MEDintim Caya User manual

Instruction manual
Contraceptive diaphragm
Natural, safe, hormone-free
Manual de instrucciones
Diafragma para la anticoncepción
Natural, seguro, sin hormonas

2
Instruction manual
Read the instructions for use before using
the Caya®diaphragm.
Your Caya®diaphragm is a safe and easy-to-use
contraceptive method. It is recommended to
use the diaphragm with a contraceptive gel. The
shape of the Caya® diaphragm is designed to  t
the female anatomy. One size is su cient and
 ts most women.
Your Caya®diaphragm looks like this:
• Silicone membrane: is placed over the cervix
and prevents entry of the sperm cells into the
uterus.
• Grip dimples: to facilitate vaginal insertion.
• Flexible rim: to ensure correct position.
• Removal dome: on the front of the diaphragm
to facilitate removal from the vagina.
What is the position of the Caya®
diaphragm in the vagina?
When inserted correctly, the diaphragm covers
the cervix and is positioned in the upper part
of the vagina, between the pubic bone and the
vaginal walls.
Pubic bone
Cervix
Silicone
membrane
Grip dimples
Rim
Removal dome
EN – english

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During and after sexual intercourse, the Caya®
diaphragm prevents sperm cells from entering
through the cervix into the uterus. This in turn
prevents unwanted pregnancies.
NOTE: It is recommended to use the diaphragm
with a contraceptive gel.
Practice inserting the Caya®diaphragm on your
own a few times before using it for the  rst time
during intercourse.
Before using Caya® the  rst time:
• Take your time
• Read the instruction manual carefully
• If possible, watch the animation on
the internet at www.caya.us.com
• Find the cervix – it feels like the tip of your
nose.
• Also  nd your pubic bone (in the vagina).
How do I insert the Caya®diaphragm:
NOTE: Insert the Caya®diaphragm before
intercourse.
Check your Caya®diaphragm before
you use it every time to make sure it is still ok.
1. Remove the Caya®diaphragm from the case.
Before  rst use, the Caya®diaphragm should
be washed with soap and water, rinsed and
then dried with a soft clean cloth.
2. Before inserting the Caya®diaphragm prior to
intercourse, place 4 ml (about a teaspoon) of
contraceptive gel into the silicone membrane.
Gel

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Spreading the gel around the rim facilitates
insertion into the vagina.
Before inserting it into the vagina, fold the
Caya®diaphragm using the grip dimples.
NOTE: If you have inserted the diaphragm more
than 2 hours before sex, you need to add more
contraceptive gel.
3. Choose a position which is comfortable for
you – kneeling down, lying down or standing
with one leg elevated.
4. Hold the Caya®diaphragm with one hand.
Place the thumb and index  nger on the grip
dimples along the rim. The arrow has to
point towards your body.
5. Using your free hand, spread the labia. Push
Caya®deeply along the posterior vaginal
wall, towards your back, until the cervix rests
inside the cup.

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6. Use a  nger to verify that the cervix is covered
by the membrane of the Caya®diaphragm.
Can you feel the cervix through the cup? If yes,
then it is in the correct position.
If you cannot feel the cervix or the Caya®:
Remove the diaphragm and try inserting it
again.
The edge of the removal dome should be
located securely and safely behind the upper
part of the pubic bone.
If you have veri ed both of the above and the
Caya® diaphragm is in the correct position,
safe contraception is ensured. You are now
ready for intercourse.
7. After intercourse, the Caya®diaphragm must
remain in the vagina for at least 6 hours.
NOTE: The Caya®diaphragm should never be
left in the vagina for longer than 24 hours
without interruption. Wearing it for longer,
uninterrupted periods can promote bacterial
growth in the vagina. These bacteria could lead
to Toxic Shock Syndrome.
In the event of repeated intercourse, or if the
Caya®diaphragm was inserted longer than
2hours before intercourse, insert additional
contraceptive gel deep into the vagina with-
out removing the diaphragm.
8. To remove the diaphragm, insert one  nger
into the vagina and pull out the Caya®
diaphragm using the removal dome.

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Instructions for cleaning and care:
After use, the diaphragm should be carefully
washed with soap and water, rinsed and then
dried with a soft clean cloth. The diaphragm
should not be heated in order to dry it. Syn-
thetic detergents or organic solvents should not
be used. Each time the Caya®diaphragm is used
and washed, it should be examined carefully to
ensure that there are no pin-holes or thin spots
and that the spring is fully enclosed by silicone
rubber.
The Caya®diaphragm is reusable.
With appropriate care, it is expected the Caya®
diaphragm should last for a period of two years
of average use. If any indication of wear are
observed, the diaphragm should be replaced
immediately. Therefore, please note the date
of  rst use on the case of the Caya®diaphragm.
Silicone oil based lubricants have deleterious
e ect on products made of silicone rubber.
Please use a water based contraceptive gel. The
Caya®diaphragm should be stored in its case
when not in use.
NOTE: After treatment of a vaginal infection,
the Caya®diaphragm should be replaced with
a new one.

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About Caya®:
Use: The Caya®contoured
diaphragm is indicated for
the prevention of pregnancy
in women who elect to use
diaphragms as a method of
contraception. It is recom-
mended for use with a contra-
ceptive gel.
The shape and safety of the
Caya®diaphragm were devel-
oped in an intensive research
process lasting several years
in the USA and in worldwide
studies.
• The Caya®diaphragm is
a birth control method a
woman puts in her vagina
before she has sex.
• Caya® covers the cervix (the
opening to the uterus). The
Caya®diaphragm used with
a contraceptive gel helps
block sperm and helps keep
the woman from getting
pregnant.
• One size ts most women.
• Wait to remove Caya®at least
six hours after intercourse.
• Never leave in the vagina for
longer than 24 hours without
interruption.
NOTE: Always keep the Caya®
diaphragm in the original case
and out of the reach of
children.
Information
Toll free phone
1-800-850-1657
www.caya.us.com
More Information:
• About 14 out of 100 women
might get pregnant in one
year, if they use Caya®the
right way every time they
have sex.
• About 18 out of 100 might
get pregnant in a year, if they
do not use Caya®the right
way every time they had sex.
• If you are not sure that Caya®
is a good method for you,
talk with your doctor.
• You should replace Caya®
every two years.
Warnings – Do not use
Caya®if you:
• Are within the rst 6 weeks
after delivery/birth.
• Previously used a traditional
diaphragm of size 60 mm or
smaller, or size 85 mm and
larger.
• In case of a severely pro-
lapsed pelvic oor/cervix.
NOTE: Never use the
Caya®diaphragm with
lubricant gels
containing silicone oil.
NOTE: Intended for
personal use only – not
to share with others.
Caya®does not
prevent STIs or
HIV/AIDS:
• Caya® does not oer
protection against sexually
transmitted infections.
• You should use a condom
along with Caya®to help
protect yourself from these
diseases.

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Talk to your healthcare
provider, if:
• You have diculty getting
the Caya® diaphragm to t in
your body comfortably.
• You use treatments for
vaginal infections.
• You frequently suer from
urinary tract infections.
• You have had lower
abdominal/vaginal surgery.
• You have ever had a Toxic
Shock Syndrome.
Stop using Caya®and
talk to your healthcare
provider, if:
• You or your partner get
burning, itching, a rash, or
other irritation of the vagina
or penis.
• You or your partner have
dicult or painful urination.
Please consult your health-
care provider for any other
medical questions.
NOTE: If you have forgotten
to use the Caya®diaphragm
and have had unprotected
sexual intercourse, please
consider Emergency Contra-
ception to prevent pregnancy.
Take Emergency Contraception
within 72 hours of unprotected
intercourse.
Material:
Silicone (LSR), Polyamid 66
(PA66)
Contents:
• One Caya®vaginal diaphragm
• Instructions for use
• Storage case

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FAQs
How eective is the Caya®
diaphragm?
No contraceptive method can
guarantee 100 % safety from
unwanted pregnancy. The
Caya®diaphragm is just as safe
as the traditional diaphragm.
The more often you use the
Caya®diaphragm, the more
condent you will become
in using this contraceptive
method and the more safety
this method will oer you.
How can I positively inu-
ence safety when using the
Caya®diaphragm?
Regular use of the Caya®
diaphragm and the use
of a contraceptive gel are
important measures for
ensuring contraceptive ef-
fectiveness. In addition, the
diaphragm should always be
inserted before and not during
intercourse.
How do I know that Caya®is
inserted correctly and ts?
Use your longest nger
(usually the middle nger) to
verify the correct position of
the diaphragm: check whether
the cup covers cervix and
the removal dome is located
securely behind your pubic
bone. If this is the case you are
well protected.
For how long can I use the
Caya®diaphragm?
After the rst use, the Caya®
diaphragm can be used for
2 years before replacement.
Why does the Caya®
diaphragm have to remain
in the vagina for 6 hours
after intercourse?
Leaving Caya®in place for
6hours will help ensure that
sperm are inactivated by
the contraceptive gel that
you used with the Caya®dia-
phragm. This will help prevent
unwanted pregnancy.
What should I do if I forget
to remove Caya®after 24
hours have passed?
Remove Caya®and contact
your healthcare provider
regarding the long insertion
period to see if an examination
is necessary.
Why should Caya®not be
worn for longer than 24
hours without interruption?
Wearing the Caya®diaphragm
for longer than 24 hours with-
out interruption can promote
bacterial growth inside the
vagina. These bacteria can lead
to Toxic Shock Syndrome
(very rare).
Can I have repeated consec-
utive intercourse with the
Caya®diaphragm?
Yes, your Caya®will remain in
position, but you will have to
apply additional contraceptive
gel with the aid of an applica-
tor. Applicators for contracep-
tive gel can be purchased in
the pharmacy.
Can the Caya®diaphragm
also be used as a menstrual
cup?
The Caya®diaphragm is
intended to be used for con-
traception. It is not intended
for collection of menstrual
blood.

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What should I do if I have
or suspect I have a vaginal
infection?
Please visit your healthcare
provider for treatment in case
of a vaginal infection (e. g.
fungus). Please use condoms
during treatment and NOT a
diaphragm. Upon completion
of the treatment you should
purchase and use a new Caya®
diaphragm for your own safety.
Could my partner feel the
Caya®diaphragm?
This is highly unlikely.
However, in rare cases, your
partner may feel the rim of the
diaphragm.
Does the Caya®diaphragm
in uence my sexual desire?
No, the Caya®diaphragm has
no in uence on your libido as
it contains no hormones.
What should I do if Caya®
causes pain during inter-
course?
First verify the correct position
of Caya® using a  nger. If the
Caya®diaphragm continues to
cause pain, please visit your
doctor.
What should I do if Caya®
accidentally comes out
during intercourse?
Re-insert Caya®again after
applying some more contra-
ceptive gel. If the diaphragm
comes out after your partner
has ejaculated or if you do not
feel safe, visit your healthcare
provider to discuss whether
you may need an Emergency
Contraception.
What do I have to consider
when using the Caya®
diaphragm?
The only habit that requires
changing is that one always
uses the Caya®diaphragm
when it is needed – during
intercourse. The more often
Caya® is used, the more con -
dent one becomes in handling
the diaphragm.
Can Caya®break or tear?
This is very rare. However,
if you do notice that your
Caya®is damaged in some
way after intercourse, please
visit your healthcare provider
immediately (within 72 hours)
to discuss the possibility of
emergency contraception.
Can I use additional
lubricants with Caya®?
Yes, but only water-soluble
lubricants. It is important to
understand that silicone oil
lubricants can damage your
Caya®diaphragm.
Please note: If using a contra-
ceptive gel as recommended,
it is important to understand
that the compatibility or e ect
of any lubricant on the e cacy
(e ectiveness) of a contra-
ceptive gel is unknown.
Can I use the Caya®
diaphragm in combination
with condoms that are
coated with silicone oil?
Yes, the Caya®diaphragm can
be used with condoms that
are coated with silicone oil.
The small amount of silicone
oil does not damage the Caya®
diaphragm.