We first wrote about a new one-size-fits-(nearly)-all diaphragm back in 2012, when it was called SILCS. Three years later, it's here in the U.S. of A. with the name Caya and all you have to do to try it out is have a little convo with your health care provider.
Caya is made out of silicone and was designed with input from real women to be easier to insert and remove. It's just as effective as other diaphragms, but Caya only comes in one size, which means that unlike other diaphragms available in the U.S. you don't need to get fitted to use it (or refitted if you lose or gain weight).
If you'd like to try the Caya diaphragm, talk to your health care provider about getting a prescription. Since it's new, your provider or pharmacy may need to order it. You'll have to use Caya with spermicide. The most common brand of spermicidal gel in the U.S. is Gynol II, with the active ingredient nonoxynol 9. A new alternative called Cayagel is sold with the Caya diaphragm in Canada and Europe, but it's not approved in the U.S. yet. Cayagel's active ingredient is lactic acid and you may be able to purchase it online.
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