Who are not good candidates for the diaphragm?
The diaphragm is poorly suited to women if they or their partners have allergies or sensitivities to latex, rubber or spermicides. Women with anatomic distortion due to large cystoceles, rectoceles or uterine prolapse are also poor candidates for the diaphragm. Women with some physical disabilities, or with neurologic impairment which limits their flexibility or fine motor control may also not be well suited to the diaphragm, as use of this method requires dexterity for proper diaphragm placement. Women who are not comfortable with insertion or do not have the assertiveness to insist on the timing of insertion and removal may also be poor candidates for the diaphragm.