They can be inserted early enough not to interrupt romantic encounters. And unlike the pill, they do not cause any hormonal changes and have no lasting effects on the body. Ill. The Minuses For women like Michelle Smith of Chico, Calif., the diaphragm presented a plethora of problems. It was impossible for me to get it in correctly. I would avoid my husband just so that I would not have to wrestle with the darn things.
Insertion is difficult for some women.
Ultimate fit and comfort may require multiple trips to the doctor. Weight gain and loss, pregnancy, miscarriage and surgery all require a refitting. Even when the fit is perfect, the diaphragm can be knocked out of place by certain sexual positions and techniques. Some users experience an increase in bladder infections. The Bottom Line Diaphragms are only available through a doctor's prescription.