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

112 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

29% no impact on mood

Bleeds

32% lighter periods

Sex drive

38% lost sex drive

Weight

43% no impact

Skin

41% improved skin

Cycle return

39% 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

112 reviews

Combination birth control pill  
Used for 1 - 3 mo
34 years old
🇺🇸 US
  •  today

Loryna birth control pill  

I’ve heard this birth control is supposed to be helpful for acne, but I have been flushed since I started taking it and seen a couple breakouts, and I haven’t even finished my first pack yet. I have also been sweating profusely off and on since the second week of taking it. Those are the most significant side effects I’ve noticed. I did just have my Mirena IUD removed after my uterus tried to absorb it, so these effects could be related to that. I’ve been on many different birth control pills over the past 15 years and usually I have no side effects after the first month or two, so we’ll see.

Read more

Decreased sex drive

0 helpful

0 comments

Combination birth control pill  
Used for 18 mo - 3 yr
20 years old
🇺🇸 US
  •  6 days ago

Loestrin 21 1/20 birth control pill  

It is not bad. The bad thing about it is it did make me gain weight and made my boobs go from a C to a DD and it kind of hurts my back. I gained like 10-15 lbs and I am unable to lose it no matter what diets I do. My skin has cleared up and my hair isn’t as oily and my periods have stopped which is really nice though.


Somewhat negative mood

3 more effects

0 helpful

0 comments

Combination birth control pill  
Used for 12 - 18 mo
22 years old
🇺🇸 US
  •  3 weeks ago

Yaz birth control pill  

I had severe anxiety on this pill, and also all of the sudden got motion sick all the time. I was nauseous everyday and lost weight because I couldn't eat. It did definitely help with acne and my previously irregular periods. However, I lost 20 pounds and had to eventually stop. Within a week of stopping, my mood returned to normal and I wasn't panicking all the time. Within a few months, however, my acne got way worse and I started getting cystic acne along my jawline. I also still suddenly get motion sick sometimes, and this isn't something I ever had before.


Very negative mood

2 more effects

0 helpful

0 comments

Combination birth control pill  
Used for 1 - 3 mo
34 years old
🇺🇸 US
  •  today

Loryna birth control pill  

I’ve heard this birth control is supposed to be helpful for acne, but I have been flushed since I started taking it and seen a couple breakouts, and I haven’t even finished my first pack yet. I have also been sweating profusely off and on since the second week of taking it. Those are the most significant side effects I’ve noticed. I did just have my Mirena IUD removed after my uterus tried to absorb it, so these effects could be related to that. I’ve been on many different birth control pills over the past 15 years and usually I have no side effects after the first month or two, so we’ll see.


Decreased sex drive

0 helpful

0 comments

Combination birth control pill  
Used for 18 mo - 3 yr
20 years old
🇺🇸 US
  •  6 days ago

Loestrin 21 1/20 birth control pill  

It is not bad. The bad thing about it is it did make me gain weight and made my boobs go from a C to a DD and it kind of hurts my back. I gained like 10-15 lbs and I am unable to lose it no matter what diets I do. My skin has cleared up and my hair isn’t as oily and my periods have stopped which is really nice though.


Somewhat negative mood

3 more effects

0 helpful

0 comments

Combination birth control pill  
Used for 12 - 18 mo
22 years old
🇺🇸 US
  •  3 weeks ago

Yaz birth control pill  

I had severe anxiety on this pill, and also all of the sudden got motion sick all the time. I was nauseous everyday and lost weight because I couldn't eat. It did definitely help with acne and my previously irregular periods. However, I lost 20 pounds and had to eventually stop. Within a week of stopping, my mood returned to normal and I wasn't panicking all the time. Within a few months, however, my acne got way worse and I started getting cystic acne along my jawline. I also still suddenly get motion sick sometimes, and this isn't something I ever had before.


Very negative mood

2 more effects

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

0 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

0 helpful

0 comments

Birth control alternatives and comparisons

Compare the Combination birth control pill with other birth control

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