Brief explanation

A diaphragm is a hormone-free contraceptive that acts as a barrier, preventing sperm from entering the uterus. After giving birth, it can only be used from 6 weeks postpartum. Key factors include individual anatomy, the condition of the pelvic floor and correct positioning.

After childbirth, the body undergoes significant changes – hormonally, anatomically and emotionally. At the same time, many women are faced with the question of a safe, hormone-free method of contraception early on. The diaphragm can be an option here.

Contraception after childbirth: a sensitive phase

Immediately after giving birth, the uterus begins to contract. During this time, the body regenerates. This phase usually lasts around six weeks but can vary from person to person.

Important to know: The first ovulation can occur even before the first period. Pregnancy is therefore possible before the cycle visibly returns with menstruation. That is why it makes sense to consider contraception early on – even if the body is still in the process of recovering.

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Breastfeeding as contraception – is that enough?

Many women rely on breastfeeding as a natural form of contraception in the first few months after giving birth. In fact, the so-called Lactational Amenorrhoea Method (LAM) is a scientifically studied form of contraception in which breastfeeding can offer a certain degree of protection against pregnancy under very specific conditions.

This method is based on the fact that frequent and exclusive breastfeeding can hormonally suppress ovulation. However, studies show that this protection is only effective if:

• ·       the child is younger than six months
• ·       menstruation has not yet resumed
• ·       breastfeeding is exclusive or almost exclusive, at short intervals, including at night

If these conditions are met, the risk of pregnancy in the first few months after birth is low.

In everyday life, however, these conditions cannot always be reliably met. Feeding intervals, longer periods of sleep for the baby, supplementary feeding or a change in breastfeeding rhythm can significantly reduce this protection. Furthermore, the first ovulation may occur even before menstruation begins.

For this reason, many women opt for an additional method of contraception that works regardless of breastfeeding patterns. Hormone-free contraceptives are of particular interest to many women during breastfeeding, as they do not affect milk production.

When can a diaphragm be used after giving birth?

Summary: A diaphragm can usually be used as a method of contraception once postnatal recovery is complete, typically around 6 weeks after giving birth.

A diaphragm should not be used during the postpartum period, as the body is particularly susceptible to infections at this time and the anatomical conditions are still changing. Once postnatal recovery is complete (usually after about six weeks), a diaphragm can be used, provided there are no medical reasons against it.

Following childbirth, the position and shape of the cervix, as well as the condition of the pelvic floor, may change. It is therefore important to check, with the help of a midwife or gynaecologist, whether the diaphragm fits properly.

What should I pay particular attention to when using the diaphragm whilst breastfeeding?

Pelvic floor

The pelvic floor plays a key role in ensuring the diaphragm sits securely. Significant weakness or prolapse can affect its position. Postnatal exercises are therefore also important for future contraception.

Checking the fit 

The cervix must be completely covered. After insertion, the position should always be checked manually.

Use of diaphragm gel

A diaphragm is always used in combination with a diaphragm gel. The gel is an essential part of the method.

Important information on using the diaphragm after childbirth

A diaphragm is not suitable, or only suitable to a limited extent:

• in the first 6 weeks after childbirth
• in cases of severe pelvic floor prolapse or uterine prolapse
• if the diaphragm cannot be inserted or positioned

If you experience pain, a feeling of pressure or repeated uncertainty, you should stop using it and seek professional advice.