Who is a diaphragm suitable for?

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Who is a diaphragm suitable for?

A diaphragm is a hormone-free contraceptive that is used when needed and can therefore be well suited to certain life situations. It is particularly suitable for women who want contraception when needed and wish to take control of their own contraception.

At the same time, a diaphragm is not equally suitable for every woman in every situation. Whether using a diaphragm is appropriate in an individual case depends on personal circumstances, personal preferences, correct use and the specific circumstances of one’s life.

Who might a diaphragm be particularly suitable for?

A diaphragm may be particularly suitable for women who want hormone-free contraception used as required. For example:

  • Women who want a hormone-free contraceptive
  • Women who prefer contraception as required/only when needed
  • Women who know their bodies well or would like to get to know them
  • Women who want a reversible method of contraception
  • Women who wish to use contraception whilst breastfeeding without taking hormones
  • Women who use cycle-based methods and wish to use reliable contraception during their fertile period, e.g. as part of the body awareness method symptothermal method
  • Women who value reusability
  • Women who do not want an IUD
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Typical situations in which a diaphragm is used

  • Hormone intolerance

    If a woman cannot tolerate the ‘pill’, is not allowed to take hormones or refuses to use hormones for contraception

  • Contraception on an as-and-when basis

    When a woman only has sexual intercourse occasionally

  • Taking a break from trying for a baby (spacing)

    If a couple wishes to use contraception temporarily between two pregnancies and an IUD is not worthwhile during this time

  • Cycle-aware contraception

    When a woman uses the body awareness method and only wishes to use contraception during her fertile period of their cycle

  • Refusal to use condoms

    When the partner refuses to use condoms, but the woman wishes to use hormone-free contraception

  • Uninterrupted intercourse

    When a couple finds it disruptive to put on a condom during lovemaking, as the diaphragm is inserted before intercourse

  • "If-then method"

    If contraception is only required on a flexible basis when sexual intercourse takes place

  • Breastfeeding

    If a woman does not wish to take hormones whilst breastfeeding

  • Sustainability

    If a couple prefers a reusable contraceptive for environmental reasons

When a diaphragm may be less suitable

Although a diaphragm is generally suitable for all women, its use may be limited in certain situations or stages of life. This may be the case, for example:

  • if a woman wants a long-acting contraceptive
  • if vaginal insertion is not possible or uncomfortable
  • if a woman does not wish to touch herself vaginally
  • if there are difficulties in locating the cervix
  • if, for example, it is difficult for an obese woman to feel her own body with her hand or to insert a diaphragm
  • if the correct method of use cannot be understood or implemented
  • in certain anatomical circumstances, e.g. in cases of severe uterine prolapse
  • in the first six weeks after childbirth, whilst the uterus is contracting


Important note: 
This information is intended as a factual guide and does not replace medical advice. The relevant instructions for use (IFU) are authoritative regarding application, safety instructions and possible restrictions. No contraceptive offers 100% protection against an unwanted pregnancy. A diaphragm does not protect against sexually transmitted infections (STIs).

Summary: Who might be suitable for a diaphragm

A diaphragm is a mechanical contraceptive that may be particularly suitable for women who wish to use hormone-free, self-determined and situation-dependent contraception. It offers a flexible option for certain stages of life and requires correct use.

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