Final instructions Counsel the woman to practice insertion, wearing, and removal several times before using it during intercourse. Providers also may recommend the woman come back about two weeks later wearing the diaphragm, so the provider can check and confirm fit again. This depends on the clinic protocol and also on the provider and client confidence about fit of the […]
8.
After ensuring the woman understands how to insert, check fit and remove the Caya®, dispose of the Caya® sample diaphragm (with a hole). This sample diaphragm is intended for single-person use and must not be given to the patient. If using the patient’s Caya® diaphragm, have her clean it under running water with a mild soap, dry and put back […]
7.
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 […]
6.
The woman should feel for the removal dome at the front end of the Caya® diaphragm. Using her finger she will hook the diaphragm rim through the removal dome. The dome can be used either by the underside or by slipping the finger over the spring and pushing down on the removal dome. Once she has her finger in the […]
5.
Have the client check fit and placement of the Caya®. Once she has done this, have her remove the Caya® and practice inserting, confirming fit, and removing on her own. If she has difficulty using one position, counsel her to try a different position. […]
4.2
If the Caya® diaphragm is too large, it will not be able to be inserted comfortably. The woman will feel the anterior edge of the diaphragm at the introitus. The fit will not be secure and it could slip out. Ask the woman to stand up and move around to get the Caya® situated. If the woman experiences uncomfortable pressure […]
4.1
The Caya® diaphragm should lie diagonally between the posterior fornix and the pubic notch (or recess). The cervix should be covered by the cervical cup. If the diaphragm is too small, the membrane of the diaphragm may not cover the cervix even after the Caya is fully inserted. If the pubic notch is too flat or shallow, the anterior edge […]
3.4
Now push the anterior edge (where the removal dome is located) up behind the pubic bone/pubic notch. […]
3.3
With one hand holding the Caya® in the folded position, open the labia with the other hand. While keeping the Caya® folded, insert the diaphragm as deeply as possible. Push down so the diaphragm slides along the posterior vaginal wall toward the tail bone. You will need to shift your hand position as the diaphragm is inserted, so eventually your […]
3.2
Squeeze the sides of the Caya® diaphragm together as shown in the illustration. Now apply some contraceptive gel into the two resulting membrane indentations. Approx. 4 ml of gel is sufficient (equivalent to approx. one teaspoon). Extra gel may be applied to the leading edge of the diaphragm to help with insertion. Show your patient the correct way to apply […]
