FAQs

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Your Questions Answered

Patient FAQ

  • Does Caya® affect my libido or desire for sex?

    No. Because Caya® is hormone free, it will not affect how you feel about having sex. The moment of intimacy shouldn’t be interrupted by use either, as insertion can be done up to two hours ahead of sex, and Caya® needs to be left in for 6 hours after sex.

  • Can my partner feel Caya® while we’re having sex?

    Not likely. The dome of the Caya® diaphragm is soft, like your cervix, and so it feels natural. In rare cases, the partner may feel the rim of the diaphragm, but the majority of men reported no change in their experience.

  • Can I have sex more than once after inserting Caya®?

    Yes, Caya® will remain in position if you have sex more than once after inserting. You will have to apply additional spermicide or gel using an applicator (without taking out the Caya® diaphragm). You will need to leave Caya® in for 6 hours after your partner’s last ejaculation to ensure the sperm are inactive.

  • What types of spermicide or contraceptive gel can I use with Caya®?

    Any spermicide or contraceptive gel that is WATER-BASED will work, such as VCF Gel. If you’re having trouble getting the gel please contact our team.

  • Caya® doesn’t come with the spermicide or contraceptive gel, so where do I get it?

    Currently, Health Canada has not approved any spermicide.

  • Will the Caya® diaphragm really last 2 years?

    Two years from the first use. After 2 years, the nylon ring inside Caya® loses its “bounce back,” which can make it less effective. We recommend you write the date of first-use on the box, or put a note in your calendar to order a new one earlier than 2 years from the first-use date. Any Caya® diaphragm older than 2 years, no matter how often it was used, should be discarded.

  • Can I use additional lubricants or condoms with Caya®?

    In addition to the spermicide, you can use water-soluble lubricants to combat dryness, and condoms to guard against sexually transmitted disease. Be sure the lubricant is not silicone oil based, as that can damage Caya®. However, using condoms with a small amount of silicone oil will not damage Caya®.

  • How do I properly clean my Caya® diaphragm?

    After use, simply wash Caya® by hand with soap and warm water, and let it air dry. Any mild bathroom soap will work. Even if the Caya® diaphragm drops in the toilet, or on the floor, warm soap and water is all that is needed. Do not boil it in water.

  • Do you have instructions in Spanish? Tienes instrucciones en español?

    Yes, download a brochure in French  

  • What’s the difference between “perfect use” and “typical use” of Caya® with regard to preventing pregnancy?

    "Typical use" is when usage is not consistent or always correct, whereas "perfect use" refers to consistent and always correct usage. For the Caya®, this includes proper insertion, using a spermicidal or contraceptive gel, and leaving the Caya® in for at least 6 hours after sex each and every time.

  • What if Caya® shifts or comes out during intercourse?

    Slight shifting is normal due to the contoured shape. However, if it comes out during sex it’s likely not been inserted properly. Re-insert the Caya® diaphragm after applying more contraceptive gel. If it comes out after your partner has ejaculated, it’s best to visit your healthcare provider (within 72 hours) to discuss emergency contraception options.

  • I can’t feel the Caya® diaphragm inside me, is that normal?

    Neither you nor your partner are likely to feel it inside, covering your cervix. However, you should be able to feel it with your finger to ensure it’s in the right place, covering your cervix. If you’re concerned with the fit, you can take it into your healthcare provider to ensure the fit.

  • Can Caya® break or tear?

    Yes, but this is unusual. If you notice that your Caya® is damaged in some way, especially after sex, it’s best to visit your healthcare provider (within 72 hours) to discuss emergency contraception options. A torn or damaged Caya diaphragm should be replaced.

  • Can I use Caya® as a menstrual cup?

    No. Caya® is a form of contraception, and is not designed to manage your period.

  • Can I swim, bathe, or get in a hot tub with Caya® inserted?

    Yes. You can swim, bathe, or relax in a hot tub before or after the Caya® is inserted.

  • What if I experienced discomfort or pain, or bleeding, when using Caya or when I removed it? Or I suspect I have a vaginal infection?

    Please contact your health provider. It may be an indication that something else is wrong, such as having a reaction to the spermicide. If you do have a vaginal infection, it’s best to replace your Caya diaphragm after your treatment ends.

  • What do I do if I leave the Caya® diaphragm inside me for more than 24 hours?

    Wearing the Caya® diaphragm for more than 24 hours can promote bacterial growth, which can lead to infection and Toxic Shock Syndrome (very rare). We recommend contacting your healthcare provider to see if an examination is necessary.

  • Do I need to see a healthcare provider to ensure Caya® fits/works for me?

    No. Caya is one size fits most however, if you have concerns about Caya® fitting you or if you are inserting it correctly, you can meet with your healthcare provider. 

  • Do I need a prescription to get Caya®? If so, how do I get a prescription?

    No, you do not need a prescription for the Caya diaphragm.

  • Does insurance cover the Caya® diaphragm?

    Most insurances cover the cost of the diaphragm. If you are concerned it’s best to contact your insurance company to confirm the amount they will cover.

  • What if my healthcare provider doesn’t know about Caya®, or says it is unavailable?

    If your provider doesn't know Caya®, we can help: Call Caya®. We will be happy to contact your healthcare provider and send them a Caya® Provider Education Kit or connect you with a Caya® preferred provider in your area.

  • Is there a mail order prescription option?

    You can order the Caya diaphragm from your retail pharmacies or our approved online retailers.  

  • What if my pharmacy doesn’t know about Caya®, or says it is unavailable?

    Some pharmacies have never heard of Caya® and automatically assume they don't have it available, but Caya® is available at most retail pharmacies ! If your pharmacy doesn't know Caya®, please let them know it is available through McKesson. If they still say it is unavailable, we can help! Call or message us. We will be happy to contact your pharmacy for you or connect you with another pharmacy familiar with Caya® in your area.

Provider/Pharmacy FAQ

  • My patient is requesting the Caya® diaphragm, but I haven’t heard of it?

    Contact us. In addition to product education on our site, we will send a Caya® Provider Education Kit to you. We can also add you to our preferred provider list.

  • Where can I get more information on dispensing Caya® from my office—if I’m a physician Nurse Practitioner, or a Certified Nurse Midwife (CNM)?

    Contact us directly, and we can provide all the education material and patient information.

  • Is Caya a good fit for all my patients?

    The Caya® contoured diaphragm is an innovative single-sized design that fits most women. In a clinical study, clinicians assessed fit and determined that Caya could fit almost all the women in the study (97.6%). Those who Caya didn't fit were sized to fit the smallest and largest size of the conventional diaphragm (50-60mm and 85-90mm). Although most women will not need a fitting exam with Caya, you will still need to ensure your patient is able to insert, correctly position, and remove Caya comfortably. To learn about insertion, visit our How to Use Caya page or order a Caya Provider Education Kit, which comes with a fit sample.  


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Ready to Get Caya?

If the flexibility, affordability, and non-hormonal option is for you, there are two ways to Get Caya. Although the Caya diaphragm does require a prescription in the US, you can get Caya through Telehealth or through an In-person visit with your healthcare provider.

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