Cap or diaphragm vs Combined pill

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Cap or diaphragm

Want to switch contraception?

Combined pill

£From £0.16/day

Overview

Rated 3.8

13 reviews

During or before sex

Frequency

84% - 94%

Effectiveness

None

Blood clot risk

None

Effect on fertility

Rated 2.8

2369 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

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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£From £0.16/day

Check out our latest reviews

Real life reviews from people like you

Cap or diaphragm reviews

13 reviews

Used for 18 mo - 3 yr
34 years old
🇬🇧 UK
  •  1st Jan 24

  •  Still using

I've used Caya several times over the past couple years (they last up to 2 years- due for a new one now). I use it on the edges of my fertile window (with fertility awareness) and/or combined with withdrawal or condoms to boost efficacy during the fertile window. Always use with Caya/Contragel- they come with an applicator to re-insert the gel into the vagina, as you need to reapply the gel each time you have sex. Watching the YouTube instructions on how to put it in (plus the instruction manual in the box!) helped me understand how to use it properly and to have an idea of how it was inserted properly.

Read more

Top side effects not reported

0 helpful

1 comments

Used for 6 - 12 mo
34 years old
🇬🇧 UK
  •  14th Feb 23

  •  Still using

I used the caya cap. It has been a game changer after previously taking the pill. I feel in control, no need to remember to take a pill, just put it in when needed. Better than condoms as it is women based and not detectable. Effect of not taking hormonal contraceptives has been amazing. All the side effects that I had ( migraines, reduced sex drive, dryness, breast tenderness, strong period pains, breakthrough bleeding and emotionalness) all gone. I wish someone had told me about it before!


Top side effects not reported

1 helpful

1 comments

Used for 1 - 3 mo
37 years old
🇬🇧 UK
  •  2nd Dec 22

  •  Stopped using

Having experienced terrible physical and mental health side effects from both types of contraceptive pill (Combined and POP), and permanent pain and repeated UTIs with the copper coil, I hoped that Caya diaphragm would be a suitable non-hormonal method to try. Unfortunately, I found insertion very tricky - it seems I have a case of "deep vagina, small fingers", as I could never tell whether I'd pushed the diaphragm up far enough to cover my cervix, and sex was always a bit uncomfortable. I'm naturally prone to cystitis and thrush, and getting both while using the diaphragm also put me off using it long term. However, on the plus side - I didn't get pregnant (though I was still breastfeeding a lot, and my periods hadn't yet returned postpartum), and I did manage to avoid the hormonal depression, skin changes and weight gain/loss that I've experienced in the past with pills.


Top side effects not reported

2 helpful

0 comments

Used for 18 mo - 3 yr
34 years old
🇬🇧 UK
  •  1st Jan 24

  •  Still using

I've used Caya several times over the past couple years (they last up to 2 years- due for a new one now). I use it on the edges of my fertile window (with fertility awareness) and/or combined with withdrawal or condoms to boost efficacy during the fertile window. Always use with Caya/Contragel- they come with an applicator to re-insert the gel into the vagina, as you need to reapply the gel each time you have sex. Watching the YouTube instructions on how to put it in (plus the instruction manual in the box!) helped me understand how to use it properly and to have an idea of how it was inserted properly.


Top side effects not reported

0 helpful

1 comments

Used for 6 - 12 mo
34 years old
🇬🇧 UK
  •  14th Feb 23

  •  Still using

I used the caya cap. It has been a game changer after previously taking the pill. I feel in control, no need to remember to take a pill, just put it in when needed. Better than condoms as it is women based and not detectable. Effect of not taking hormonal contraceptives has been amazing. All the side effects that I had ( migraines, reduced sex drive, dryness, breast tenderness, strong period pains, breakthrough bleeding and emotionalness) all gone. I wish someone had told me about it before!


Top side effects not reported

1 helpful

1 comments

Used for 1 - 3 mo
37 years old
🇬🇧 UK
  •  2nd Dec 22

  •  Stopped using

Having experienced terrible physical and mental health side effects from both types of contraceptive pill (Combined and POP), and permanent pain and repeated UTIs with the copper coil, I hoped that Caya diaphragm would be a suitable non-hormonal method to try. Unfortunately, I found insertion very tricky - it seems I have a case of "deep vagina, small fingers", as I could never tell whether I'd pushed the diaphragm up far enough to cover my cervix, and sex was always a bit uncomfortable. I'm naturally prone to cystitis and thrush, and getting both while using the diaphragm also put me off using it long term. However, on the plus side - I didn't get pregnant (though I was still breastfeeding a lot, and my periods hadn't yet returned postpartum), and I did manage to avoid the hormonal depression, skin changes and weight gain/loss that I've experienced in the past with pills.


Top side effects not reported

2 helpful

0 comments


Combined pill reviews

2369 reviews

Used for 12 - 18 mo
18 years old
🇬🇧 UK
  •  today

  •  Still using

I went on this one after a bad experience with a similar pill it’s okay. I kind of feel stuck on it because it’s a big improvement from the sickness I felt from the last pill but it’s still not great however I fear that if I change my pills again all those side effects will come back. I experienced HRT like symptoms from what i’ve seen they get better then they get horrendously worse it’s like a constant cycle.


Top side effects not reported

0 helpful

0 comments

Used for 3 - 6 mo
33 years old
🇬🇧 UK
  •  1 day ago

  •  Stopped using

Took a while to realise that these were side effects of the pill. Already have a history of depression and anxiety but around 3.5 months into taking this my mood plummeted, I started to have increasingly awful problems with vaginal dryness, thrush and vaginitis. In hindsight I was also having an awful lot of headaches and some migraines, which I haven’t had an issue with for years. 10 days after stopping, every single symptom has gone!


Top side effects not reported

0 helpful

0 comments

Used for 18 mo - 3 yr
43 years old
🇬🇧 UK
  •  2 days ago

  •  Stopped using

I generally felt great with this pill. No mood changes and lost weight but unfortunately I had vaginal dryness which lead to regular thrush infections. I took a break from Yaz and the thrush infections stopped. I've just swapped to Zoely to see if this suits me better.


Top side effects not reported

0 helpful

0 comments

Used for 12 - 18 mo
18 years old
🇬🇧 UK
  •  today

  •  Still using

I went on this one after a bad experience with a similar pill it’s okay. I kind of feel stuck on it because it’s a big improvement from the sickness I felt from the last pill but it’s still not great however I fear that if I change my pills again all those side effects will come back. I experienced HRT like symptoms from what i’ve seen they get better then they get horrendously worse it’s like a constant cycle.


Top side effects not reported

0 helpful

0 comments

Used for 3 - 6 mo
33 years old
🇬🇧 UK
  •  1 day ago

  •  Stopped using

Took a while to realise that these were side effects of the pill. Already have a history of depression and anxiety but around 3.5 months into taking this my mood plummeted, I started to have increasingly awful problems with vaginal dryness, thrush and vaginitis. In hindsight I was also having an awful lot of headaches and some migraines, which I haven’t had an issue with for years. 10 days after stopping, every single symptom has gone!


Top side effects not reported

0 helpful

0 comments

Used for 18 mo - 3 yr
43 years old
🇬🇧 UK
  •  2 days ago

  •  Stopped using

I generally felt great with this pill. No mood changes and lost weight but unfortunately I had vaginal dryness which lead to regular thrush infections. I took a break from Yaz and the thrush infections stopped. I've just swapped to Zoely to see if this suits me better.


Top side effects not reported

0 helpful

0 comments

Used for 3 - 6 mo
37 years old
🇬🇧 UK
  •  3 days ago

  •  Stopped using

I tried Drovelis to attempt to manage PMDD (severe mood drop on top of existing depression) and PCOS. After 5+ months, my sense is that it was absolutely helping with PMDD. I aimed to take it continuously to minimise any mood drop' and did so for 3 months at first. Unfortunately, I just would not stop bleeding - it was more than 'spotting', enough to get through 3-4 tampons a day, every day. Then I tried 2 months of allowing a break between active pills to see if encouraging a 'period' would reduce the breakthrough bleeding, but to no avail. I didn't even used to suffer heavy periods, so I'm genuinely gutted I couldn't seem to settle and stop bleeding on this, as it was great for my PMDD and had no other negative side effects (beyond breast tenderness and temporary breast enlargement in month 1-2). Doctor's advice was if it hadn't settled by almost 6 months, best to try something else (so now I'm starting Yasmin).


Top side effects not reported

0 helpful

1 comments

Used for 3 - 6 mo
28 years old
🇬🇧 UK
  •  2 weeks ago

  •  Still using

Been taking yacella for 6 months after not being on any contraception in years due to fears of side effects. Previously been on Loestrin 20 and Rigevidon both of which gave me horrible cystic acne and low mood. Dr recommended yacella as it has anti-androgenic progesterone and I have mild PCOS. So far it has been pretty good! I think my mood is unaffected, skin is great, sex drive unaffected. I have had some slight weight gain in more 'womanly' areas but nothing crazy. My breasts definitely have grown a lot and for the first few months they were quite sore but this has reduced to mild tenderness now. I do experience pain, especially lower back/pelvic, and am emotional during my 7 day break, however I suffered a lot with cramps prior to taking the pill so this is still an improvement for me. Would recommend, especially for anyone with hormonal imbalances like me.


Top side effects not reported

0 helpful

0 comments

Used for 12 - 18 mo
28 years old
🇬🇧 UK
  •  2 weeks ago

  •  Stopped using

Having been on this pill for a year, I noticed that I hadn't felt like myself for a while. I found myself with persistently lower moods. Even during times of joy, the feeling felt dampened. This is the primary reason I decided to stop taking this pill; no contraception is worth losing yourself to! I am still in the early stages of being off this pill, but I feel relieved to have made the choice. It did make my withdrawal bleeds ("periods") very light. However, I do also think it completely suppressed my libido. I (being naive) thought that being on a low dosage pill, I might have fewer symptoms, but it just hasn't worked for me. I just wish there were more non-hormonal options out there.


Top side effects not reported

0 helpful

0 comments

Used for 5 - 8 yr
24 years old
🇬🇧 UK
  •  2 weeks ago

  •  Still using

I was prescribed this pill as I struggled to gain weight therefore, I didn’t have a regular period. I never had any awful experiences with this pill other than after 3 years I started to experience reoccurring thrush. Once it was treated it usually went away until recently, I have been experiencing thrush almost every month always during the week before my break. It has become unbearable leading me to change to a different lower dose birth control instead.


Top side effects not reported

0 helpful

0 comments

Used for 12 - 18 mo
23 years old
🇬🇧 UK
  •  3 weeks ago

  •  Stopped using

This pill had a severe negative effect on my mental health. Physically I felt better as it alleviated PCOS symptoms but worsened my depression.


Top side effects not reported

0 helpful

0 comments

Used for 12 - 18 mo
24 years old
🇬🇧 UK
  •  3 weeks ago

  •  Still using

I don't like being menopause at 20's


Top side effects not reported

0 helpful

0 comments

Used for 8+ yr
43 years old
🇬🇧 UK
  •  3 weeks ago

  •  Stopped using

Yasmin was the best pill for me. I have PCOS and it completely took care of my symptoms like acne. I also had very stable mood and positive mental state with this pill. My periods were light and I used to skip them 3 packets in a row and have only maybe 4 withdrawal bleeds per year. When I tried to extend it to 4 packs, I would often start to get light spotting so I think 3 packs non-stop was optimal for me.


Top side effects not reported

1 helpful

0 comments

Contraceptive alternatives and comparisons

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