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 3.9

14 reviews

During or before sex

Frequency

84% - 94%

Effectiveness

None

Blood clot risk

None

Effect on fertility

Rated 2.8

2501 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

86% no impact on mood

86% no change

93% no impact

100% no impact

75% no impact on skin

Cycle return

50% in 1 month

32% somewhat negative

48% lighter periods

46% lost sex drive

48% no impact

44% improved skin

Cycle return

36% 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

14 reviews

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.

Read more

Top side effects not reported

0 helpful

0 comments

Cap or diaphragm  
Used for 18 mo - 3 yr
Lowdown user
🇬🇧 UK
  •  1st Jan 24

Cap or diaphragm  

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

2 helpful

1 comments

Cap or diaphragm  
Used for 6 - 12 mo
Lowdown user
🇬🇧 UK
  •  14th Feb 23

Cap or diaphragm  

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!


Very positive mood

2 more effects

1 helpful

1 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 18 mo - 3 yr
Lowdown user
🇬🇧 UK
  •  1st Jan 24

Cap or diaphragm  

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

2 helpful

1 comments

Cap or diaphragm  
Used for 6 - 12 mo
Lowdown user
🇬🇧 UK
  •  14th Feb 23

Cap or diaphragm  

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!


Very positive mood

2 more effects

1 helpful

1 comments


Combined pill reviews

2501 reviews

Combined pill  
Used for 3 - 6 mo
18 years old
🇬🇧 UK
  •  today

Yacella pill  

It has helped my skin a bit


Somewhat negative mood

2 more effects

0 helpful

0 comments

Combined pill  
Used for 3 - 6 mo
18 years old
🇬🇧 UK
  •  today

Microgynon 30 ED pill  

It made my skin so bad i had painful cystic acne and minor mood swings but boobs were huge


Somewhat negative mood

2 more effects

0 helpful

0 comments

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

Dianette pill  

This pill is great for hormonal acne and cleared my skin up relatively quickly. I did experience some weight gain at the time but unsure if it was pill related .


Improved skin

1 more effect

0 helpful

0 comments

Combined pill  
Used for 3 - 6 mo
18 years old
🇬🇧 UK
  •  today

Yacella pill  

It has helped my skin a bit


Somewhat negative mood

2 more effects

0 helpful

0 comments

Combined pill  
Used for 3 - 6 mo
18 years old
🇬🇧 UK
  •  today

Microgynon 30 ED pill  

It made my skin so bad i had painful cystic acne and minor mood swings but boobs were huge


Somewhat negative mood

2 more effects

0 helpful

0 comments

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

Dianette pill  

This pill is great for hormonal acne and cleared my skin up relatively quickly. I did experience some weight gain at the time but unsure if it was pill related .


Improved skin

1 more effect

0 helpful

0 comments

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

Dretine pill  

It’s okay. The positive is that my cramps are less. I experienced thrush for the first time in my life. I am more weepy but not depressed. I have acne on my lower face after a few weeks that is starting to clear now and I can see my hair is thinning. I also feel very sleepy on this so I am planning to change.


Somewhat negative mood

1 more effect

0 helpful

0 comments

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

Millinette 20/75 pill  

Millinette gave me full blown acne and made me a lot more teary which is so unlike me. Initially, I was on Rigevidon for 2.5 years, stopped as I experienced breakthrough bleeding/didn’t need it. Discovered I had major brain fog on it, and my thoughts / perception on dating became a lot better once off it. Decided to try Millinette based on that as I got into a new relationship, tried it for 3 months as advised. I’ve not always been spotty, I get hormonal breakouts but that’s it. I’m happy and healthy otherwise! Millinette made me start to break out in hormonal spots - on my forehead, chin (especially) and cheeks (which I’ve never experienced before). It was making me miserable! I also noticed how much more teary I’ve been lately - as if anything slightly upsetting can make me cry. I’ve been using differin (a retinol acne gel treatment) and it’s helped slightly but not much. I’ve also gone up an entire cup size, and my breasts are slightly achy all the time. I also have experienced headaches when I came off the pill for a bleed - I now take it consecutively because my body seems to react badly to the drop in hormones. I’ve stopped Millinette now, and based on a nurse’s advice I’m going to try Yaecella. I think my body/skin reacts badly to the progesterone in Millinette/with pills that have less oestrogen in them. Hopefully Yaecella works (it’s a new generation version of the famous Yasmin pill). I’m 21, 5’10 and 57kg if that helps too!


Somewhat negative mood

1 more effect

0 helpful

0 comments

Combined pill  
Used for 8+ yr
40 years old
🇬🇧 UK
  •  2 weeks ago

Brevinor pill  

I had been taking this pill for 25 years, since I was 15. Now I’m 40 my GP won’t supply me with the combined pill anymore and wants to switch me to the mini pill. I had periods, when I was 13-15, where I would bleed heavily for 2 weeks, with regular flooding, plus extreme abdominal pain, followed by 2 weeks no bleeding then I’d go back round again. Brevinor changed my life! I could not recommend this pill more. You will more likely hear the negatives than the positive from these reviews but honestly this was amazing for me and would still be taking it if I could.


Very positive mood

1 more effect

0 helpful

0 comments

Combined pill  
Used for 6 - 12 mo
20 years old
🇬🇧 UK
  •  2 weeks ago

Marvelon pill  

I changed to marvelon from cilique/ levest because neither were helping my skin. this one did!! however my sex drive has gone down massively. but periods are all regular no issues there just low libido :(


Improved skin

2 more effects

0 helpful

0 comments

Combined pill  
Used for 6 - 12 mo
32 years old
🇬🇧 UK
  •  2 weeks ago

Marvelon pill  

Overall good but feel like unable to lose weight and slight dizziness.


Improved skin

2 more effects

0 helpful

0 comments

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

Yasmin pill  

Initially, I had little to complain about with the pill. My skin became clear after a few months and my breasts increased a cup size. HOWEVER, I had always felt more ill and generally tired on this pill, emotionally I also felt very static. Not depressed or unhappy but I could not feel my emotions as normal. My doctor advised me to switch from a 7 day break every month to a 4 day break as the guidelines had changed. This increase in the pill caused my breasts to get even bigger and very very sore. My doctor found multiple cysts in both breasts, I explained that I thought this was due to the increase in the pill I was taking but they said they would drain the cysts rather than me coming off the pill. I decided to come off the pill to see if it would decrease the cysts and they went completely of their own accord within a month of coming off the pill. I lost a lot of hair and my skin got worse but I have never felt better in myself, more healthy and happy since coming off. I will not go on any form of hormonal contraception again.


Somewhat negative mood

3 more effects

0 helpful

0 comments

Combined pill  
Used for 3 - 6 mo
Lowdown user
🇬🇧 UK
  •  1 month ago

Gedarel 20/150 pill  

I started using contraception again to help manage my PMS, particularly the mood swings a week before my period. At the time, I was also struggling with severe anxiety, which made PMS even harder to cope with each month. I hoped contraception would help regulate my hormones and provide some relief. Initially, I was prescribed Rigividon, but it didn’t work for me. A week before my period, I had intense emotional spikes, irritability, increased appetite, cramps, and breast tenderness. While I could just about manage it most of the time, I worried about how difficult it might get during stressful periods. My nurse suggested switching to Gederal. Since switching to Gederal, my experience has been much better. My periods are lighter, and my PMS symptoms have improved significantly. I feel much more emotionally stable in the week before my period. However, I tried skipping the 7-pill free days to avoid the break, but by the third packet, I felt PMS symptoms building up again, including mood swings. I have had a small amount of reoccurring dermatitis on my nose and chin since starting the pill. Overall, Gederal has been a much better fit for me compared to both Rigividon and my experience without contraception. It’s made a noticeable difference in managing my PMS and emotional well-being.


Top side effects not reported

0 helpful

0 comments

Contraceptive alternatives and comparisons

Compare the Cap or diaphragm with other contraceptives

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