Contraception Reviews

Birth control patch vs Cap or diaphragm

Birth control patch

Want to switch birth control?

Cap or diaphragm

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Overview

Rated 2.9

9 reviews

Weekly

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

Birth control patch ingredients

Main hormones in Birth control patch

progestin

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

56% somewhat negative

Bleeds

44% spotting

Sex drive

56% no impact

Weight

44% no impact

Skin

33% don’t know impact

Cycle return

100% don’t know impact

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

Try it now

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Try it now

Want to switch birth control?

Check out our latest reviews

Real life reviews from people like you

Birth control patch reviews

9 reviews

Birth control patch  
Used for 1 - 3 mo
20 years old
🇺🇸 US
  •  2 weeks ago

Xulane patch  

I was on Depo and the pill before this and this is the best one so far. I'm still in the adjustment phase. The main issue is that this month (month 2) I've felt uncomfortable in my skin and I've been dizzy. Not extreme but noticeable. I appreciate the ease of only dealing with it once a week. The adhesive is slightly irritating only because of sweat, but after the first month it's stopped itching and I don't notice it anymore.

Read more

Somewhat positive mood

1 more effect

0 helpful

0 comments

Birth control patch  
Used for 12 - 18 mo
32 years old
🇺🇸 US
  •  1 month ago

Xulane patch  

I have been on these patches consistently for over a year. I am still dealing with breakthrough bleeding with the same excruciating and heavy periods. My periods also come every two weeks, then I end up bleeding for two weeks. It comes every month on my third patch week, so I feel as though I am wasting a fresh patch. I tried skipping periods, and it still does not work; I still bleed. Also, they suck at sticking to the skin. It's a horror trying to shower with the patch on because it will come off. After a shower, I'm more focused on trying to get it to stick back onto my skin. And it does move across the skin, and leaves square prints on my skin, due to the adhesive. I would not recommend these patches to anybody who wants to shower regularly, or do water activities while trying to manage periods and prevent pregnancy. I have made an appointment with my doctor, to change my birth control method.


Very negative mood

0 helpful

0 comments

Birth control patch  
Used for 3 - 6 mo
33 years old
🇺🇸 US
  •  5th Apr 25

Xulane patch  

Breakthrough bleeding lasted for 3 mos


Somewhat negative mood

1 more effect

1 helpful

0 comments

Birth control patch  
Used for 1 - 3 mo
20 years old
🇺🇸 US
  •  2 weeks ago

Xulane patch  

I was on Depo and the pill before this and this is the best one so far. I'm still in the adjustment phase. The main issue is that this month (month 2) I've felt uncomfortable in my skin and I've been dizzy. Not extreme but noticeable. I appreciate the ease of only dealing with it once a week. The adhesive is slightly irritating only because of sweat, but after the first month it's stopped itching and I don't notice it anymore.


Somewhat positive mood

1 more effect

0 helpful

0 comments

Birth control patch  
Used for 12 - 18 mo
32 years old
🇺🇸 US
  •  1 month ago

Xulane patch  

I have been on these patches consistently for over a year. I am still dealing with breakthrough bleeding with the same excruciating and heavy periods. My periods also come every two weeks, then I end up bleeding for two weeks. It comes every month on my third patch week, so I feel as though I am wasting a fresh patch. I tried skipping periods, and it still does not work; I still bleed. Also, they suck at sticking to the skin. It's a horror trying to shower with the patch on because it will come off. After a shower, I'm more focused on trying to get it to stick back onto my skin. And it does move across the skin, and leaves square prints on my skin, due to the adhesive. I would not recommend these patches to anybody who wants to shower regularly, or do water activities while trying to manage periods and prevent pregnancy. I have made an appointment with my doctor, to change my birth control method.


Very negative mood

0 helpful

0 comments

Birth control patch  
Used for 3 - 6 mo
33 years old
🇺🇸 US
  •  5th Apr 25

Xulane patch  

Breakthrough bleeding lasted for 3 mos


Somewhat negative mood

1 more effect

1 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 Birth control patch with other birth control

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