How can the health care provider determine the diaphragm size for individual users?
The correct diaphragm size can be estimated by : • inserting the index and middle fingers into the vagina until the posterior wall is reached (by middle finger) • marking the point at which the index finger touches the pubic bone with the tip of the thumb to estimate vaginal length • using this estimate of vaginal length to determine diaphragm size by placing one rim of the diaphragm on the tip of the middle finger • the opposite side of the diaphragm rim should lie just in front of the thumb when the correct size is selected
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