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 РCystocele 

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

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