Carry out a preliminary gynecological examination on your patient.

Palpate the patient’s cervix and retropubic recess. Check for any anatomical changes, e.g., pronounced uterine prolapse, cystocele (see above: absolute contraindications).

Give the woman an opportunity to empty her bladder and bowel before the fit exam. Have her wash hands afterward since she will also insert, check fit, and remove the Caya during this fitting. You can use either the single-use diaphragm (with the hole) provided in the EduCare Kit or the woman’s own Caya® diaphragm if she has brought this. Wash the diaphragm with water and soap.