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

2811 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

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 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

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


Combined pill reviews

2811 reviews

Combined pill  
Used for 6 - 12 mo
39 years old
🇬🇧 UK
  •  3 days ago

Rigevidon  

I felt it was very effective at preventing pregnancy because I lost almost all interest in sex and the few times we had sex, it was painful, I sometimes bled. I don’t know if the thrush was directly related or down to trying to sort the dryness with oestrogen cream and changing products. I didn’t have any other side effects but after 9 months I had to stop using this. I moved to a mini-pill and a month into using that my libido is improving as is the dryness - the last time we had sex it was almost pain free.


Decreased sex drive

0 helpful

0 comments

Combined pill  
Used for 6 - 12 mo
25 years old
🇬🇧 UK
  •  4 days ago

Drovelis pill  

The first few months of this pill felt great, but at around 6 months I started getting breakthrough bleeding consistently (3/4 weeks a month). I don’t think it’s a good choice if you’ve been advised to skip the placebos/break as it feels like the withdrawal bleed is necessary. I also haven’t seen much improvement in cramps. My mood and anxiety have also gotten worse since taking this. It’s a shame that prednisone is used instead of another progesterone as this is known to have bad impacts on mood.


Somewhat negative mood

3 more effects

0 helpful

0 comments

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

Gedarel 20/150 pill  

I was put on this pill by my GP to try and help with the PMDD I was experiencing on the second half of my cycle. I had previously been on Eloine for this which really helped but I can't have this any more due to adrenal insufficiency. Since starting Gedarel I feel like my mood is worse, I just feel flat all the time. I can't sleep, tired but wired. This definitely is not the right answer.


Very negative mood

1 more effect

0 helpful

0 comments

Combined pill  
Used for 6 - 12 mo
39 years old
🇬🇧 UK
  •  3 days ago

Rigevidon  

I felt it was very effective at preventing pregnancy because I lost almost all interest in sex and the few times we had sex, it was painful, I sometimes bled. I don’t know if the thrush was directly related or down to trying to sort the dryness with oestrogen cream and changing products. I didn’t have any other side effects but after 9 months I had to stop using this. I moved to a mini-pill and a month into using that my libido is improving as is the dryness - the last time we had sex it was almost pain free.


Decreased sex drive

0 helpful

0 comments

Combined pill  
Used for 6 - 12 mo
25 years old
🇬🇧 UK
  •  4 days ago

Drovelis pill  

The first few months of this pill felt great, but at around 6 months I started getting breakthrough bleeding consistently (3/4 weeks a month). I don’t think it’s a good choice if you’ve been advised to skip the placebos/break as it feels like the withdrawal bleed is necessary. I also haven’t seen much improvement in cramps. My mood and anxiety have also gotten worse since taking this. It’s a shame that prednisone is used instead of another progesterone as this is known to have bad impacts on mood.


Somewhat negative mood

3 more effects

0 helpful

0 comments

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

Gedarel 20/150 pill  

I was put on this pill by my GP to try and help with the PMDD I was experiencing on the second half of my cycle. I had previously been on Eloine for this which really helped but I can't have this any more due to adrenal insufficiency. Since starting Gedarel I feel like my mood is worse, I just feel flat all the time. I can't sleep, tired but wired. This definitely is not the right answer.


Very negative mood

1 more effect

0 helpful

0 comments

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

Microgynon 30 pill  

I only stopped this method because I started getting migraines with aura, if this didnt happen I would've happily continued taking this method of birth control. when I did have breaks from it the 'periods' were light and minimal cramping, which was much better than what I had before. If I chose to have no breaks I had no periods or bleeding at all. there was a decrease in my libido which only really affected my initiation, as I wouldn't initiate sex myself but would still engage in it happily if my boyfriend initiated. however this was something we both noticed, I also stopped being as horny as I used to be so, which I didn't massively mind but it was definitely a change. this method did make me notice my migraine a lot more which is what led me to changing it however I did have these migraines previously. I did experience weight gain however I dont have the best diet so could be completely unrelated.


Improved skin

2 more effects

0 helpful

0 comments

Combined pill  
Used for 8+ yr
29 years old
🇬🇧 UK
  •  1 month ago

Microgynon 30 pill  

I was having very irregular, heavy, long periods to the point I became aneamic. This really helped bring it under control, it was great at first. With time I noticed I didn’t feel like myself, I couldn’t experience happiness like normal, I had put on weight, I was getting gut issues like reflux and sensitivity, my hair had thinned, my libido was gone and I was dry even when aroused. I stopped the pill and all these issues fixed themselves after about 6 months but now my periods are irregular again.


Somewhat negative mood

3 more effects

0 helpful

0 comments

Combined pill  
Used for 1 - 3 mo
20 years old
🇬🇧 UK
  •  30th Sep 26

Qlaira pill  

Switched from Yasmin to Qlaira safe to say i’m going back to Yasmin. I have been on Qlaira for about a month, it was fine up until i realised near the end of the pack I began feeling extremely “crazy” and depressed, my emotions were too much and extreme like an emotional rollercoaster, I also noticed so much of my hair shedding, it made my hair thin, avoid if you don’t want to risk your hair falling out and if you want to keep your sanity.


Very negative mood

1 more effect

0 helpful

0 comments

Combined pill  
Used for 6 - 12 mo
37 years old
🇬🇧 UK
  •  29th Sep 26

Drovelis pill  

No major side effects that I can think of. Its the only pill that did not make me feel irritated for the whole 28 days after having my two babies.


Somewhat positive mood

1 more effect

0 helpful

0 comments

Combined pill  
Used for 1 - 3 mo
21 years old
🇬🇧 UK
  •  25th Sep 26

Millinette 30/75 pill  

I absolutely love this pill! It’s honestly the best one I’ve ever been on. I experienced very mild, temporary changes at the start which passed quickly - nothing troublesome at all. And best of all my moods haven’t changed like they have on previous combined pills I’ve tried, which is life changing. My withdrawal bleeds are regular and predictable which is a bonus. Overall, my experience has been really positive :)


Very positive mood

1 more effect

0 helpful

0 comments

Combined pill  
Used for 3 - 6 mo
37 years old
🇬🇧 UK
  •  17th Sep 26

Microgynon 30 pill  

Painful sex painful vagina, pain when peeing, constipation, no sex drive, low mood, achey legs, insomnia, generally felt rubbish


Worse skin

2 more effects

0 helpful

0 comments

Combined pill  
Used for 1 - 3 mo
33 years old
🇬🇧 UK
  •  14th Sep 26

Rigevidon  

After having not been on any birth control for two years, I went to my GP to get a prescription for a new bc. I had previously been on Yasmin for 9 years but due to getting recurrent minor thrush, I was wondering if a different pill could avoid that side effect. They prescribed me Rigedevon and my god, I can’t believe how awful it was. My skin that very rarely breaks out became covered in acne, my mood went through the floor and I felt miserable about everything. My GP had suggested me to stick the pill out for two months but I never had any side effects even close to being this bad on Yasmin, I’ve stopped it after one month. NEVER AGAIN


Very negative mood

2 more effects

0 helpful

1 comments

Contraceptive alternatives and comparisons

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