Because I said so.
Also because of the following reasons. I’ve categorised them in two different ways, one’s with a mnemonic, and one’s a more ‘logical’ approach.
The Mnemonic
You can’t have a diaphragm because U CRAP HAIR, and you have far larger issues to think about
U – Uterovaginal prolapse
C – Cystocele
R – Recurrent UTIs
A – Allergy to spermicide
P – Poor vaginal muscle tone
H – History of toxic shock syndrome
A – Abnormalities of the vagina (congenital)
I – Inadequate retropubic ledge
R – Rectocele
The logical route
I figured that there’s only really two reasons to not be allowed to use a diaphragm – either you’re going to get sick because of it, or it’s going to fall out.
Get Sick:
- Recurrent UTI
- History of TSS
- Allergy to spermicide
Fall out
- Abnormal anatomy
- Cystocele
- Rectocele
- Poor vaginal muscle tone
- Inadequate retropubic ledge
- Uterovaginal prolapse