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

15 reviews

During or before sex

Frequency

84% - 94%

Effectiveness

None

Blood clot risk

None

Effect on fertility

Rated 2.8

2578 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

87% no impact on mood

87% no change

93% no impact

100% no impact

80% no impact on skin

Cycle return

50% in 1 month

31% somewhat negative

47% 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

15 reviews

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.

Read more

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 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

2 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 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

2 comments


Combined pill reviews

2578 reviews

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

Ambelina pill  

my pharmacy moved me to this pill when my previous one was not available. I was hesitent at first but found it lightened my discharge which was always so heavy on my previous pill. I was forced to stop this pill due to unavailbilty but i am currently trying to get it back because after a month back on my old pill i am now seeing how much better this one was for me. I didnt notice the positive changes until i had to go back onto my old one. But if anything that is a good thing to me because it felt natural.


Somewhat positive mood

2 more effects

0 helpful

0 comments

Combined pill  
Used for 3 - 5 yr
Lowdown user
🇬🇧 UK
  •  today

Rigevidon  

It was good in the sense that my “cycle” felt really regular and I had very consistent moods which felt good as it avoided the PMS I used to get. The peace of mind as a contraceptive method was also good. Whilst I was on it I didnt realise anything significantly different about myself. However, when I came off it i didnt realise how much of my self it had suppressed - in terms of feeling alive to the word and sexually charged. I now use condoms/ may consider the localised hormonal coil as I am no longer interested in experiencing such significant changes in myself for contraception.


Somewhat negative mood

2 more effects

0 helpful

0 comments

Combined pill  
Used for 1 - 3 mo
20 years old
🇬🇧 UK
  •  1 day ago

Millinette 20/75 pill  

Within 48 hours of swallowing the first tablet I started to have Brown discharge which has grown into what would be described as a full on period with horrendous stomach ache, it will be 2 weeks on Sunday since I swallowed the first tablet. I'm assuming this is the breakthrough bleeding and my body needs to adjust but anyone else experienced this?


Top side effects not reported

0 helpful

0 comments

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

Ambelina pill  

my pharmacy moved me to this pill when my previous one was not available. I was hesitent at first but found it lightened my discharge which was always so heavy on my previous pill. I was forced to stop this pill due to unavailbilty but i am currently trying to get it back because after a month back on my old pill i am now seeing how much better this one was for me. I didnt notice the positive changes until i had to go back onto my old one. But if anything that is a good thing to me because it felt natural.


Somewhat positive mood

2 more effects

0 helpful

0 comments

Combined pill  
Used for 3 - 5 yr
Lowdown user
🇬🇧 UK
  •  today

Rigevidon  

It was good in the sense that my “cycle” felt really regular and I had very consistent moods which felt good as it avoided the PMS I used to get. The peace of mind as a contraceptive method was also good. Whilst I was on it I didnt realise anything significantly different about myself. However, when I came off it i didnt realise how much of my self it had suppressed - in terms of feeling alive to the word and sexually charged. I now use condoms/ may consider the localised hormonal coil as I am no longer interested in experiencing such significant changes in myself for contraception.


Somewhat negative mood

2 more effects

0 helpful

0 comments

Combined pill  
Used for 1 - 3 mo
20 years old
🇬🇧 UK
  •  1 day ago

Millinette 20/75 pill  

Within 48 hours of swallowing the first tablet I started to have Brown discharge which has grown into what would be described as a full on period with horrendous stomach ache, it will be 2 weeks on Sunday since I swallowed the first tablet. I'm assuming this is the breakthrough bleeding and my body needs to adjust but anyone else experienced this?


Top side effects not reported

0 helpful

0 comments

Combined pill  
Used for 3 - 6 mo
16 years old
🇬🇧 UK
  •  1 day ago

Rigevidon  

It was working perfectly fine at first, was helping me with unbearable cramps and nausea, but after about four months of use, I wasn't feeling like myself at all. It made my anxiety so much worse that is was making me nauseous and kept giving me heart palpitations and trembling limbs. I've had a major loss of appetite which is really bad for someone who is already considered underweight for her age. I couldn't tell the difference between feeling hungry or feeling sick, but whenever I did eat, I continued to feel this way. I became so emotionally unstable that I was in a near constant state of dread for no apparent reason and would be crying without even being upset, every day. I struggled to sleep with the increased negative mood, the only think to help me sleep was to listen to educational videos in the background to distract me from the anxiety and nausea. I took travel pills to alleviate both of these which is working well and helping me sleep, and two days after stopping with the pill, my mood has been gradually improving. I'm still getting heart palpitations and tearing up a little at times, butI'm starting to feel like myself again. I wouldn't recommend rigevidon if you have a history with anxiety or depression. Made my hormones go haywire, lost my already small appetite, and messed around a whole lot with my sleep schedule.


Very negative mood

1 more effect

0 helpful

0 comments

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

Lucette pill  

Really helpful for my moods, only 10 months in did i randomly experience breast secretion and so swapped to the sister pill eloine with less oestrogen


Very positive mood

2 more effects

0 helpful

0 comments

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

Drovelis pill  

I've been on it for a year and a half, it made me gain 10 kgs (even though I work out more than usual and eat a healthy diet), especially weight in my lower stomach, I have a pooch now and am always bloated, which is very uncomfortable. It also made me go up two cup sizes, I was a B cup before starting this contraception and now am a D cup. I also lost all my sex drive and it makes me really moody. I was hoping to be a fan since it's supposed to be less hormones than other pills but unfortunately my body did not react well to it.


Very negative mood

2 more effects

1 helpful

0 comments

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

Drovelis pill  

Experiences severe pms before taking this pill, first tried deso 30 again as I used it in the past, but I definitely gained weight with that one and still experienced feelings of depression every now and then. With this pill, I still have my normal weight and I feel like any dark feelings are almost gone, sometimes I still have an off day ofcourse. Overall I am very happy; clear skin, I am feeling great, and my weight is normal.


Somewhat positive mood

1 more effect

0 helpful

0 comments

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

Eloine pill  

So I might just be allergic to the pill. I was given this as it's low dose and I've had strong reactions to everything else. I had an anxiety attack on the first day, then couldn't stop crying on the second so I stopped it quickly. I had started it because I was feeling really good so thought I could cope with the mood changes but they were so severe it scared me. I've then had a horrible period in the month after and back at square 1.


Very negative mood

0 helpful

0 comments

Combined pill  
Used for 18 mo - 3 yr
20 years old
🇬🇧 UK
  •  1 week ago

Levest pill  

Ive been on 3 different pills and Levest was my long term. My skin got clearer and my periods have been much more managable (I used to be prescribed meds for pain control). However the main effect is decreased sex drive dramatically and just feeling 'meh' all the time very dampened emotions over everything. Not many highs not many lows just an overall feeling of meh.


Somewhat negative mood

2 more effects

0 helpful

0 comments

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

Zoely pill  

My psychiatrist put me on Zoely in August of 2024, I had recently been diagnosed with PMDD (pre menstrual dysphoric disorder) and was at a point in my life where if I didn’t find a way to manage the symptoms I was at breaking point. I’d been misdiagnosed with bipolar, major depression, borderline personality disorder and had been on a rollercoaster of treatments from ages 13-30. So I was hesitant to trust this psychiatrist and go on another potentially damaging rollercoaster of meds. Alas, after 3 weeks I noticed dramatic changes to my moods, I was balanced! I felt in control, grounded and sane! Obviously my period stopped and my cycle was no longer existent but this medication saved my life, my relationship, my mental health and gave me back my life! The only negative side is my low to zero sex drive, that’s been tough but I’m navigating it now, my partner doesn’t feel desirable because I don’t want sex.. like ever but we are both just happy to have a peaceful life without the ups and down. It seems like a fair trade to me. So very grateful for this medication.


Very positive mood

2 more effects

0 helpful

0 comments

Contraceptive alternatives and comparisons

Compare the Cap or diaphragm with other contraceptives

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