Non-hormonal contraception Q&As
Published by Bupa's health information team, November 2009.
Answers to questions about non-hormonal contraception
This section contains answers to common questions about this topic. Questions have been suggested by health professionals, website feedback and requests via email.
- Should I use a spermicide with a condom?
- How long can I leave a diaphragm in for?
- How often will I need to get a new diaphragm?
Should I use a spermicide with a condom?
No, you don't need to use a spermicide with a condom.
Explanation
At one time, it was widely recommended to use a spermicide with a condom. However, this advice has now changed - if used correctly, condoms should give enough protection by themselves.
In fact, spermicidal-lubricated condoms are being phased out as research has shown that spermicidal condoms (containing nonoxinol 9) offer no additional benefits and may be less effective against sexually transmitted infections.
Further information
fpa
0845 122 8690
www.fpa.org.uk
Sources
- Contraception. Clinical Knowledge Summaries. www.cks.library.nhs.uk, accessed 25 May 2009
- Your guide to male and female condoms. fpa. www.fpa.org.uk, accessed 25 May 2009
How long can I leave a diaphragm in for?
This depends on the exact type you're using - some can be left in place for up to 30 hours, and others for up to 48 hours. It's important to always leave your diaphragm in for at least six hours after you have had sex.
Explanation
Diaphragms and caps must be left in place for at least six hours after you have had sex to be effective. This allows the spermicide to kill any sperm so it's important that you leave it in this long to prevent sperm from entering your cervix.
You can leave a diaphragm or cap in for longer than the minimum of six hours. This can be up to 30 hours for diaphragms or caps made of latex and up to 48 hours for diaphragms or caps made of silicone. However, check the information leaflet to find out the maximum recommended time for your particular device as this can differ between products.
You can put the diaphragm or cap in place at any time before you have sex. However, you need to remove it at least once within the maximum stated time and wash it in mild soap and water before reinserting it. It's important to apply additional spermicide if you plan to have sex and your diaphragm has been in place for longer than three hours, or if you have sex more than once before removing your diaphragm. The diaphragm must not be removed between intercourse if the episodes are within six hours of each other.
Further information
fpa
0845 122 8690
www.fpa.org.uk
Sources
- Contraception. Clinical Knowledge Summaries. www.cks.library.nhs.uk, accessed 25 May 2009
- Clinical guidance: male and female condoms. Faculty of Sexual & Reproductive Health Care. www.ffprhc.org.uk, 2007
- Diaphragm (contraceptive). GP Notebook. www.gpnotebook.co.uk, accessed 29 May 2009
How often will I need to get a new diaphragm?
You will usually be advised to have your diaphragm replaced every year. You may also need to get a new diaphragm if you lose or put on weight.
Explanation
Your doctor or nurse will usually check every year to see if you need a new diaphragm. You will probably only need a new one before this time if your current diaphragm has been damaged, or you need a different type. However, if you have put on or lost more than 3kg (seven pounds) in weight, you will also need to have your diaphragm checked by a doctor or specially trained nurse.
Check your diaphragm regularly to make sure it's in good condition. Do this by holding it up to the light and stretching it (being careful not to damage the rubber with your fingernails or jewellery). A change in colour and texture of the rubber is quite normal and doesn't make it less effective. If there are any holes in the diaphragm or you can't return it to its normal shape, visit your GP or clinic to get a replacement.
Further information
fpa
0845 122 8690
www.fpa.org.uk
Sources
- Clinical guidance: male and female condoms. Faculty of Sexual & Reproductive Health Care. www.ffprhc.org.uk, 2007
- Diaphragm (contraceptive). GP Notebook. www.gpnotebook.co.uk, accessed 29 May 2009
- Contraception: your guide to diaphragms and caps. fpa. www.fpa.org.uk, accessed 29 May 2009
Related topics
This information was published by Bupa's health information team and is based on reputable sources of medical evidence. It has been peer reviewed by Bupa doctors. The content is intended for general information only and does not replace the need for personal advice from a qualified health professional.
Publication date: November 2009
Non-hormonal contraception factsheet
Visit the Non-hormonal contraception health factsheet for more information.
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