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 years.
• Femcap should be replaced every year
Replace sooner if signs of deterioration, cracks or holes