Hormonal IUD vs Cap or diaphragm
Hormonal IUD ingredients
Main hormones in Hormonal IUD
progestin
Cap or diaphragm ingredients
What Lowdown reviewers say
41% no impact on mood
44% stopped periods
42% no impact
48% no impact
44% no impact on skin
50% 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
Hormonal IUD reviews
64 reviews
Used for 18 mo - 3 yr
36 years old
🇺🇸 US
• 2 weeks ago
I've had horrible bloating. From when I wake up till I go to bed my clothing size changes up to two pant sizes because of the bloating depending on what I eat. As in it's so much worse with things like potatoes. I've had to switch to basically only wearing stretchy clothes because it gets so bad.
Somewhat negative mood
2 more effects
0 helpful
0 comments
Used for 3 - 6 mo
20 years old
🇺🇸 US
• 11th Aug 25
Do not recommend if you’re prone to headaches or migraines loss of appetite from being nauseous
Decreased sex drive
0 helpful
0 comments
Used for 5 - 8 yr
Lowdown user
🇺🇸 US
• 22nd Jul 25
This is my second hormonal IUD, I like the effectiveness of not getting pregnant, I’ve been lucky how effective it is. however I’ve been getting horrible cystic acne all over my face. It’s constantly, almost 2 times a month. It was never like this before until I reached my thirties. I constantly eat healthy, exercise, drink plenty of fluids, take vitamins. I no longer smoke cigarettes and no longer binge drink alcohol (occasionally). I am constantly switching my facial topicals, using peels, masks, LED therapy, electric facial brushes and using hydrafacial. I started taking supplements for acne. Nothing seems to work . I spoke to my PCP about this and she suggests following up to get me prescribed with oral anti acne meds. Still debating about taking oral anti acne pills, since it’s either antibiotics or a diuretic. But I’ve had it with the hormonal acne on my face. It always happens when my body is on the cycle, invisible period, but with slight cramps, PMS mood, breast tenderness, oily skin, and acne, plus the craving of sweets. Without bleeding has been a godsend, but the PMS symptoms especially the acne is taking a toll on me.
Somewhat positive mood
2 more effects
0 helpful
1 comments
Used for 18 mo - 3 yr
36 years old
🇺🇸 US
• 2 weeks ago
I've had horrible bloating. From when I wake up till I go to bed my clothing size changes up to two pant sizes because of the bloating depending on what I eat. As in it's so much worse with things like potatoes. I've had to switch to basically only wearing stretchy clothes because it gets so bad.
Somewhat negative mood
2 more effects
0 helpful
0 comments
Used for 3 - 6 mo
20 years old
🇺🇸 US
• 11th Aug 25
Do not recommend if you’re prone to headaches or migraines loss of appetite from being nauseous
Decreased sex drive
0 helpful
0 comments
Used for 5 - 8 yr
Lowdown user
🇺🇸 US
• 22nd Jul 25
This is my second hormonal IUD, I like the effectiveness of not getting pregnant, I’ve been lucky how effective it is. however I’ve been getting horrible cystic acne all over my face. It’s constantly, almost 2 times a month. It was never like this before until I reached my thirties. I constantly eat healthy, exercise, drink plenty of fluids, take vitamins. I no longer smoke cigarettes and no longer binge drink alcohol (occasionally). I am constantly switching my facial topicals, using peels, masks, LED therapy, electric facial brushes and using hydrafacial. I started taking supplements for acne. Nothing seems to work . I spoke to my PCP about this and she suggests following up to get me prescribed with oral anti acne meds. Still debating about taking oral anti acne pills, since it’s either antibiotics or a diuretic. But I’ve had it with the hormonal acne on my face. It always happens when my body is on the cycle, invisible period, but with slight cramps, PMS mood, breast tenderness, oily skin, and acne, plus the craving of sweets. Without bleeding has been a godsend, but the PMS symptoms especially the acne is taking a toll on me.
Somewhat positive mood
2 more effects
0 helpful
1 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
0 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
0 helpful
0 comments
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