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A diaphragm is a flexible silicone cup that is inserted into the vagina and covers the cervix. If always used as directed it's about 96 percent effective and is recommended to be used alongside a spermicide to increase effectiveness. Although the benefits of diaphragms include being nonhormonal, safe for nursing moms, and easy to carry around, the main disadvantages are that it can be difficult to insert, can be moved around during sex, and could lead to frequent urinary tract infections.