This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Contraception, Subject name: Gynaecology & Obstetrics
All are contraindications of diaphragm except: 
Select and explain. 
A. Multiple sex paners, B. Recurrent UTI, C. Uterine prolapse, D. Herpes vaginalis
A: Multiple sex paners
Answer: A: Multiple sex paners 
Explanation: Having multiple sex paners is not a contraindication for the use of diaphragm. Contraindications to use of diaphragm: Proplapse, cystocele, rectocele because accurate fitting is not possible. Recurrent urinary tract infection Allergy to rubber or spermicidal agent. Toxic shock syndrome (TSS) may occur if the diaphragm is left in the vagina for a long period. TSS is caused by Streptococcus pyogenes or Staphylococcus aureus infection Ref: Shaw&;s textbook of Gynaecology 17th edition pgno: 255