Contraception

What’s a cervical cap?

The cervical cap is a silicone barrier developed for women. It is used during sexual intercourse and can be reused. The cap acts as a barrier to prevent sperm from entering the uterus and fertilizing the egg. It is smaller that the diaphragm to fit only the cervix of the uterus,

This birth control method is effective 80% of the time if used alone.  To increase its effectiveness against pregnancy to 88%, you must also use a spermicide, applied inside the cervical cap before it is inserted in the vagina.

Be aware that there are many cervical cap sizes! 

To ensure the best effectiveness possible, ask a doctor to help you get the size that is best for you.  .

• The cervical cap offers no protection against sexually transmitted infections (STI’s).  A condom is required for protection against STI,s
• You can’t use the cervical cap during your period, because it would prevent the blood from flowing out of your body..
• You can’t use a cervical cap if you have an infection on your cervix or if you’ve had a recent abortion.

How much does it cost?

You can get a cervical cap over the counter in any drug store or family planning clinic.  Many sizes are available.  To ensure the best effectiveness possible, ask a doctor to help you figure out which size is best for you.  It costs between $40 and $60.

How to use and practical tips

Using a cervical cap …

• The first time you install a cervical cap, it’s a good idea to ask a nurse or a doctor to supervise, to make sure you’re putting it in correctly.
• It is recommended to apply spermicide inside the cervical cap before using it.
• To install it, you must spread the outer labia with one hand while squeezing the cap with your other hand.  You must then insert the cap into the vagina, using the interior lining as a guide.  Use your index finger to press on the ring so that the cap fits snugly over the cervix.
• If you’re not sure, follow the instructions provided with the cervical cap.  Detailed information is given with the cap.
• The cap will be maintained in place by a suction effect.
• You can do all sports, even swimming, with a cervical cap.
• Try to find a comfortable position to install it: crouching, one leg in the air, lying on your side, are all possibilities..
• If your partner can feel the cervical cap, it means that it’s not correctly positioned or that it’s not the right size.
• You can apply an extra dose of spermicide just before sex to increase your chances of preventing a pregnancy.
• Any lubricant must be water-based.
• The cervical cap must stay in place for at least 8 hours after intercourse, but no more than 48 hours.
• To take it out, you must break the suction by pulling on the ring that is fitted against the cervix.  It might be slippery at first, and you should use extra care to not hurt yourself with your nails.
• You have to wash the cervical cap after every use with a gentle soap that doesn’t contain phosphate.  Leave it out to air dry.
• You can sprinkle corn starch on it to keep it dry and odor-free.  It must also be kept out of direct sunlight and heat.
• If the cervical cap is pushed out or removed during sex, you must take the morning-after pill to avoid pregnancy.

What are the Pros and Cons?

• The cervical cap can be installed up to 24 hours before sex.  This allows for a more spontaneous sexual relationship, and also allows you to install it with more privacy.
• If you don’t have frequent sexual relationships, it has the advantage of being installed only when needed.
• It’s usually not felt during sex.
• The cervical cap produces no hormonal changes.
• It is available over the counter

The Cons:

• It is not as effective as other methods if you have frequent sexual relationships.
• It can provoke cramps
• It can increase the risk of urinary infection
• The cervical cap doesn’t protect against sexually transmitted infections (STI’s).  A condom is required to avoid STI’s
• The cervical cap can be difficult to install and take out.  It all depends on your body shape.  However, like everything else, practise goes a long way.
• It is recommended to use spermicidal gels or creams with the cervical cap, however, they can lead to irritations or taste bad.
• It must be well cleaned and stored properly to insure its effectiveness

Complications

Like with tampon, there is a chance of toxic shock syndrome, a generalized infection of the blood, if the cervical cap is left installed for too long (more than 48 hours).