The woman should practice handling, inserting and checking correct placement of the Caya on her own. Then practice removal. The provider should encourage the woman to use what ever insertion position is most comfortable and easy for her. The woman should walk around for a few moments after inserting the Caya (the Caya will settle more firmly into position as the woman moves).

The woman should use what ever position is most comfortable/easy for removal of the diaphragm. If she has difficulty, squatting and “bearing down” as if having a bowel movement will move the cervix closer to the introitus and may help.

Before the woman leaves the clinic, you should be comfortable that the woman can insert, check position and remove the diaphragm.