A diaphragm is a form of contraception. The diaphragm is not commonly used in Norway, but may be bought from certain pharmacies online. 

A diaphragm is a silicone cap. It sits on the mouth of the uterus (statt cervix) and prevents semen from reaching the egg cells. The diaphragm is used together with a gel. 

A diaphram is not as reliable as hormonal contraception or IUDs in protecting against unwanted pregnancies. It is therefore not recommended unless you are not that worried about getting pregnant. 

The diaphragm marketed in Norway is made to fit most women, and does not need to be customised. Other diaphragms only work if you use the right size for you. A doctor or a midwife can determine which size you need.

Diaphragm

You can ask for help from your doctor, a public health nurse or a midwife. There are also certain counselling services you may contact. They will also advice you how to use the diaphragm.

How to use a diaphragm

Before using the diaphragm for the first time, you should practice correctly inserting the diaphragm a few times. The right placement is essential for the diaphragm to work correctly.

  • You can insert the diaphragm up to two hours before having sexual intercourse. You can also insert it just before having sex.
  • Apply a special gel to the inside of the diaphragm. 
  • Fold the diaphragm together so that the hollow side faces upwards towards the uterus
  • Insert the diaphragm deep into the vagina, pushing it up over the entrance to the uterus. 
  • Check that the positioning is correct. The diaphragm must cover the mouth of the uterus (statt cervix) and sit securely.
  • Remove the diaphragm, at the earliest, six to eight and, at the latest, 24 hours after sex. Pull it down and out.

Wash the diaphragm with warm water and soap and rinse it well. Then allow it to air dry. 

Store it in a suitable box.

Put a special jelly on the inside of the diaphragm that kills sperm cells or slows them down.
Fold the diaphragm in half.
Hold the hollow side of the diaphragm towards the uterus.
Insert the diaphragm deep into the vagina, over the entrance of the uterus. The cervix must be covered.
The diaphragm is inserted.
The diaphragm stays in place when having sexual intercourse.
Remove the diaphragm by pulling it down and out.
Wash it in hot water and dry it.

Protection against STIs and HIV

The diaphragm does not protect you against STIs or HIV. Only a condom can protect you from these infections.

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