Let’s Talk Contraception: The One-Size Diaphragm, a New Contraceptive

SILCS diaphragmIn June of 2013, a new barrier contraceptive, the SILCS diaphragm, entered the market in Europe, and in May of this year, it became available in Canada. The new diaphragm is called the Caya contoured diaphragm, and it’s being marketed as “not your mother’s diaphragm.” This is exciting because Caya is a user-friendly, one-size diaphragm that can fit most users without the need of a pelvic exam. It is being sold through pharmacies and health care providers.


An over-the-counter, one-size-fits-most diaphragm could be available in U.S. pharmacies as early as next year.


The SILCS diaphragm was developed with the financial help of the U.S. Agency for International Development (USAID), by CONRAD and PATH, nonprofit leaders in global contraceptive research. USAID was created in 1961 by President Kennedy, and provides financial support to improving the lives of people in developing countries, including support to find safe, effective, and acceptable contraceptives in low-resource areas. CONRAD began in 1986 as a division of the obstetrics and gynecology department of East Virginia Medical School in Norfolk, Virginia, and collaborates on research to improve reproductive health around the world. PATH is a Seattle-based international nonprofit that works globally to develop and deliver health solutions that are affordable and effective, including vaccines, drugs, and medical devices.

Caya works as well as traditional diaphragms, but has been redesigned to make it easier to insert and remove. During its development, many women, their partners, and health-care providers on four continents had input on its design. Continue reading

Let’s Talk Contraception: New Contraceptives and HIV Protection

This ring, currently under development, can be inserted into the vagina to prevent both pregnancy and HIV transmission. Image: USAID

This ring, currently under development, might reduce risk for both pregnancy and HIV transmission. Image: USAID

The World Health Organization estimated that in 2012 there were 35.3 million people worldwide living with HIV. A whopping 69 percent of them live in sub-Saharan Africa. Save the Children reports that 2 out of 5 children born in developing countries are the result of unintended pregnancies.

Condoms remain the gold standard for protection against HIV transmission. But not all women are able to negotiate condom use. The same can be said for contraceptives. Health-care providers in some areas of the world are not even able to provide condoms consistently due to political or financial pressures.


An intravaginal ring under development might protect against pregnancy, HIV, and genital herpes.


But there are nonprofit groups researching and developing products to meet the needs of women in these countries. With the financial backing of the U.S. Agency for International Development (USAID), CONRAD, a nonprofit committed to improving reproductive health globally, is testing a new intravaginal ring that combines a hormonal contraceptive, levonorgestrel, and an HIV microbicide, tenofovir, in the same product. When inserted vaginally, it slowly dispenses both drugs to prevent pregnancy and HIV transmission. Continue reading

Happy New Year and Family Planning for All!

world health family planningHappy New Year! With the start of the Affordable Care Act this year and birth control available to many American women without a co-pay, we have made great strides to decrease unintended pregnancies in the United States. I was about to write about new contraceptives that may be coming down the pipeline that could add to the already vast array of choices American women have for family planning. As I lay in my warm bed, thankful for being safe and well fed, I thought about women around the world who do not have the choices I have. They aren’t reading articles about new advances in contraceptive choices. Many have no access to contraceptives at all. Globally, 222 million women have an “unmet need for contraception.”


Let’s create a healthier world where we all have access to family planning!


One of the most essential ways to increase a woman’s health and independence is to provide access to family planning. When women have access to contraception, fewer unintended pregnancies result and also fewer unsafe abortions. Women who continue to have unintended pregnancies risk not only their health and the health of their child, they also have fewer educational and economic opportunities. When a woman is able to time and space her pregnancies, the woman, her children, and her community fare better. In communities where rapid population growth is related to unintended pregnancies, social and economic progress is impaired.

Limited access to contraceptives is just a part of the problem. Fear of using modern contraceptives such as the birth control pill also contribute to decreased use of some contraceptives. In many countries, religious and cultural values may have an impact on family planning efforts. Lack of  donor support to put programs of education and access in place are also a factor, especially when many political discussions associate family planning with abortion. Continue reading