Here’s the thing about using a diaphragm for birth control in 2019: people often think you’re a little out there. That might be because the last time we saw a diaphragm in popular culture was when Carrie Bradshaw of Sex and the City fame got hers stuck inside her vagina and had to turn to Samantha for help to get it out. But even then, in the late 90s and early aughts, diaphragms just weren’t very popular anymore. And yet, I use a diaphragm. In fact, for the past four years it’s been my primary form of birth control—and I’ve never been pregnant. So what is a woman in her early 30s doing using a diaphragm, when there are more popular (and more effective) forms of birth control out there?