The Lowdown, a Vira Health company

Vaginal ring vs Cap or diaphragm

Vaginal ring

Want to switch birth control?

Cap or diaphragm

Want to switch birth control?

Overview

Rated 3.2

18 reviews

3 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

Vaginal ring ingredients

Main hormones in Vaginal ring

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

39% no impact on mood

Bleeds

39% lighter periods

Sex drive

61% lost sex drive

Weight

50% gained weight

Skin

44% no impact on skin

Cycle return

40% 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

Try it now

Want to switch birth control?

Try it now

Want to switch birth control?

Check out our latest reviews

Real life reviews from people like you

Vaginal ring reviews

18 reviews

Vaginal ring  
Used for 6 - 12 mo
31 years old
🇺🇸 US
  •  1 week ago

NuvaRing  

I have Endometriosis and got my first surgery to remove a myoma this year. I had to start using birth control because of the risk of having other myomas and my anemia. I´m using it since 9 months and the first 3 months i was feeling good, even if it doesnt affect at all my bleeding. I was feeling better with my mood/PMS, got bigger boobs but the rest was the same. But, after 4-5 months i started gaining weight, having headahes quite often, still dealing with my anemia, and now i have dryeness in my vagina. Really low libido, my sexual relations are painful, i don´t recognize my body. I´m not able to connect with my body. I have my appointment with my Gyne soon, i´ve decided to stop using it.

Read more

Somewhat positive mood

2 more effects

0 helpful

0 comments

Vaginal ring  
Used for 18 mo - 3 yr
33 years old
🇺🇸 US
  •  2nd Feb 26

NuvaRing  

Used for 2,5 years, really lowed my libido after some month of use, get me a complete loss after some years. Later suspended for this same reason and because I had a vaginal yeast infection (not used precautions, such as vaginal ovuli with lactobacilli, useful in every hormonal contraception use). Tried years later, but had big problems with increased vaginal discharge (got a vaginal irritation caused by the costant humidity in my lady parts). Very practical (you can forget about it for 3 weeks), but lots of collateral effects (at least for me). You have to try ii to discover if it's good for you or if gives you difficult side effects (it's very personal). If none, can be a very good choise.


Somewhat negative mood

1 more effect

0 helpful

0 comments

Vaginal ring  
Used for 3 - 5 yr
27 years old
🇺🇸 US
  •  31st Jul 25

NuvaRing  

I was put on the pill at 18 for irregular periods, had no problems after the normal first months of weight gain and mood changes. Later on I started a shift job in which I was on alternating shifts, 7a-7p, 11a-11p, 3p-3a, 7p-7a it was impossible to continue taking the pill at the same time everyday. Also I was working in a different state than my OBGYN and traveled alot so planning a procedure was not feasible. I was started on the ring and it was so much easier! My mood swings, breast tenderness were less, I lost some weight. Only thing was having all the symptoms of a 5 day period shoved into 3 days-so more blood and worse cramps. Previously I never needed a heating pad or meds-now I do BUT its only for 3 days. Overall best decision ever to switch to NuvaRing.


Top side effects not reported

0 helpful

0 comments

Vaginal ring  
Used for 6 - 12 mo
31 years old
🇺🇸 US
  •  1 week ago

NuvaRing  

I have Endometriosis and got my first surgery to remove a myoma this year. I had to start using birth control because of the risk of having other myomas and my anemia. I´m using it since 9 months and the first 3 months i was feeling good, even if it doesnt affect at all my bleeding. I was feeling better with my mood/PMS, got bigger boobs but the rest was the same. But, after 4-5 months i started gaining weight, having headahes quite often, still dealing with my anemia, and now i have dryeness in my vagina. Really low libido, my sexual relations are painful, i don´t recognize my body. I´m not able to connect with my body. I have my appointment with my Gyne soon, i´ve decided to stop using it.


Somewhat positive mood

2 more effects

0 helpful

0 comments

Vaginal ring  
Used for 18 mo - 3 yr
33 years old
🇺🇸 US
  •  2nd Feb 26

NuvaRing  

Used for 2,5 years, really lowed my libido after some month of use, get me a complete loss after some years. Later suspended for this same reason and because I had a vaginal yeast infection (not used precautions, such as vaginal ovuli with lactobacilli, useful in every hormonal contraception use). Tried years later, but had big problems with increased vaginal discharge (got a vaginal irritation caused by the costant humidity in my lady parts). Very practical (you can forget about it for 3 weeks), but lots of collateral effects (at least for me). You have to try ii to discover if it's good for you or if gives you difficult side effects (it's very personal). If none, can be a very good choise.


Somewhat negative mood

1 more effect

0 helpful

0 comments

Vaginal ring  
Used for 3 - 5 yr
27 years old
🇺🇸 US
  •  31st Jul 25

NuvaRing  

I was put on the pill at 18 for irregular periods, had no problems after the normal first months of weight gain and mood changes. Later on I started a shift job in which I was on alternating shifts, 7a-7p, 11a-11p, 3p-3a, 7p-7a it was impossible to continue taking the pill at the same time everyday. Also I was working in a different state than my OBGYN and traveled alot so planning a procedure was not feasible. I was started on the ring and it was so much easier! My mood swings, breast tenderness were less, I lost some weight. Only thing was having all the symptoms of a 5 day period shoved into 3 days-so more blood and worse cramps. Previously I never needed a heating pad or meds-now I do BUT its only for 3 days. Overall best decision ever to switch to NuvaRing.


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 Vaginal ring with other birth control

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