Combination birth control pill vs Cap or diaphragm
Combination pill ingredients
Main hormones in Combination pill
estrogen
Cap or diaphragm ingredients
What Lowdown reviewers say
29% no impact on mood
31% lighter periods
37% lost sex drive
43% no impact
40% improved skin
36% in 1 month
67% no impact on mood
100% no change
67% no impact
100% no impact
100% no impact on skin
Not enough data to say
Check out our latest reviews
Real life reviews from people like you
Combination birth control pill reviews
129 reviews
Used for 1 - 3 mo
Lowdown user
🇺🇸 US
• 2 weeks ago
I started taking this pill post partial hysterectomy for worsening PMDD symptoms. Within week 1 I totally lost my libido (I generally have a super high drive and have sex daily with my partner). I have had a couple of headaches as well since starting which is not a frequent thing for me. After the first few days I felt bloated as well. I do not have to worry about pregnancy since having a partial hysterectomy, however the other side effects are uncomfortable enough I do not want to continue this pill.
Very negative mood
2 more effects
0 helpful
0 comments
Used for 6 - 12 mo
25 years old
🇺🇸 US
• 2 weeks ago
It was fine, but not the best. I noticed feeling increasingly agitated often and it made my cramps a lot worse when I had a pill period. Overall wasn't a bad med, but not my favorite. Main symptom that made me get off it was really bad hot flashes everyday.
Somewhat negative mood
3 more effects
0 helpful
0 comments
Used for 3 - 5 yr
27 years old
🇺🇸 US
• 1 month ago
Top side effects not reported
0 helpful
0 comments
Used for 1 - 3 mo
Lowdown user
🇺🇸 US
• 2 weeks ago
I started taking this pill post partial hysterectomy for worsening PMDD symptoms. Within week 1 I totally lost my libido (I generally have a super high drive and have sex daily with my partner). I have had a couple of headaches as well since starting which is not a frequent thing for me. After the first few days I felt bloated as well. I do not have to worry about pregnancy since having a partial hysterectomy, however the other side effects are uncomfortable enough I do not want to continue this pill.
Very negative mood
2 more effects
0 helpful
0 comments
Used for 6 - 12 mo
25 years old
🇺🇸 US
• 2 weeks ago
It was fine, but not the best. I noticed feeling increasingly agitated often and it made my cramps a lot worse when I had a pill period. Overall wasn't a bad med, but not my favorite. Main symptom that made me get off it was really bad hot flashes everyday.
Somewhat negative mood
3 more effects
0 helpful
0 comments
Used for 3 - 5 yr
27 years old
🇺🇸 US
• 1 month ago
Top side effects not reported
0 helpful
0 comments
Cap or diaphragm reviews
3 reviews
Used for 18 mo - 3 yr
24 years old
🇺🇸 US
• 17th Apr 25
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
Used for 1 - 3 mo
36 years old
🇺🇸 US
• 7th Jan 25
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
Used for 1 - 3 mo
Lowdown user
🇺🇸 US
• 21st Sep 23
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
Used for 18 mo - 3 yr
24 years old
🇺🇸 US
• 17th Apr 25
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
Used for 1 - 3 mo
36 years old
🇺🇸 US
• 7th Jan 25
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
Used for 1 - 3 mo
Lowdown user
🇺🇸 US
• 21st Sep 23
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
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