Protection may be increased by making sure the cervix is covered before every act of intercourse using a fresh application of spermicide if intercourse is repeated using a condom How To Get Them A pelvic examination is necessary. Health care providers must determine the correct size. They also provide information about use, insertion, and removal. Most women can be fitted with diaphragms or cervical caps. Diaphragms are available in many sizes and designs.
Cervical caps are available in only four sizes.
A new size may be needed for either after a full-term pregnancy abdominal or pelvic surgery a miscarriage or abortion after 14 weeks of pregnancy weight gain or loss of 10 pounds or more Women should have pelvic examinations once a year. During these exams the diaphragm or cervical cap can be checked for wear and size. Some Conditions that May Rule Out Use of Diaphragms and Cervical Caps insertion is too difficult sagging uterus vaginal obstructions history of toxic shock syndrome recent cervical surgery recent mid-trimester abortion childbirth in the last six weeks uncomfortable about touching one's genitals A woman may not be able to use diaphragms if she has poor vaginal muscle tone or frequent urinary tract infections. The use of cervical caps may not be appropriate if a woman has an abnormal Pap test, a reproductive tract infection, or inflammation of the cervix. The use of diaphragms and caps may offer some protection against certain sexually transmitted infections, including chlamydia and gonorrhea.