Follow up Visits

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
• Femcap should be replaced every year

Replace sooner if signs of deterioration, cracks or holes