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Cervical Cap
vs
Diaphragm

A side-by-side comparison of two birth control methods — efficacy, cost, how they work, and who shouldn't use them.

Side-by-side comparison

Method
Cervical Cap

Cervical Cap

A small silicone cap that fits over the cervix by suction, used with spermicide before sex.

Diaphragm

Diaphragm

A reusable silicone dome that covers the cervix to block sperm, used with spermicide each time you have sex.

EfficacyLeast effective see details

Least effective: under 90 out of 100 people successfully prevent pregnancy per year.

83% typical use

Least effective: under 90 out of 100 people successfully prevent pregnancy per year.

Cost$90–$120

Insurance: Usually

$80–$200

Insurance: Usually

DurationReusable for 2 years (replace every 2 years or sooner if damaged)Reusable for 1-2 years (replace every 1-2 years or sooner if damaged)
ReversibilityReversibleReversible
STI ProtectionNoNo
How it works

A small silicone cap fits snugly over the cervix and stays in place by suction, blocking sperm from entering the uterus. Used with spermicide inside the cap.

A reusable silicone dome covers the cervix to block sperm from entering the uterus. Used with spermicide for added effectiveness.

PrescriptionRequired Prescription requiredRequired Prescription required
Available Products1 product2 products
Side effects
  • Vaginal irritation from spermicide
  • Discomfort if not fitted correctly
  • Unusual vaginal discharge if left in too long
  • Increased risk of urinary tract infection
  • Vaginal irritation from spermicide
  • Discomfort if not fitted correctly
Who shouldn't use this
  • Cervical anomaly preventing fit
  • Active pelvic infection
  • Sensitivity to silicone or spermicide
  • Inability to insert or remove reliably
  • Uterine or cervical anomaly preventing fit
  • Sensitivity to silicone or spermicide
  • Inability to insert or remove reliably