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Barrier Methods
Introduction Contents Post-Test References Go To Presenter Info


Section 1
Section 2

- Information
- Objectives
- Male Condom
- Properties
- Latex
- Plastic
- Correct Use
- Breakage
- Behaviors
- Cautions
- Protection
- Female
- Characteristics
- Use
- Spermicides
- Characteristics
- Correct Use
- Preferences
- Diaphragm
- Characteristics
- Considerations
- Correct Use
> Fitting
- Follow-up
- Sponge
- New Methods

Section 3


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Section 2 - Method Information

Fitting Diaphragms and Cervical Caps

Fitting Diaphragms and Cervical Caps diagram

Slide 33

Any trained health-care provider can fit a woman for these devices. The size of the diaphragm is determined by a measurement of the vagina taken by the provider. It should be a secure fit that matches the distance from the pubic bone to the posterior fornix of the vagina, or the largest size that is comfortable for the client.

Currently, four sizes of cervical caps are available. The provider estimates the size of the cap and confirms the fit manually after it is in place. The cap should be about the same size or only a few millimeters larger than the base of the cervix. A cap that is too small can injure the cervix, and one that is too large can slip off during intercourse.

Careful aseptic medical practices are required when fitting diaphragms or caps. Clients who wish to use either a diaphragm or a cervical cap will need counseling, instructions and practice in using the device. The woman should practice inserting it before leaving the clinic. Ideally, she should also return in about two weeks, with the device in place, for the provider to ensure she is inserting it correctly and is comfortable using it.



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