DIAPHGRAM
- Flexible metal ring covered with rubber in shape of shallow dome
- Only 84. 1 percent effective
- Risk of failure is approximately doubled when the user is less than 30 years old or has intercourse 4 times or more weekly
- Placed in vagina to completely encircle the cervix and to prevent sperm from entering the uterus
- Usually used with spermicidal jelly or cream applied to side of dome facing cervix
- New England Journal of Medicine reports evidence of link between diaphragm use and toxic shock syndrome
- Local skin irritation caused by sensitivity or allergy
