Cap or diaphragm vs Combined pill

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Cap or diaphragm

Add your cap or diaphragm review

Combined pill

£From £0.16/day

Overview

Rated 3.8

16 reviews

During or before sex

Frequency

84% - 94%

Effectiveness

None

Blood clot risk

None

Effect on fertility

Rated 2.8

2727 reviews

Daily

Frequency

91% - 99+%

Effectiveness

Increased

Blood clot risk

None

Effect on fertility

Cap or diaphragm ingredients

A contraceptive diaphragm or cap is a circular dome made of thin soft silicone although they come in different shapes sizes and materials. You need to use it with a gel that kills sperm called spermicide. The most common active ingredient of spermicides is nonoxynol-9.

Combined pill ingredients

Main hormones in Combined pill

progestogen

oestrogen

What Lowdown reviewers say

88% no impact on mood

88% no change

94% no impact

100% no impact

83% no impact on skin

Cycle return

50% in 1 month

31% somewhat negative

47% lighter periods

46% lost sex drive

48% no impact

43% improved skin

Cycle return

37% don’t know impact

Benefits: What this contraceptive can help with

There are no benefits that are recognised in scientific research or guidelines for this contraceptive

Acne or bad skin

Heavy periods

PMS and PMDD

PCOS symptoms

Period pain

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Add your cap or diaphragm review

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£From £0.16/day

Check out our latest reviews

Real life reviews from people like you

Cap or diaphragm reviews

16 reviews

Cap or diaphragm  
Used for 1 - 3 mo
26 years old
🇬🇧 UK
  •  13th Dec 25

Cap or diaphragm  

I decided to invest in the Caya diaphragm since I was determined to find a non-hormonal method I could use that wouldn’t impact sex too much (I get irritation with condoms and the copper coil moved out of place pretty much immediately). I really wanted it to work but unfortunately it was way too uncomfortable during sex. It feels like there’s just way too much ‘stuff’ inside me. And I think it obstructs my natural wetness (I suspect that’s why some people mention a lot of discharge upon removal). My partner also said while he could definitely feel it, it wasn’t uncomfortable. I’d choose condoms over the diaphragm unfortunately. Hope this helps :)

Read more

Top side effects not reported

0 helpful

0 comments

Cap or diaphragm  
Used for 3 - 6 mo
27 years old
🇬🇧 UK
  •  6th Apr 25

Cap or diaphragm  

I’ve enjoyed using the cap around my fertile window but struggle to feel 100% confident I have inserted it correctly. When removing the cap I notice a lot of discharge but not after use, only when removing. Way better than the pill or condoms for me.


Top side effects not reported

0 helpful

0 comments

Cap or diaphragm  
Used for 3 - 5 yr
Lowdown user
🇬🇧 UK
  •  13th May 24

Cap or diaphragm  

Apart from the issue I'm currently dealing with (it getting stuck inside of me), I LOVE the diaphragm. I found out I wasn't never fitted (which is why it kept getting stuck upon removal), so my new, awesome doctor actually sized me. It's easier than popping in a tampon once you learn how to do it and then ya pop it out the morning after sex. No side effects, no hormones, no emotional hangover. It's very hard to find though. Pharmaceutical companies don't want women to buy one silicone object that lasts for the rest of your life, so finding the right size and actually getting it has been a challenge. My mom used it and only got pregnant to have me (her only child) and I've been using it for 5+ years with no issues.


Top side effects not reported

0 helpful

0 comments

Cap or diaphragm  
Used for 1 - 3 mo
26 years old
🇬🇧 UK
  •  13th Dec 25

Cap or diaphragm  

I decided to invest in the Caya diaphragm since I was determined to find a non-hormonal method I could use that wouldn’t impact sex too much (I get irritation with condoms and the copper coil moved out of place pretty much immediately). I really wanted it to work but unfortunately it was way too uncomfortable during sex. It feels like there’s just way too much ‘stuff’ inside me. And I think it obstructs my natural wetness (I suspect that’s why some people mention a lot of discharge upon removal). My partner also said while he could definitely feel it, it wasn’t uncomfortable. I’d choose condoms over the diaphragm unfortunately. Hope this helps :)


Top side effects not reported

0 helpful

0 comments

Cap or diaphragm  
Used for 3 - 6 mo
27 years old
🇬🇧 UK
  •  6th Apr 25

Cap or diaphragm  

I’ve enjoyed using the cap around my fertile window but struggle to feel 100% confident I have inserted it correctly. When removing the cap I notice a lot of discharge but not after use, only when removing. Way better than the pill or condoms for me.


Top side effects not reported

0 helpful

0 comments

Cap or diaphragm  
Used for 3 - 5 yr
Lowdown user
🇬🇧 UK
  •  13th May 24

Cap or diaphragm  

Apart from the issue I'm currently dealing with (it getting stuck inside of me), I LOVE the diaphragm. I found out I wasn't never fitted (which is why it kept getting stuck upon removal), so my new, awesome doctor actually sized me. It's easier than popping in a tampon once you learn how to do it and then ya pop it out the morning after sex. No side effects, no hormones, no emotional hangover. It's very hard to find though. Pharmaceutical companies don't want women to buy one silicone object that lasts for the rest of your life, so finding the right size and actually getting it has been a challenge. My mom used it and only got pregnant to have me (her only child) and I've been using it for 5+ years with no issues.


Top side effects not reported

0 helpful

0 comments


Combined pill reviews

2727 reviews

Combined pill  
Used for 12 - 18 mo
20 years old
🇬🇧 UK
  •  1 week ago

Millinette 20/75 pill  

I’ve been on pills now for about 5-6 years, switched to Millinette from Ridgevidon about 18 months ago. I’ve always had terrible headaches on the pill, but millinette has seemed to decrease them a bit. This pill has made me have a lot more mood swings, loss of feeling and loss of sex drive. While the pill hasn’t been awful, it’s had its ups and downs. I am currently switching to the coil to see if anything changes, otherwise i’m okay with continuing millinette.


Decreased sex drive

0 helpful

0 comments

Combined pill  
Used for 12 - 18 mo
20 years old
🇬🇧 UK
  •  1 week ago

Millinette 20/75 pill  

I switched from Ridgevidon to Millinette. Since being on any pill, i’ve had extremely bad headaches. My doctor told me to switch, seeing if a different strength of pill would change anything. While I do think I get less headaches, my sex drive decreased significantly. I also suffer with a lot more brain fog, and just general lack of feeling. Mood swings have definitely increased on the pill, but I notice they’re worse on this one. The pill isn’t an awful choice, it’s had its ups and downs. I’m currently waiting to have the coil fitted to see if there’s any changes.


Decreased sex drive

0 helpful

0 comments

Combined pill  
Used for 1 - 3 mo
16 years old
🇬🇧 UK
  •  2 weeks ago

Drovelis pill  

I have just completed my first month and have absolutely loved the change for me. I was suffering from PMDD for ages before starting, and this has significantly helped my mood disorder and emotional episodes. However I have gotten tender breasts when walking or running, nothing insane. And my discharge! Its so watery and so much. Sometimes I stand up and its like a small pee puddle, anyway, I have had an overall positive experience


Very positive mood

2 more effects

0 helpful

0 comments

Combined pill  
Used for 12 - 18 mo
20 years old
🇬🇧 UK
  •  1 week ago

Millinette 20/75 pill  

I’ve been on pills now for about 5-6 years, switched to Millinette from Ridgevidon about 18 months ago. I’ve always had terrible headaches on the pill, but millinette has seemed to decrease them a bit. This pill has made me have a lot more mood swings, loss of feeling and loss of sex drive. While the pill hasn’t been awful, it’s had its ups and downs. I am currently switching to the coil to see if anything changes, otherwise i’m okay with continuing millinette.


Decreased sex drive

0 helpful

0 comments

Combined pill  
Used for 12 - 18 mo
20 years old
🇬🇧 UK
  •  1 week ago

Millinette 20/75 pill  

I switched from Ridgevidon to Millinette. Since being on any pill, i’ve had extremely bad headaches. My doctor told me to switch, seeing if a different strength of pill would change anything. While I do think I get less headaches, my sex drive decreased significantly. I also suffer with a lot more brain fog, and just general lack of feeling. Mood swings have definitely increased on the pill, but I notice they’re worse on this one. The pill isn’t an awful choice, it’s had its ups and downs. I’m currently waiting to have the coil fitted to see if there’s any changes.


Decreased sex drive

0 helpful

0 comments

Combined pill  
Used for 1 - 3 mo
16 years old
🇬🇧 UK
  •  2 weeks ago

Drovelis pill  

I have just completed my first month and have absolutely loved the change for me. I was suffering from PMDD for ages before starting, and this has significantly helped my mood disorder and emotional episodes. However I have gotten tender breasts when walking or running, nothing insane. And my discharge! Its so watery and so much. Sometimes I stand up and its like a small pee puddle, anyway, I have had an overall positive experience


Very positive mood

2 more effects

0 helpful

0 comments

Combined pill  
Used for 1 - 3 mo
19 years old
🇬🇧 UK
  •  2 weeks ago

Dretine pill  

I went on this pill to sort out mood swings before my period and it absolutely sorted that out. I only took it for about 3 months though, because I had some dizziness and nausea while I was on it at random times which was bearable but not enjoyable so I switched to a different pill. I now take Milinette 20/75 and the lower oestrogen dose (20 vs. 30 with dretine) sorted out the nausea.


Top side effects not reported

0 helpful

0 comments

Combined pill  
Used for 1 - 3 mo
19 years old
🇬🇧 UK
  •  2 weeks ago

Rigevidon  

I went on the pill to sort out my mood swings on my period - I would get a drop in mood in the week before my period which made me very emotional, but aside from that I normally have very even moods and don't ever experience serious lows. However, a few days into taking Rigevidon i experienced a low I've never before experienced, with honestly no possible external event in my life that might explain it. It was far worse than any mood swing I've ever had, and it lasted about 3 days before I stopped taking the pill entirely. This is not to scare anyone considering taking it (my mum was on this pill for 15 years and loved it!) and it's possible the drop in mood might have evened out if i had taken it for longer, but I wasn't able to stick it out. Both dretine and milinette have done wonders for my mood swings though!


Very negative mood

0 helpful

0 comments

Combined pill  
Used for 12 - 18 mo
19 years old
🇬🇧 UK
  •  2 weeks ago

Millinette 20/75 pill  

Highly recommend. Went on the 20-75 because I've previously had nausea issues on a 30mg (dretine) and I haven't had any nausea problems with this. Cleared up a bit of hormonal acne, no noticeable side effects except a slightly lower sex drive. I take 3 packs back to back and then a break so have some breakthrough bleeding but nothing major and my periods do come regularly when I take the break. I went on it to sort out mood swings and it absolutely sorted that out - now have to come off it and go onto a mini-pill for adenomyosis but I wish i didn't have to!


Improved skin

1 more effect

0 helpful

0 comments

Combined pill  
Used for 5 - 8 yr
26 years old
🇬🇧 UK
  •  2 weeks ago

Rigevidon  

I ended up getting headaches daily which is why i stopped after taking it for 7 years. After stopping (7 months currently) i am dizzy DAILY. I dont have spinning dizziness. its more off balance feeling all the time nearly. I only took this pill to regulate my periods more as this is what was prescribed by the doctors..


Improved skin

0 helpful

0 comments

Combined pill  
Used for 3 - 5 yr
18 years old
🇬🇧 UK
  •  3 weeks ago

Drovelis pill  

I have positive and negative experiences with this pill. Negative, I gaint weight, I am tired and have not libido. Positive, no cramps, less of blood, no mood swings


Decreased sex drive

1 more effect

0 helpful

0 comments

Combined pill  
Used for 1 - 3 mo
21 years old
🇬🇧 UK
  •  3 weeks ago

Yacella pill  

My skin seems to have cleared up nicely over the short course I have been taking it. My periods have not come at all, but I am experiencing breakthrough bleeding on my gap week that doesn't cause any discomfort for me. No significant weight change as far as I can tell. The only issue I really have is my mood and mental health has depleted rapidly. I wake up feeling sick with anxiety every morning and get into a low depressive mood during the day which is affecting my energy, my friendships and overall ability to enjoy life. The fact is that I recently got an ADHD diagnosis and was just coming to terms with myself around the time that these depressive moods started, so ultimately with a consultation I will be trying to change the brand that I am on.


Very negative mood

2 more effects

0 helpful

0 comments

Combined pill  
Used for 3 - 5 yr
26 years old
🇬🇧 UK
  •  3 weeks ago

Yaz pill 🇺🇸  

I was very depressed on Yaz Pill, crying every morning and some days didn't want to get out of bed, I gained water weight for the first 6 - 8 months. I did have an increased sex drive on Yaz compared to my current pill.


Very negative mood

3 more effects

0 helpful

0 comments

Contraceptive alternatives and comparisons

Compare the Cap or diaphragm with other contraceptives

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