Diaphragm Birth Control

The diaphragm is an attractive birth control alternative for women who are looking to avoid the hormonal impact of injections or oral contraceptives. When properly fitted and used appropriately, diaphrams are approximately 90% effective in preventing pregnancy. However, contraceptive diaphragms do not provide protection against sexually transmitted diseases (STDs). Diaphragms do not require a prescription, but must be customized for each woman and checked by a healthcare provider every year.

Please call 212-308-4988 or contact us online to discuss the diaphragm with a certified gynecologist to decide if it’s the right form of contraception for you.

How Does a Diaphragm Work?

A Diaphragm is made out of soft, flexible rubber that has been molded into a concave shape so that it fits snugly across the cervix, blocking sperm from entering the uterus. When used properly with spermicidal cream or jelly, a diaphragm is a very effective form of preventing pregnancy. However, it’s important to closely follow these steps:
•    Apply spermicide and insert the diaphragm into the vagina as much as one hour before sexual intercourse
•    Re-apply spermicide to the inserted diaphragm if sex is to be had within six hours
•    After intercourse, the diaphragm must remain in place for six hours after intercourse
•    Spermicide and a diaphragm should always be used together: neither one is effective in preventing pregnancy when used alone.

Diaphragm Maintenance

It is important to gently wash the contraceptive diaphragm after each use, and it must also be carefully examined for tiny holes. Checking for holes is as simple as running the diaphragm under water and inspecting to ensure that water does not leak through. If there are any leaks, no matter how small, the device is no longer effective and must be replaced.

If you’re interested in learning more about the diaphragm as an option for birth control, please watch this video.

The birth control pill is not appropriate for every woman and medical screening is required.

The pill comes is different dosages and prescriptions. Once the medical screening is passed, the woman will be given the proper prescription. It is important to follow the prescription instructions precisely so that the pill is effective. While the pill is an effective measure in preventing pregnancy, it does not provide protection against the spread of sexually transmitted diseases.

If you’d like to know more about birth control pills, please enjoy this video.

The Intrauterine Device (IUD) is a Small, “T-shaped” device inserted into the uterus to prevent pregnancy. The IUD is inserted into the uterus by a health care provider, where once in place, it can remain there for several years.

IUDs are one of the most effective forms of birth control available. Less than 1 out of 100 women will get pregnant each year if they use the ParaGard or the Mirena IUD. Women who have uterine, fallopian, ovarian, cervical or vaginal irregularities may not use this form of contraception.

In some cases, the IUD may present certain problems. Insertion can cause painful menstrual cramps, and women with an IUD may experience more severe menstrual cramps, and longer and heavier periods. Pain relievers can usually reduce bleeding, cramping, and other discomforts. If they are severe and do not seem to lessen, tell your health care provider.

Women with an IUD may be more prone to certain infections.

The risk of pregnancy while using a ParaGard or Mirena IUD is very low. But if the IUD slips out of place, pregnancy can happen. If you become pregnant, have the IUD removed as soon as you find out that you are pregnant. It’s important to pay attention to any symptoms you might have after starting the IUD and to monitor your body’s reaction during the use of it.

For more information on the use and benefits of the IUD, please watch this video.

Eastside Gynecology offers our patients Tubal ligation as one form of permanent birth control. It is a laparoscopic surgery and a fairly simple procedure. Most women stay home from work the next day and are asked to avoid heavy lifting and exercise for 2 weeks. Through a small incision, our surgeon will use an instrument to burn the fallopian tubes which creates a permanent blockage of the tubes.

If a woman is absolutely positive that they do not want to become pregnant in the future, then the effectiveness of this procedure is 100%. If you are considering tubal ligation, please call us at Eastside Gynecology for an in-depth consultation.


Essure is an alternative to tubal ligation. It involves the insertion of soft, flexible micro-inserts that block the Fallopian tubes and prevent sperm from reaching and fertilizing eggs. The ovaries will still produce eggs, but they will not be able to reach the uterus. Instead, they will be safely reabsorbed into the abdomen.

This method is irreversible and can only be performed on patients who are sure they do not want to become pregnant in the future. Permanent birth control is 100% effective three months after the insertion. Alternate methods of birth control are necessary until the three months have elapsed.

Watch this video on Essure to find out more about permanent birth control.

Emergency Contraception (EC), also known as the Morning-After pill, is intended for use after unprotected sexual intercourse or when you believe your primary method of birth control has failed and unwanted pregnancy may result. EC contains higher doses of the same hormones as regular birth control pills (estrogen and progestin), and must be taken within 72 hours of sexual intercourse. It is usually taken in two doses, 12 hours apart. This prevents ovulation which, in turn, can prevent pregnancy. Because taking EC prevents a woman from becoming pregnant it is not considered an abortion.

Emergency Contraception is not intended for use as the primary means for birth control, and only as a back-up or in case of “emergency” as indicated by the name.

Getting a Diaphragm

A diaphragm must be fitted by a medical professional to ensure it will be effective as a form of contraception. Anyone is eligible for a diaphragm. Our gynecologists will go over your options and help you decide if it is the method of birth control best suited for you.
Call our clinic at 212-308-4988 or contact us today to set up an appointment.

Learn more about other forms of contraception offered at Eastside Gynecology including:
•    The birth control pill
•    Intrauterine Device (IUD)
•    Permanent birth control
•    Emergency Contraception – Morning After Pill.