spermicide. Fitting no longer necessary! The diaphragm is a birth control (contraceptive) device that prevents sperm from entering the uterus. You need to use an acid buffering gel with a diaphragm. Please turn on JavaScript and try again. This makes it a fantastic birth control option for … It has less of an “artificial” feel than condoms. Diaphragms come in different sizes, so you must visit a health professional to be fitted and get a prescription for the right size and type of diaphragm. The "perfect use" failure rate is 6%, with a pregnancy in 6 of every 100 women who carefully use the diaphragm every time they have sex.footnote 1. A diaphragm should cover the entire cervix without causing discomfort. It was developed together with users in an intensive research process in the USA. Canada followed in Feb 2014. Diaphragms don’t protect you from sexually transmitted infections (STIs) and HIV. (4.5 kg). © 1995-2020 Healthwise, Incorporated. sexualityandu.ca: Your link to sexual well-being. FREE Shipping on orders over $25 shipped by Amazon. At this visit, you will be taught how to use and care for the diaphragm. This information does not replace the advice of a doctor. There are two types: A diaphragm is intended to be used with a gel that kills sperm (spermicidal gel). A diaphragm is intended to be used with a gel that kills sperm (spermicidal gel). Diaphragms do not fully protect against sexually transmitted infections (STIs), including infection with the human immunodeficiency virus (HIV). Pregnancy and childbirth can change the size of the cervix or vagina. The diaphragm is a barrier method of birth control. Trussell J, Guthrie KA (2011). It is a soft and shallow dome with a flexible rim that is made of either latex or silicone. The diaphragm, which in the earliest part of the 20th century was the most-used form of birth control among women in the U.S., was suddenly a lot more difficult to obtain. The gel helps by forming an additional barrier in front of the cervix and making the … … Water-based lubricant are safe with any diaphragm. For most diaphragms, a doctor fits the diaphragm and checks the fit at least once a year and after childbirth. There is no effect on a person’s natural hormones. It fits inside a woman's vagina and covers the cervix. Refer to the Society of Obstetricians and Gynaecologists of Canada’s Canadian Contraception Consensus and to the WHO’s Medical Eligibility Criteria for Contraceptive Use as resources for informing contraceptive choice. Caya is a single-size contraceptive barrier device designed to fit a broad range of women. Once in position, the diaphragm provides effective contraception for 6 hours. Failure rates for barrier methods are higher than for most other methods of birth control. Pregnancy. The diaphragm is a small, reusable rubber or silicone cup with a flexible rim that covers the cervix. The diaphragm may be a good choice for birth control if you want to avoid hormones and if you want something that you can easily reverse if you want to get pregnant. It looks like your browser does not have JavaScript enabled. Rinse and dry it completely. While it isn't meant to be relied upon as your primary method of birth control, it is an effective backup in circumstances such as the following: … Do not use any petroleum-based vaginal creams, oils, or ointments, which can damage the rubber. If no method of birth control is used, there’s about an 85% chance of getting pregnant after 1 year of having sex. It can be used by women who have health problems that would make estrogen use dangerous, and by women who smoke. registered nurse any time, every day of the year, registered dietitian from 9am to 5pm PT, Monday to Friday, qualified exercise professional from 9am to 5pm PT, Monday to Friday, pharmacist from 5pm to 9am PT, every day of the year. Spermicide can cost around $5-15 a kit. Browse Disease Prevention HealthLinkBC Files. It is non-hormonal, reusable over many moons and fully within the control of the person looking to prevent pregnancy. Oil-based products can break down (or damage) latex diaphragms. With typical to perfect use, a diaphragm is 88 to 94 percent effective at preventing pregnancy. The diaphragm is a barrier method of birth control. Health Canada, FDA and EU Approved: Caya Single Size Contoured Diaphragm No prescription or fitting needed. The Caya® diaphragm is manufactured in Germany and has received CE certification in March 2013. Health Canada, has approved a new single-size diaphragm for over-the-counter sale, giving women a non-hormonal option for contraception that is reusable and inexpensive Caya® will be launched in Canada on May 8 by the diaphragm's Canadian supplier, Trimedic Supply Network Ltd., of Toronto, at the Primary Health Care trade show in Toronto. Rates are based on use of spermicidal gel, which is not available in Canada. Your use of this information means that you agree to the Terms of Use and Privacy Policy. Call 8-1-1 toll-free in B.C., or for the deaf and hard of hearing, call 7-1-1 or for Video Relay Service, call 604-215-5101. Many clinics offer low or no cost birth control. Rubber can also weaken over time and tear more easily. At this visit, you will be taught how to use and care for the diaphragm. Using a diaphragm might increase your risk of a bladder infection. To learn more about Healthwise, visit Healthwise.org. From 1930 onwards a birth-control program for low-income women was also provided by a philanthropist, A.R. A woman inserts her diaphragm no sooner than 6 hours before having sexual intercourse. Contragel®, Caya Gel ®) which forms a barrier in front of the cervix, lowers pH of vaginal fluid which slows down sperm. Condoms could be marketed only for the prevention of disease. In RA Hatcher et al., eds., If you or someone in your care has chest pains, difficulty breathing, or severe bleeding, it could be a, If you are concerned about a possible poisoning or exposure to a toxic substance, call, Femi Olatunbosun MB, FRCSC - Obstetrics and Gynecology, Birth, Adoption, Death, Marriage & Divorce, Environmental Protection & Sustainability, Employment, Business & Economic Development, or for Video Relay Service, call 604-215-5101. Healthwise, Healthwise for every health decision, and the Healthwise logo are trademarks of Healthwise, Incorporated. We will update our site as it becomes available. Choosing a contraceptive: Efficacy, safety, and personal considerations. People who use a diaphragm should use an acid buffering gel (e.g. It is a round, dome-shaped device made of rubber that has a firm, flexible rim. Fitted diaphragms come in different sizes. The Caya® contoured diaphragm is designed for women looking for a hormone free method of contraception. Replace your diaphragm every year or sooner if you notice any damage. Also, the use of spermicides with nonoxynol-9 may increase your risk of getting HIV/AIDS. A rubber diaphragm can't be used if either person is allergic to latex. If you are looking for health services in your community, you can use the HealthLinkBC Directory to find hospitals, clinics, and other resources. Before sex, the diaphragm is inserted deep into the vagina so that part of the rim fits snugly behind the pubic bone. A diaphragm is a barrier method of birth control that is put in the vagina prior to having sex. 9. if you gain or lose more than 10 lbs. It can move out of place during sex. Birth control, also known as contraception and fertility control, is a method or device used to prevent pregnancy. It is used only at the time of sexual intercourse. There are no Health Canada approved spermicidal gels containing nonoxynol-9 available in Canada. You can stand with one foot on a chair, sit on the edge of a chair, lie down, or squat — do whatever works … Lie down, squat, or raise one leg on a chair or toilet. Diaphragms are less effective for people who have had a baby. 2. How well a diaphragm works with acid buffering gel is unknown. Other contraceptives have proven to have a greater chance of success. How well a one size diaphragm works to prevent pregnancy is unknown. Getting a diaphragm can cost anywhere from $0 to about $250 — that includes the cost of an exam and fitting, plus the cost of your diaphragm. How well a fitted diaphragm works to prevent pregnancy differs depending on the study. The content on this page may not be changed without consent of the author. A return visit with the diaphragm already in place is usually needed to be certain that you are using it correctly. Learn how we develop our content. Check the expiry on the gel. Wash your hands with soap and water for at least 20 seconds. You can plan ahead and talk to your partner about how to protect yourself and lower your risk of pregnancy, STIs, and HIV. Think about getting emergency contraception to help prevent pregnancy if birth control wasn’t used or your diaphragm moved out of place. On average, the diaphragm user failure rate is 12%. It is moderately effective, with a one-year failure rate of around 12% with typical use. The diaphragm is a dome-shaped rubber cup with a flexible rim that fits over the cervix and upper part and lateral wall of the vagina. The SILCS diaphragm is an exception The SILCS diaphragm is a single-size contraceptive barrier device that does not require fitting by a doctor.