Birth Control: Diaphragm and Cervical Cap
The diaphragm and the cervical cap are cup-shaped devices that are inserted into the vagina. They protect against pregnancy by covering the cervix. They keep sperm from entering the uterus to meet the egg.
![Diaphragm with spermicide in place on cervix.](368086.img)
Pregnancy rates
Talk with your healthcare provider about the effectiveness of this birth control method.
Using the diaphragm or cervical cap
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These devices must be fitted and prescribed by a healthcare professional. You will be instructed on how to insert them.
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These devices must be used with spermicides, which are creams, foams, or gels that kill sperm.
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The diaphragm can be inserted up to 2 hours before sex and the cervical cap up to 6 hours before sex.
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The diaphragm can be left in place for up to 24 hours and the cervical cap for up to 48 hours.
Pros
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Provides birth control right away
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Can be inserted ahead of time
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Easy to stop if you decide you want to become pregnant
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May protect against certain sexually transmitted infections (STIs), but not HIV, the virus that causes AIDS
Cons
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Requires planning ahead
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May be hard for some women to insert
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May increase the risk of urinary tract infection (UTI) or toxic shock syndrome (TSS), a rare but serious disorder caused by toxins released by certain bacteria
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Must be left in place for 6 to 8 hours after sex
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Cervical cap can’t be used during your period
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Cervical cap is significantly less effective for a woman who has given birth
The diaphragm or cervical cap may not be for you
The diaphragm or cervical cap may not be for you if:
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You're allergic to all spermicides
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You can't reach your cervix or insert the device correctly
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You aren't willing to plan ahead or interrupt sex to use it
Online Medical Reviewer:
Donna Freeborn PhD CNM FNP
Online Medical Reviewer:
Heather M Trevino BSN RNC
Online Medical Reviewer:
Irina Burd MD PhD
Date Last Reviewed:
12/1/2022
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