Warning
  • Diaphragms/caps should not be relied upon for contraception until the client is confident about use.
  • Caya and Femcap are intended to be used without clinical assessment so follow up is client led.
  • Clients using Singa must return for a check.
  • Clients being followed up should be asked to return with the diaphragm/cap in situ. The client should be examined to ensure they have been able to insert it correctly. Also ensure the client is:
    • comfortable using the method including during intercourse and be able to check the position before and after intercourse to recognise if it is correctly positioned
    • is tolerant to the use of spermicide
  • Advise the client to return:
    •  if they have any problem with the use of their diaphragm (such as
      discomfort with use, pain, vaginal discharge or urinary tract infection)
    • if their weight alters by 3kg or more
    • after full term delivery
    • after any unplanned pregnancy regardless of outcome to assess
      possible reasons for method failure
    • after vaginal surgery

Replacement of device
• Singa® diaphragm should not be used for longer than 2 years
• Caya® diaphragm should not be used for longer than 2 years.
• Femcap should be replaced every year
Replace sooner if signs of deterioration, cracks or holes

Editorial Information

Last reviewed: 31/03/2022

Next review date: 30/09/2025

Author(s): West of Scotland Managed Clinical Network for Sexual Health Clinical Guidelines Group.

Version: 6.1

Approved By: West of Scotland Managed Clinical Network for Sexual Health