How does the diaphragm work?

caya diaphragma beratung frauenarzt 03

How does the diaphragm work?

How does the diaphragm work?

A diaphragm is a hormone-free contraceptive and is one of the mechanical barrier methods of contraception. It consists of a flexible silicone membrane which is inserted deep into the vagina before sexual intercourse and completely covers the cervix.

It is always used in combination with a diaphragm gel and protects against unwanted pregnancy by mechanically preventing sperm from entering the uterus

How it works: How a diaphragm works

A diaphragm prevents pregnancy through two coordinated mechanisms:

  1. Mechanical barrier at the cervix
    The diaphragm sits like a ‘lid’ over the cervix and blocks the path of the sperm. This prevents sperm from travelling up into the uterus and reaching the egg.
  2. Second barrier provided by the diaphragm gel
    In addition, a special diaphragm gel is applied to the silicone membrane.
    The gel spreads as a viscoelastic layer between the diaphragm and the vaginal wall. It forms an additional physical barrier immediately in front of the cervix and supports the mechanical seal.

One example is Caya® Gel: it contains two key ingredients. Cellulose forms a second mechanical barrier in front of the cervix, in addition to the diaphragm’s membrane. Lactic acid, with an adjusted pH value of 3.8, supports the natural vaginal environment and is always used in combination with the diaphragm.

Step by step: How to use the Caya® diaphragm

1 caya gebrauchsanweisung gel auftragen

The Caya® diaphragm is inserted before sexual intercourse. Before insertion, the Caya® is folded at the side grip dimples. Approximately 4 ml (about one teaspoon) of diaphragm gel (Caya® Gel) is placed into the resulting membrane recesses.

2 caya gebrauchsanleitung caya gel auf rand

Small amounts of the gel are spread around the rim. Coating the rim makes insertion into the vagina easier. 

3 caya gebrauchsanleitung caya richtig greifen

Hold the Caya® diaphragm with one hand. When inserting, the arrow should point towards the body. 

4 caya gebrauchsanleitung caya einführen

 The Caya® is pushed up to the posterior vaginal fornix and, using the recessed grip, up to the pubic notch. 

5 caya gebrauchsanweisung korrekter sitz

The Caya® is correctly positioned when the cervix is completely covered by the membrane of the Caya® diaphragm and lies between the posterior vaginal fornix and the pubic notch.

6 caya gebrauchsanleitung caya sitz prüfen

The cervix should be felt through the silicone membrane of the Caya® diaphragm (it feels like the tip of your nose). If this is not the case, the diaphragm must be removed and reinserted. 

7 caya gebrauchsanweisung 6 stunden nach geschlechtsverkehr

After sexual intercourse, the Caya® diaphragm must remain in the vagina for at least 6 hours.

8 caya gebrauchsanleitung caya entfernen

It is then removed from the vagina by the removal dome. 

9 caya gebrauchsanweisung abspuelen

After each use, the Caya® diaphragm should be rinsed with soap and water and dried with a soft, dry cloth. 

10 caya gebrauchsanweisung aufbewahrung in dose

To protect it from external influences, the Caya® should always be stored in the case provided. 

11 caya gebrauchsanweisung nicht laenger als 24 h in vagina

Important: The Caya® diaphragm should never be left in the vagina for longer than 24 hours, as prolonged, uninterrupted use can encourage the growth of bacteria in the vagina. These bacteria could then lead to Toxic Shock Syndrome (TSS). 

Why does a diaphragm prevent pregnancy?

A diaphragm prevents fertilisation by:

  • completely covering the cervix
  • mechanically preventing sperm from entering the uterus
  • creating an additional barrier directly in front of the cervix with the diaphragm gel

As sperm must enter the uterus and travel further into the fallopian tubes for fertilisation to occur, this pathway is reliably blocked by the combined use of the diaphragm and diaphragm gel.

No contraceptive method offers 100% protection. The diaphragm protects against unwanted pregnancy but not against sexually transmitted infections (STIs).

How to use

The diaphragm explained clearly: The video clearly demonstrates how this hormone-free contraceptive with a barrier function is used, how it covers the cervix and, in combination with a diaphragm gel, prevents sperm from entering the uterus.

Find out more about how to insert them correctly and use them safely in everyday life.

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