Inserting a diaphragm might seem intimidating, but it’s easier than you think. About 80% of Caya users correctly inserted and confirmed correct position of their diaphragm in the vagina after just reading the instructions.
Remove the Caya diaphragm from the case. Before the first use, the Caya diaphragm should be washed with soap and water, rinsed and then dried with a soft clean cloth. It is recommended to use Caya in combination with a spermacide or contraceptive gel.
During and after sex, Caya prevents sperm cells from entering through the cervix into the uterus, which prevents unwanted pregnancies. When inserted correctly, the diaphragm covers the cervix and is positioned in the upper part of the vagina, between the pubic bone and the vaginal walls.
If you’re using Caya for the first time, it will help to understand where your cervix is located (which is what your diaphragm will cover). You can find your cervix by using your index finger to feel inside your vagina. The cervix feels like the tip of your nose.
Next, you’ll need to find your pubic bone, just in front of your cervix. The narrowest end of the Caya diaphragm—the arrow/finger pull—will rest here.
Before insertion, fold Caya using the grip dimples on each side and squeeze about one teaspoon of spermacide or contraceptive gel into each of the folds.
With your finger, spread the gel around the rim of the Caya diaphragm. This helps make insertion into the vagina easier, and creates a spermicidal barrier along the edges.
Hold the Caya diaphragm with one hand. Place the thumb and index finger on the grip dimples along the rim, squeezing it lightly for insertion. Make sure the arrow is pointing toward your body.
Using your free hand, spread the labia at the opening to the vagina. Push Caya deeply along the back vaginal wall (towards your back) until the cervix rests inside the cup.
Using your finger, verify your cervix is covered by the membrane of the Caya diaphragm. If you can feel the cervix through the cup, then it is in the correct position. If not, remove the diaphragm and try inserting it again.
Once you have verified the position of the Caya diaphragm, you are now ready to have sex. Caya (and the gel) can be inserted up to 2 hours before sex.
The Caya diaphragm must remain in the vagina at least 6 hours after sex before it is removed. This allows enough time for the sperm to become ineffective. The diaphragm should never remain in the vagina for more than 24 hours.
Six hours after the last ejaculation, remove the diaphragm. Insert one finger into the vagina and pull out the Caya diaphragm using the removal dome.
After use, wash the diaphragm carefully with soap and water. Dry gently with a soft clean cloth or let it air dry. Store Caya in its case when not in use. You can reuse your diaphragm for up to 2 years.
Each time you use Caya, examine it carefully to ensure that there are no pin-holes or thin spots and that the spring rim is fully enclosed by silicone rubber. You might also label your case with the first use date to ensure you replace it within 2 years.
Proper use* helps to increase the effectiveness of the Caya diaphragm in preventing pregnancy.
For details about using Caya, this 7-minute video covers:
*Proper use includes using the diaphragm with a water-based spermicide or contraceptive gel. For information about where to get the gel, see our FAQ.
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