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It prevents pregnancy by keeping sperm away from the cervix the latex is impenetrable , and by holding spermicidal cream up against the cervix so that the few sperm who successfully find their way around the diaphragm are eliminated by the spermicide. It can be inserted up to several hours prior to intercourse, and should remain in place for at least 6 hours after intercourse. If multiple episodes of intercourse occur, additional contraceptive cream may be placed in the vagina, but diaphragm should not be dislodged. The diaphragm is very effective, with only about 5 failures per women per year.
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