Contraception Reviews

Cap or diaphragm vs Hormonal IUD

Cap or diaphragm

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Hormonal IUD

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Overview

Rated 5.0

1 reviews

Before sex

Frequency

71% - 94%

Effectiveness

None

Blood clot risk

None

Effect on fertility

Rated 3.8

26 reviews

3 - 8 years

Frequency

Over 99%

Effectiveness

None

Blood clot risk

None

Effect on fertility

Cap or diaphragm ingredients

A birth control diaphragm or cap is a reusable barrier method of birth control that is inserted into the vagina before sex. It is covered in spermicide (a gel that kills sperm) and prevents pregnancy by covering the cervix so sperm can’t get into the womb. There are a few things that can make the diaphragm or cap less effective. These include if it doesn't fit properly
you remove it too early
it is damaged
you forget to use spermicide
or it is used with other oil-based products. If these things happen you may need to use emergency birth control.

Hormonal IUD ingredients

Main hormones in Hormonal IUD

progestin

What Lowdown reviewers say

Benefits: What this birth control can help with

There are no benefits that are recognised in scientific research or guidelines for this birth control

Adenomyosis

Endometriosis

Heavy periods

Menopause

Period pain

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Real life reviews from people like you

Cap or diaphragm reviews

1 reviews

Used for 1 - 3 mo
25 years old
🇺🇸 US
  •  21st Sep 23

  •  Still using

My very favorite thing about the Caya is that there really are no side effects. I am not putting anything into my body that is changing the way my body functions- I put it in, leave it in a while, and then I remove it. No hormones, nothing! I’ve been advised that while the Caya can be 80+% effective when used correctly, it’s best to use it with spermicide and condoms. It is tricky to insert the first few times but super easy to remove and I quickly got the hang of a quick and easy insertion! I did find it really difficult to find a pharmacy that sold the Caya (I guess they aren’t as popular now)- but all in all, it’s been fantastic so far! I love that my body gets to function as it normally would but that the Caya helps prevent pregnancy

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Top side effects not reported

0 helpful

0 comments

Used for 1 - 3 mo
25 years old
🇺🇸 US
  •  21st Sep 23

  •  Still using

My very favorite thing about the Caya is that there really are no side effects. I am not putting anything into my body that is changing the way my body functions- I put it in, leave it in a while, and then I remove it. No hormones, nothing! I’ve been advised that while the Caya can be 80+% effective when used correctly, it’s best to use it with spermicide and condoms. It is tricky to insert the first few times but super easy to remove and I quickly got the hang of a quick and easy insertion! I did find it really difficult to find a pharmacy that sold the Caya (I guess they aren’t as popular now)- but all in all, it’s been fantastic so far! I love that my body gets to function as it normally would but that the Caya helps prevent pregnancy


Top side effects not reported

0 helpful

0 comments


Hormonal IUD reviews

26 reviews

Used for 12 - 18 mo
29 years old
🇺🇸 US
  •  4 days ago

  •  Stopped using

Side effects: cystic acne & overall acne, metallic vaginal discharge, low libido & irritability. It was difficult to tell if IUD was in place since the doctor cut the strings too short. Went into OB & Planned Parenthood, they couldn't find it and were unsure if it fell out. This didn't give me a great deal of security as a BC since I couldn't tell if it was there or not...


Top side effects not reported

0 helpful

0 comments

Used for 18 mo - 3 yr
21 years old
🇺🇸 US
  •  5 days ago

  •  Still using

when i got the iud put in the pain wasn’t too bad but after a short time the pain got worse and worse and i literally cried myself into exhausted sleep. my periods are just as long, heavier, and more irregular. my cramps hurt worse and they last longer, my breasts are always tender, i can’t lose weight i just keep gaining, my acne is either barely noticeable or flaring up very badly at random, and i almost always have a headache or migraine


Top side effects not reported

1 helpful

0 comments

Used for 18 mo - 3 yr
33 years old
🇺🇸 US
  •  1 week ago

  •  Still using

I love that I don’t have to worry about taking a pill, but the painful cramps and acne that I’ve experienced make it not worth it to me. I will be switching BC methods soon.


Top side effects not reported

0 helpful

0 comments

Used for 12 - 18 mo
29 years old
🇺🇸 US
  •  4 days ago

  •  Stopped using

Side effects: cystic acne & overall acne, metallic vaginal discharge, low libido & irritability. It was difficult to tell if IUD was in place since the doctor cut the strings too short. Went into OB & Planned Parenthood, they couldn't find it and were unsure if it fell out. This didn't give me a great deal of security as a BC since I couldn't tell if it was there or not...


Top side effects not reported

0 helpful

0 comments

Used for 18 mo - 3 yr
21 years old
🇺🇸 US
  •  5 days ago

  •  Still using

when i got the iud put in the pain wasn’t too bad but after a short time the pain got worse and worse and i literally cried myself into exhausted sleep. my periods are just as long, heavier, and more irregular. my cramps hurt worse and they last longer, my breasts are always tender, i can’t lose weight i just keep gaining, my acne is either barely noticeable or flaring up very badly at random, and i almost always have a headache or migraine


Top side effects not reported

1 helpful

0 comments

Used for 18 mo - 3 yr
33 years old
🇺🇸 US
  •  1 week ago

  •  Still using

I love that I don’t have to worry about taking a pill, but the painful cramps and acne that I’ve experienced make it not worth it to me. I will be switching BC methods soon.


Top side effects not reported

0 helpful

0 comments

Used for 3 - 5 yr
30 years old
🇺🇸 US
  •  1 month ago

  •  Still using

Insertion is extremely painful, but I'm so glad I did it. I went from having debilitatingly heavy periods to no periods after having the first one inserted. After my second, my periods returned but are so light I only need to use very thin and light panty liners. I originally got this as a way to manage cysts that were growing and bursting on a yearly basis. This has completely stopped and haven't experienced a burst cyst since.


Top side effects not reported

0 helpful

0 comments

Used for 18 mo - 3 yr
Lowdown user
🇺🇸 US
  •  23rd Jan 24

  •  Still using

This is the only form Of birth control that I have chosen to continue out of pills, rings. And other iuds


Top side effects not reported

1 helpful

0 comments

Used for 18 mo - 3 yr
25 years old
🇺🇸 US
  •  18th Jan 24

  •  Still using

Everyone will have a different experience, however from my personal experience, I have had the IUD twice, and both times insertion was very painful. With that being said it was over relatively quick and in the long run I can say with 100% certainty it was worth it since I can now have a worry-free reliable birth control. Knowing ahead of time that pain is a possibility during insertion can help you take steps to reduce it/ possibly take away some of the fear that comes with uncertainty. Additionally, I have stopped bleeding/ having regular periods, however I still have period symptoms around the same time each month, so cramps, acne, back pain, and tender breasts for a couple days. I hope that was helpful!


Top side effects not reported

0 helpful

0 comments

Used for 12 - 18 mo
27 years old
🇺🇸 US
  •  9th Jan 24

  •  Stopped using

I was put on it for endometriosis however it didn’t stop my pain and the loss of sex drive and acne did not outweigh the benefits


Top side effects not reported

0 helpful

0 comments

Used for 12 - 18 mo
23 years old
🇺🇸 US
  •  9th Jan 24

  •  Still using

I’m sort of neutral about this birth control. I have had years of trying to find an oral hormonal contraceptive that both helped with my excruciating cramps and didn’t make my mood terrible most of the month. I will say, this has stopped my periods most months so I’m not getting cramping nearly as often, however I would say they’re actually worse than before the mirena when I do get them, so sort of win some lose some. It doesn’t affect my mood though, which is nice to not feel dreary all the time. I have gotten a lot of migraines, which is something I ran i to with a couple different pills I tried in the past, so I knew that was a risk of anything that was hormonal. Sometimes OTC pain killers do the trick, but I almost traded the cramps for headaches. I also have never been someone that sweats much, and I live in Arizona, but since getting this I have horrible night sweats and have phases each month where I’m running hot all day and sweating way more than usual. I’ve never had this side effect from a birth control, so that one was unexpected but definitely manageable. With the convenience of not having to take pills in mind, I would say I prefer the IUD to any birth control I have tried so far, but I’m not sure I love the mirena brand itself.


Top side effects not reported

0 helpful

0 comments

Used for 18 mo - 3 yr
27 years old
🇺🇸 US
  •  5th Jan 24

  •  Still using

The main side effect was decreased libido, but when I started using the Mirena I had increased libido from using a birth control pill


Top side effects not reported

0 helpful

0 comments

Used for 18 mo - 3 yr
28 years old
🇺🇸 US
  •  4th Oct 23

  •  Stopped using

I absolutely loved my Mirena for the first 2.5 years... up until my body rejected it and I began to pass the IUD through my cervix. I believe this happened because of rough sex, which Mirena and doctors say can't happen. Well, it happened, and it caused the worst cramping I've experienced, truly debilitating me until I got it removed. I then tried a new IUD and the cramps, although not as bad, returned, accompanied by terrible mood swings and emotional vulnerability. I was told my body wasn't right for an IUD, which is odd because it worked for 2.5 years! I think everyone should still try the IUD, as it was the best birth control I still have ever used... before I couldn't use it anymore.


Top side effects not reported

0 helpful

0 comments

Birth control alternatives and comparisons

Compare the Cap or diaphragm with other birth control

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