Health Department

Joel Strasz - Public Health Director
Kathy Janer - Public Health Nursing Manager
Melissa Maillette - Emergency Preparedness & Health Education Manager
Amy Revette - WIC Manager
Mark Pickell - Business Services Manager
Joel Kwiatkowski - Environmental Health Manager
Dr. Thomas Bender - Medical Director
Dr. William Morrone - Medical Examiner
Bay County Health Department
1200 Washington Avenue
Bay City, Michigan 48708
Voice: (989) 895-4009
Fax: (989) 895-4014
Health Information Line: (989) 895-4192


A diaphragm is a rubber dome-shaped cup that covers the cervix, the opening to the uterus. The diaphragm blocks the man's semen from entering the cervix. A spermicide placed into the diaphragm kills sperm and physically blocks the cervix. Consistent and correct use results in a 93% effectiveness rate in preventing pregnancy.


  1. Can be used during breastfeeding.
  2. Easily carried in pocket or purse.
  3. Generally cannot be felt by either partner.
  4. Immediately effective and reversible.
  5. No effect on a woman's natural hormones.
  6. No interruption of sex play - can be inserted hours ahead of time.
  7. May reduce the risk of cervical infections, including gonorrhea, chlamydia, human papilloma virus, and pelvic inflammatory disease.


  1. Cannot be used during menstruation.
  2. May be difficult for some women to insert.
  3. May be pushed out of place by some sexual positions, penis sizes, thrusting techniques and angles.
  4. Must be in place every time a woman has vaginal intercourse. Must be left in place for 6 hours after the last act of intercourse and no longer than 24 hours to prevent toxic shock syndrome.
  5. May increase the risk of urinary tract infections.
  6. May cause an allergic reaction or irritation related to latex or spermicide.
  7. May need to be refitted for the following reasons:
             A full term pregnancy
    Abdominal or pelvic surgery 
             A miscarriage or abortion after 14 weeks of pregnancy
             Excessive weight gain or weight loss