
128—
I have ADHD (Part one)
In New Zealand, diaphragms and spermicide are not recommended by the powers-that-be.βοΈ
Because of this they have not been available in this country since 2010. 1
The Ministry of Health says that the reasons for this ‘ban’ are (and I’m paraphrasing here):
Females are feeble creatures who can’t protect themselves.
They therefore ideally require modern, idiot-proof contraception be ‘installed’ in their body (as in LARCs; Long-Acting Reversible Contraception such as IUDs or implants). This way they don’t have to worry-their-pretty-little-heads about it. They can simply ‘fit and forget’ and just ‘lie back and think of England’… π
Diaphragms and spermicide aren’t accessible from pharmacies or health clinics.
This isn’t actually a reason for the ban β rather it’s the result of it! That’s what happens when they’re not prescribed anymore. π€¦πΌββοΈ
This strategic obsolescence is a crying shame!
This female barrier contraception was a valuable device β a real gem β as when used properly it gave us control over our sex-lives without jeopardising our health, our fertility, or our lifestyle, in the process.

Over the years, I’ve been saying to my younger (heterosexual) female clients who come to see me with hormonal or fertility concerns, what a ‘kick in the balls’ it is that female barrier contraception is no longer available in New Zealand.
Sadly, what I’ve found is that anyone who is younger than a (mid-to-late) Millennial hasn’t even heard of these medical devices! π³
So, I explain to them what they are:
In the 90s and the 00s, it was dome shaped and made of latex (as above). You would smear it in spermicide, and insert it (like a menstrual cup) high up into your vagina to stop sperm from getting into your cervix β and from ultimately getting to your eggs. Neither you or your partner could feel it during sex β just each other! You would leave this device in place for a set number of hours before retrieving it (which ironically required you to experiment with more ‘positions’ than the actual sex did…π€ΈπΌπ§πΌββοΈποΈββοΈ) And, because you couldn’t feel it when it was in place, just remembering to remove it was problematic (as back then we didn’t have fancy-pants smartphones to alert us.) Once you had managed to retrieve it you would simply wash it with a mild soap, dry it thoroughly, and return it to its container β ready and waiting for your next primal urge to strike!
I further explain:
Diaphragms were ideal for use when you were in a committed, and/or long-term relationship with someone. Because while these devices didn’t protect you from contracting STIs, they did save you from having to continuously be on birth control when you and your man were no longer, well… ‘crazy’ in love, and you were now in a position to ‘contain’ yourself.
In an evolving, loving relationship, diaphragms were much better than using condoms as ‘rubbers’ reduce natural lubrication (leading to friction), they reduce sensation, and they increase fumbling! Condoms can also cause allergic reactions to their latex or spermicides.
The diaphragm β this ‘hidden’ gem β really was ‘next level’ in many ways. Having a diaphragm made you feel powerful and in control because it was your idea to initiate sex. So, instead of greeting your man at the door with freshly applied lippy β as women were encouraged to do back-in-the-day β you could just greet him with a sly smile! π
These ‘newer’ generations all agree that this device sounds like a splendid way to protect yourself from not only getting pregnant, but from having to be perpetually ‘jacked-up’ on synthetic hormones.
So, I’ve finally made a big decision β no more reminiscingβοΈ
I would not have these forms of birth-control consigned to the pages of New Zealand history.2 As a female, a former ‘user’, and a holistic health practitioner (in her 20th year of practice), I’m making a ‘booty’ call on this β for us Kiwi Chicks! π

I’ve been toying with this idea for quite some time now β making these contraptions available again in NZ β since the last time I went to ‘the doctor’ to get fitted for a new diaphragm (in 2010)…
I had just been fitted for a diaphragm, and took my script to the chemist only to find out that they had discontinued them β right across the blimin’ country!!!
You what?! π
“So, you’re telling me, you Pharmacist, you, that I lit-er-ally paid to get taken way out the back of the doctor’s surgery into a brightly lit, sterile room, by an elderly (I’m talking ancient) nurse. Where I lay there β apparently just for the fun of it β on a cold, hard, stainless steel ‘workbench’… spread eagle… staring up at her ‘concentration face’… while she went elbow-deep in my puss?!”
Great… really great.π
There’s always been one reason or another as to why I’ve not progressed with this plan.
Back then, I was too scared to bring a diaphragm in for myself from overseas as I didn’t know what size to get. Because by the time I thought to get one from outside of New Zealand, I’d already binned what I thought was a useless (no good!) script.
Note: Yes, I did contact that doctor’s surgery for these details but conveniently (for them) they apparently had no record of me ever having been sexually ‘insulted’ by them…π΅βπ«
Again, back then, Diaphragms came in numerous sizes and you needed to be fitted for them by a medical professional. So, if I wanted to be sure of sizing I would have had to purchase a number of different sizes ($$$!!!), and venture back to The Ancient Nurse… but clearly I wasn’t keen to ever see her again, let alone make eye-contact π π
I also wasn’t keen to use harsh, chemical spermicide with my device. And no-one would send gentle, natural contraceptive gel to NZ at that time. (See the box below to discover why I wanted this stuff and not the other stuff.)
However, we’ve now been 15-odd years without this birth-control option, and during this time these devices have been modernised. So, not only do you no longer need to be ‘fitted’ for them (praise be!!!), but they are also more effective. AND I can now finally access Contraceptive Gel π
Over these same 15-odd years, I’ve also seen an enormous amount of young women agonise over their hormonal health, and angst about their long-term fertility.
So, even though I’m no longer in the market for one myself, I’ve decided to become a Madam of sorts! And the ‘sexual service’ that I now offer? I’m offering: Cervical Caps & Contraceptive Gel for “motivated women who are having intermittent sex“.
These devices are not for everyone. Some women prefer the convenience of contraception ‘installation’, others don’t mind ‘popping pills’ or using condoms, and others yet don’t mind tracking their menstrual cycles (thanks to smart phones) to know when they are in their ‘not-safe’ zone (while ovulating). However, for those women who don’t find any of these options appealing (due to their individual circumstances or preferences), I’ll be providing YOU with another effective option.

THE PROs
It’s hormone-free
There’s no interference with your bodyβs natural cycle β so there are no side-effects, and you don’t have to worry about the long-term impact on your fertility. There are no drug interactions, and it’s safe for breast-feeding.
It’s effective
It’s 96-98% effective with perfect use
a.k.a following the instructions correctly!
FYI: It’s 92.4% effective with typical use
a.k.a not following the instructions correctly!
Notes: Sexual Wellbeing Aotearoa only reports the typical use of ‘The Pill’ β that being 92% effective. This will be because it’s ‘typical’ to miss taking it, or to not take it at the same time every day. Or you can render this medication ineffective by vomiting (hangover!), or by having diarrhoea. They also only report the typical use of condoms, that being 84% effective.π«£
It’s non-surgical
It’s a user-controlled option for women π
It works instantly
You don’t have to wait for weeks like implants or shots
It’s immediately reversible
You don’t have to get fitted! πππΌ
It is available in three sizes. And your size is determined via pregnancy history β see below!
It’s latex-free
It uses medical grade ultra-soft silicone
It’s comfortable for both parties involved
It’s soft and smooth β there are no sharp edges.
It’s easy to use and convenient if you’re motivated (it’s also more effective!)
You can insert it into your ‘privates’ privately β anywhere from 15 mins to 40β42 hours in advance. And after sex you leave it in for a minimum of six hours, and a maximum of 48 hours. For instance, if you were to insert your FemCap closer to ‘the event’ you could go crazy having sex for 1 and 3/4 days β should you so desire! Here, you would need to add more Contraceptive Gel before ‘getting it on’… and on.. and so on… and so forth. π
Note: The extended time-frame is also helpful if you simply forget to remove it after six hours. (For those of us with ADHD!)
It’s reusable (environmentally friendly)
Unlike condoms…
It can be used alongside condoms
As you first begin to experiment with this device, or if you’ve had an abortion and you’re currently, and understandably, paranoid about getting pregnant again.
It can be used alongside water-based lubricants
It can be used alongside ‘tracking your period’
You can use it while you’re ovulating, rather than using condoms or abstaining from penetrative sex. (If you are serious about not getting pregnant, please DO NOT rely on the Withdrawal Method during this risky time as pre-ejaculatory fluid can contain sperm π¬.)
It can teach you to track your period, and your ovulation 3
It can be used if you have an irregular menstrual cycle
Obviously, this is only until until you schedule an appointment with your Naturopath… and then you can use it with your regular menstrual cycle. π
It’s cost effective..? π€
There’s no (or no ongoing) doctor’s visits/ pharmacist consultations, prescriptions/repeat prescriptions or clinical procedures.
However, you should replace the FemCap every 2 years. And, you also need to keep replenishing the contraception gel that you must use with this device β which will obviously depend on how often you’re actually ‘bonking’. In any case, because Caya Gel has a three month expiry date (from the time you open it) you’ll need to purchase at least 8x tubes over the life of your FemCap. More on this, along with costings, below.
THE CONs
The initial outlay of money
Unfortunately, as far as I’m aware, diaphragms, and spermicide have never been funded in NZ. However, you just saw the last point in The PROs column, right? Compare the costs yourself. Do the maths on your current form of contraception over two years.
Add up your:
Doctor/’Gyne’ fees
(Enrolled adult: $56β$86)
Any consultation/repeat script fees ($20β45), and
Prescription fees ($5 if it is funded)
These costings will depend on your provider, your prescription, if you’re an NZ resident or not, and how old you are.
With the FemCap, and at least 8x tubes of Caya Gel, the cost of this over two years is: $570.
That’s $285 per year…
Divided by two (as it takes two to ‘tango’…βοΈβοΈ), and that’s $142.50 yearly each/$11.88 per month, respectively.
This seems like a small price to pay to avoid using synthetic hormones that thin your uterine lining and thicken your cervical mucus OR to avoid having an IUD installed that creates inflammation in your uterus OR…
to simply avoid having to ‘make love’ to a rubber dicky! π
You will need to be prepared
Obviously you need to have your FemCap accessible when ‘the mood’ strikes, and to ensure you insert it at least 15 mins prior to sexual arousal β otherwise you’ll have to resort to condoms. (When you’re aroused your cervix and vagina changes shape making the FemCap more difficult to insert.)
You’ll initially need to practice inserting & removing it
It’s not difficult, it’s just different.
There will be times when you can’t use it
When you have a vaginal infection or you’re menstruating. And, you can’t use it at all in certain situations e.g less than 10 weeks after childbirth, or six weeks post-abortion.
There are reasons why you can’t use it at all
If you have an allergy to silicone, or you have an abnormal cervix or abnormal vagina, or you have any other health issue in this area e.g cervical cancer, a history of Toxic Shock Syndrome (TSS), or significant prolapse.
There could be a time when you make your own diaphragm obsolete
If your pregnancy history changes (see below.)
It won’t protect you from STIs!
But neither will The Pill or LARCs βοΈ
You’d be surprised at how many (very smart!) women I’ve had to ‘remind’ of this fact!

The inventor of the FemCap is a board-certified obstetrician-gynecologist, and has been (all up) in our ‘business’ for over forty years. Dr. Shihata was concerned about the harmful side effects and long-term effects of hormonal birth control and felt that there needed to be more safe and effective non-hormonal options.
Dr Shihata has determined that the right size of device for you is dependant on your cervix size which changes in size after birth events and exposure to pregnancy-related hormones.
This gem, the FemCap comes in three different varieties to suit β The Pearl, The Sapphire, and The Emerald.
The Pearl (22mm) is for women who have never been pregnant.
Note: If there is any uncertainty whether you have been pregnant, the Sapphire is recommended. This is important because even as little as two weeks after conception, the cervix dilates irreversibly.
The Sapphire (26mm) was designed for women who have been pregnant; but did not deliver vaginally. This includes planned C-section, miscarriage or abortion.
The Emerald (30mm) was designed for women who have given birth vaginally or had an emergency C-section.
A possible bonus feature?
You may find that The FemCap also functions for you as a pessary to manage Stress Urinary Incontinence (SUI) following your pregnancy. With SUI you may experience leaks from pressure on the bladder when exercising, coughing, laughing, or with a big sneeze. The FemCap can help here as it provides support to the bladder neck and straightens the urethra, thereby restoring the competence of the urethral sphincters. If this is the case for you, you could wear it daily WITHOUT ContraGel for this purpose (Because you only have to change it every 48 hours, you would only need to insert this device 3x weekly.) Please discuss this with your specialist Physiotherapist ππΌ
Always opt for the largest applicable FemCap if you have had multiple pregnancies with different outcomes. For example, if youβve had a miscarriage, a scheduled c-section, and a vaginal birth, you should order the Emerald (30mm) because of the vaginal birth.
If you buy a FemCap, and even though you follow the instructions carefully, if you find you have a problem with its use, you could visit Sexual Wellbeing Aotearoa (formerly Family Planning NZ) for them to check things out. It may be you have an irregular cervix, and you need to change to a (modern) Caya diaphragm or a (traditional) Singa diaphragm. Or, it may be be that barrier contraception is not an option for you.

Spermicide contains:
Nonoxynol-9 (a surfactant)
What’s it do?
This is the ‘traditional stuff’ that you use with female barrier contraception. This substance kills sperm by breaking down its cell walls. Unfortunately, it also breaks down vagina and penis cell walls… which can cause irritation, dryness, or allergic reactions. Spermicide can also increase your risk of contracting an STI, or developing a vaginal infection.
Contraceptive Gel contains:
Lactic Acid
(fermented bacterial strains from raw cane sugar)
Sodium Lactate
(natural salt from fermentation)
Cellulose
(natural thickener or gel)
Sorbic acid
(natural preservative), and
Vanillin
Note: It’s vegan, if you’re wondering..?
What’s it do?
This is the ‘modern stuff’ that you use with female barrier contraception. It decreases the pH of your vagina. This means that it increases the acidity ‘down there’ which renders sperm immobile. This gel is also viscose which means it creates an additional physical barrier to further restrict sperm!
This ‘modern stuff’ offers similar, if not superior, effectiveness to N-9 without the side-effects. And while this gel won’t protect you from STIs either…
Possible bonus feature?
You may find that it helps to prevent you getting a vaginal infection following sex (due to the increase in acidity) π
NB: if you plan on using your FemCap daily, as you’re currently getting a lot of ‘action’ (and good for you!) I would much prefer you use this more natural alternative. However, I ideally recommend you don’t make a habit of wearing your FemCap daily as it’s much better to allow your fanny some breathing space!
I’m very pleased to offer you this alternative, natural birth-control. I’ve specifically curated it for you π
A modern Cervical Cap
(From the USA, and is FDA approved.)
It’s smaller than a Diaphragm (and therefore less intimidating), and fits snugly around your cervix. The brim of this device forms a seal against the vaginal wall and acts as a funnel to direct semen into the groove. The groove acts as both a reservoir to contain Contraceptive Gel, and a trap for sperm to be neutralised. It has a clever strap that initially activates a vacuum seal over the cervix, then during the removal process, releases the suction for retrieval.
Note: Because the fit of this device is likened to a ‘thimble’ (capping your thumb) it enables you to be more ‘nimble’ (in the boudior)…If you know what I mean? π
I prefer the cervical cap to using a modern one-size-fits-all Diaphragm (which has a separate inserter/remover for an additional cost). Or, to using a traditional Diaphragm that needs fitting π΅πΌπ«£
Note: A Diaphragm can also put pressure on the bladder making it uncomfortable to wear for an extended period of time.
And I much prefer the FemCap to the Caya Diaphragm, as with the latter device, any information that accompanies it tends to use ‘smoke and mirrors’ β as in, it gives you preference percentages rather than an exact efficacy figure.
Contraceptive Gel 60g
(From Germany)
Aside from what I’ve already told you about this, this gel also provides more bang-for your-buck β approximately 12-20 bangs! (as opposed to a leading brand of Spermicide in the USA that only offers 10 bangs.)
You need to use 1/4 tsp of Caya Gel inside the FemCap (the dome and brim), and 1/2 tsp on the flip-side (the groove, between the outside of the dome, and the brim.)
Note: Caya Diaphragm Gel is water-based so you can also use it with a natural latex condom β should you require (as above). And, obviously it’s compatible with your FemCap. Once opened, you need to use your Caya (ki-ya) Diaphragm Gel within three months.
My offering to you:
The FemCap (regardless of size): $210.00
Caya Diaphragm Gel: (60g) $45.00
Total: $255.00+ postage & packaging
For those females who think that Copper IUDs are a good non-hormonal form of contraception? I hate to tell you this, but the mere presence of this foreign object in your uterus triggers an immune response which creates inflammation. This inflammation is further accelerated by the copper ions it releases creating a “toxic environment” for sperm… and eggs!
To add even more fuel to this fire, they tell you that you can leave-it-up-there for a decade… No wonder it’s common for this device to cause heavier and more painful periods especially in the first 3β12 months of ‘wearing’ it.
Note: A copper IUD is actually categorised as an emergency form of contraception.
Females do not have to be ‘on’ or ‘installed’ with contraception from the time they are a young teenager until the time they decide to procreate. Because when they do ‘flick the switch’ in their brain from not-getting-pregnant to getting pregnant, their body can take some time and effort to be convinced that they’re physically ready.
Nor should they have to resort to using condoms because it’s the only other option. (It’s a little thing I like to call: being under Durex duress…π)
Nowadays we shouldn’t have to conform to contraception, it should adapt to our needs: our preferences, our stage of life, the stage of our relationship/s. A cervical cap not only gives us autonomy over our reproductive health, it provides for truly care-free sex! π€©
(Well, 96-98% care-free sex, when used correctly!)
You’re better off to be on The Pill, if you (and your parents!) want to prevent an unwanted pregnancy. This is because your brain is still immature, and you’re ‘young and in love’ you’re actually more worried about the sex than anything else.
That said, if β
You’re single, dating, or ‘its complicated’…
Be smart, and just use condoms. This will help to prevent pregnancies AND STIs!
If you’re in a committed relationship
Use synthetic hormones, but please consider moving to a FemCap after 2 years if you’re planning on remaining in this relationship.
Or, if the relationship ends, please come off these synthetic hormones and give your body a much needed reset. (Again just use condoms as required until your next long term relationship.)
FemCap (and Contraceptive Gel) is ideal for use with your trusted, long term partner β you know, when you’re no longer at it like rabbits ππ
Yes, you can even use it with a new lover β provided you get them checked for STIs first, and you mutually agree to be exclusive. Here, provided you use this device as recommended, you can use it for multi sessions at a time… it just gets a little tricky having to reapply ContraGel when your FemCap is already in play!
Note: Back when I had a Diaphragm, I was not told you could do this π
What’s more, I’ve been noticing over recent times, a move toward ‘fertility awareness’ among those aged 25β34 β where they simply use condoms, or the withdrawal method (π€¦πΌββοΈ), when they are ovulating. Here, I would encourage you to use a FemCap instead β especially as this is the time of the month when you’re at your most lustful, and your least reliable ππ½
Note: If you wanted to be super cautious during this time, you could use the pull-out/withdrawal method in conjunction with the FemCap.
Then I don’t think you should have to worry about contraception at all anymore!
Any man, who has lived with you for many years, and witnessed the menstruating/pregnancies/breast-feeding (and the perimenopause) should get a Vasectomy β it’s the very least he could do after everything a female’s body has had to endureβοΈ
Come on men! Step-up.
Chop-chop βοΈ ππ»ββοΈ
Before considering a FemCap (and Contraceptive Gel), you need to:
Obviously feel comfortable touching your vagina for insertion and removal.
Actually be able to locate your cervix! Unfortunately this can be a problem if you are significantly overweight, or if you have anatomical variations.
Read, and understand what you’re getting yourself into: Patient Information Package.
Then! If you’re still motivated, either:
Click the link to order your FemCap & Caya Diaphragm Gel, or if you wish to discuss this further book in with me for a 30 min FemCap session (via ZOOM). Here, we can come up with a contraceptive option that feels most comfortable for you β in every way.
NB: I cannot provide refunds or credits if you change your mind or make the wrong decision. I am only interested in partnering with serious women who are committed to effectively pioneering the (modern) cervical cap (back) into NZ.
Note: I will, of course, meet my obligation under the Consumer’s Guarantee Act 1993.
Lisa Fitzgibbon is a degree qualified (2006), experienced and registered Naturopath & Medical Herbalist. She runs her own private practice β OOMPH in Grey Lynn, Auckland, New Zealand.
Lisa has been involved in the Natural Health industry for 20+ years. She draws on her professional training and experience, as well as her own personal experience to bring you realistic, holistic health advice.
Book onlineSexual Wellbeing Aotearoa (formerly Family Planning NZ) did have a fleeting affiliation with Caya Diaphragm, and Caya Diaphragm Gel, within the last decade or so. However, they now say: The Diaphragm is typically, 84% effective at preventing pregnancy. If you have a diaphragm thatβs in good order, you can keep using it. Youβll have to buy spermicide online and have it sent to New Zealand.
The Koromex Diaphragm. RIP πͺ¦
This Diaphragm was used by NZ Women from the 1940s right up until the advent of The Pill in 1961. It was only, and somewhat reluctantly, prescribed by doctors to married, middle-to-upper-class European woman β as only they could afford them.
There was a later resurgence in the use of diaphragms in 1981 due to concerns about modern contraception β The Pill, and IUDs…(There was also a move to voluntary sterilisation.)
Diaphragms, and cervical caps have been ‘known’ in NZ since the 1920s, and have evolved over time. Cervical caps have been around since 1838, and have been made out of ‘everything under the sun’ including oiled paper cones, lemon halves, cedar tree resin, plastic, and even… metal! π£
Using your FemCap regularly will teach you when you’re ovulating, and when your period is coming. Because with insertion you learn about the position of your cervix and the natural fluctuations in your cycle. And with removal, and washing your FemCap you’ll be able to examine your cervical mucus (the changes from dry/sticky mucus to the clear, stretchy “raw egg white” cervical secretions that indicate you are ovulating.)
https://femcap.com/wp-content/uploads/2025/03/WomensHealthCare-APracticalJournalforNursePractitioners.pdf
https://femcap.com/wp-content/uploads/2025/03/TheHandbookofContraception.pdf
https://femcap.com/wp-content/uploads/2025/03/the-renaissance-of-hormonefree-barrier-contraception-and-development-of-femcap-hormonefree-contraception-13194.pdf

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