- Return for periodic checkups
- May need refitting if a woman:
- gains or loses weight
- has a baby
- has 2nd or 3rd trimester abortion
- May need refitting if a woman complains of
discomfort
- Give instructions for management of urinary
tract infections
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The woman should return to the clinic for periodic check-ups
or for any problems. The device may last two to three years,
depending on usage. The size, however, may need to be changed
if the woman gains or loses a significant amount of weight,
has a baby, or has a second or third trimester abortion. Also,
rubber deteriorates, so the device needs to be checked for small
holes. A woman should return to her provider for a replacement
of a damaged device and use another form of contraception in
the meantime.
Both a diaphragm and cap should be comfortable if fitted properly.
A woman with discomfort should be examined for signs of irritation
from the spermicide and for improper fitting. If the size is
correct, the provider should demonstrate again the method of
preparing, inserting and removing the device. If the device
remains uncomfortable, she should be counseled to use another
method.
A woman with repeated urinary tract infections may be helped
by reducing the amount of time she wears a diaphragm, although
she must wear it for at least six hours after intercourse. She
may also try being fitted for a smaller size, urinating more
often before and after intercourse, or changing contraceptive
methods.
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