Contraception Reviews

Combination birth control pill vs Cap or diaphragm

Combination birth control pill

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Cap or diaphragm

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Overview

Rated 3.3

150 reviews

Daily

Frequency

91% - 99+%

Effectiveness

Increased

Blood clot risk

None

Effect on fertility

Rated 3.7

3 reviews

Before sex

Frequency

71% - 94%

Effectiveness

None

Blood clot risk

None

Effect on fertility

Combination pill ingredients

Main hormones in Combination pill

estrogen

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.

What Lowdown reviewers say

Mood

28% no impact on mood

Bleeds

33% lighter periods

Sex drive

37% no impact

Weight

42% no impact

Skin

39% improved skin

Cycle return

35% in 1 month

Mood

67% no impact on mood

Bleeds

100% no change

Sex drive

67% no impact

Weight

100% no impact

Skin

100% no impact on skin

Cycle return

Not enough data to say

Benefits: What this birth control can help with

Acne or bad skin

Heavy periods

PMS and PMDD

PCOS symptoms

Period pain

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

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Check out our latest reviews

Real life reviews from people like you

Combination birth control pill reviews

150 reviews

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

Mili birth control pill  

I had my first baby in 2024 and decided to breastfeed for about 9 months. After I was done, I decided to get on birth control pills. I have never really been on birth control pills in my life. I have struggled with hormonal acne since I was in 8th grade. It has really affected the way I feel about myself. I was very happy with how my skin looked while on this pill. However, after being on it for about a year, I started noticing averse side effects “down there”. I have absolutely no desire or sex drive which is not normal, it’s dry, and occasionally would cause itching and burning and skin discoloration. I have decided that it’s just not worth it anymore, and I decided to quit taking this pill. I’m very lucky to not have had any other side effects. I’m crossing my fingers that my body and hormones return to the way they were pre pregnancy and pre birth control.

Read more

Improved skin

1 more effect

1 helpful

2 comments

Combination birth control pill  
Used for 6 - 12 mo
20 years old
🇺🇸 US
  •  3 weeks ago

Junel Fe 1/20 birth control pill  

Feel miserable and made depression worse, consistently crying all the time over stupid things, waking up is evil


Very negative mood

1 more effect

0 helpful

0 comments

Combination birth control pill  
Used for 3 - 5 yr
20 years old
🇺🇸 US
  •  3 weeks ago

Aviane birth control pill  

I've been taking Aviane for years, to help regulate my periods. Before Aviane, they were irregular (it could be a month and a half before The Dot.) and could last 5-7 days, and my mental health was terrible the week before. (PMDD) I have terrible memory at times, but I know for a fact that Aviane has regulated my periods and has shortened them! They're now only 3 days long, if that tells you anything! I can't remember much about my first few months taking the pills, but overall, it's been helpful!


Top side effects not reported

0 helpful

0 comments

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

Mili birth control pill  

I had my first baby in 2024 and decided to breastfeed for about 9 months. After I was done, I decided to get on birth control pills. I have never really been on birth control pills in my life. I have struggled with hormonal acne since I was in 8th grade. It has really affected the way I feel about myself. I was very happy with how my skin looked while on this pill. However, after being on it for about a year, I started noticing averse side effects “down there”. I have absolutely no desire or sex drive which is not normal, it’s dry, and occasionally would cause itching and burning and skin discoloration. I have decided that it’s just not worth it anymore, and I decided to quit taking this pill. I’m very lucky to not have had any other side effects. I’m crossing my fingers that my body and hormones return to the way they were pre pregnancy and pre birth control.


Improved skin

1 more effect

1 helpful

2 comments

Combination birth control pill  
Used for 6 - 12 mo
20 years old
🇺🇸 US
  •  3 weeks ago

Junel Fe 1/20 birth control pill  

Feel miserable and made depression worse, consistently crying all the time over stupid things, waking up is evil


Very negative mood

1 more effect

0 helpful

0 comments

Combination birth control pill  
Used for 3 - 5 yr
20 years old
🇺🇸 US
  •  3 weeks ago

Aviane birth control pill  

I've been taking Aviane for years, to help regulate my periods. Before Aviane, they were irregular (it could be a month and a half before The Dot.) and could last 5-7 days, and my mental health was terrible the week before. (PMDD) I have terrible memory at times, but I know for a fact that Aviane has regulated my periods and has shortened them! They're now only 3 days long, if that tells you anything! I can't remember much about my first few months taking the pills, but overall, it's been helpful!


Top side effects not reported

0 helpful

0 comments


Cap or diaphragm reviews

3 reviews

Cap or diaphragm  
Used for 18 mo - 3 yr
24 years old
🇺🇸 US
  •  17th Apr 25

FemCap  

I’ve been using the FemCap for years now and honestly, I’m so impressed. It’s non-hormonal, super discreet, and once you get the hang of insertion, it’s incredibly easy to use. Highly recommend it to anyone looking for a hormone-free option.


Top side effects not reported

1 helpful

0 comments

Cap or diaphragm  
Used for 1 - 3 mo
36 years old
🇺🇸 US
  •  7th Jan 25

FemCap  

I had to come off hormonal contraception due to health reasons so needed a barrier method. It was quite awkward to insert and always had to keep checking it in case it dislodged itself, was sometimes painful or uncomfortable, my partner could feel it. I was also using an approved spermicide with it but still became pregnant within a month of use.


Somewhat negative mood

1 more effect

0 helpful

0 comments

Cap or diaphragm  
Used for 1 - 3 mo
Lowdown user
🇺🇸 US
  •  21st Sep 23

Caya  

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

2 helpful

0 comments

Cap or diaphragm  
Used for 18 mo - 3 yr
24 years old
🇺🇸 US
  •  17th Apr 25

FemCap  

I’ve been using the FemCap for years now and honestly, I’m so impressed. It’s non-hormonal, super discreet, and once you get the hang of insertion, it’s incredibly easy to use. Highly recommend it to anyone looking for a hormone-free option.


Top side effects not reported

1 helpful

0 comments

Cap or diaphragm  
Used for 1 - 3 mo
36 years old
🇺🇸 US
  •  7th Jan 25

FemCap  

I had to come off hormonal contraception due to health reasons so needed a barrier method. It was quite awkward to insert and always had to keep checking it in case it dislodged itself, was sometimes painful or uncomfortable, my partner could feel it. I was also using an approved spermicide with it but still became pregnant within a month of use.


Somewhat negative mood

1 more effect

0 helpful

0 comments

Cap or diaphragm  
Used for 1 - 3 mo
Lowdown user
🇺🇸 US
  •  21st Sep 23

Caya  

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

2 helpful

0 comments

Birth control alternatives and comparisons

Compare the Combination birth control pill with other birth control

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