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

2642 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

43% 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

2642 reviews

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

Lucette pill  

Overall a good pill and much better than countless others I’ve tried in the past. Migraines are worst for me I’ve been experiencing them more than ever whilst being on this pill.


Top side effects not reported

0 helpful

0 comments

Combined pill  
Used for 3 - 5 yr
19 years old
🇬🇧 UK
  •  1 day ago

Eloine pill  

Eloine completely cleared up the acne I had for 6 years! I would definitely reccomend it, although I will say that when I first started using it I had very intense mood swings but I think that’s normal due to the hormone change.


Somewhat positive mood

2 more effects

0 helpful

0 comments

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

Gedarel 30/150 pill  

Lost my sex drive, every birth control I’ve been on has this effect on me. The biggest change I noticed is I was so hungry on this, I was bingeing yet before I took it I had great self control and was working out. It makes me feel like I’ve got early pregnancy symptoms which isn’t good for when you worry about it. I get nausea a lot and cravings, I don’t know for sure if it’s this pill but it started about 4 weeks after I started on the pill and I’ve never had anything like this before except for when I was pregnant


Somewhat negative mood

2 more effects

0 helpful

0 comments

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

Lucette pill  

Overall a good pill and much better than countless others I’ve tried in the past. Migraines are worst for me I’ve been experiencing them more than ever whilst being on this pill.


Top side effects not reported

0 helpful

0 comments

Combined pill  
Used for 3 - 5 yr
19 years old
🇬🇧 UK
  •  1 day ago

Eloine pill  

Eloine completely cleared up the acne I had for 6 years! I would definitely reccomend it, although I will say that when I first started using it I had very intense mood swings but I think that’s normal due to the hormone change.


Somewhat positive mood

2 more effects

0 helpful

0 comments

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

Gedarel 30/150 pill  

Lost my sex drive, every birth control I’ve been on has this effect on me. The biggest change I noticed is I was so hungry on this, I was bingeing yet before I took it I had great self control and was working out. It makes me feel like I’ve got early pregnancy symptoms which isn’t good for when you worry about it. I get nausea a lot and cravings, I don’t know for sure if it’s this pill but it started about 4 weeks after I started on the pill and I’ve never had anything like this before except for when I was pregnant


Somewhat negative mood

2 more effects

0 helpful

0 comments

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

Yasmin pill  

From the ages of 15-20 I took Yasmin for my acne and I remember it was wonderful for my skin, hair and lightening of periods. My moods were a bit erratic and I was always teary, but I could contribute some of that to puberty/developmental years. Fast forward 13 or so years and I’ve restarted the pill, and decided on Yasmin. The first two weeks on Yasmin have been absolute hell. The main and so far only issue has been nausea which has been extreme. I’ve taken the pill in the morning with food, then in the evening with food. No matter what, I wake up feeling extremely sick and I have to take anti-nausea tablets (dramamine) to get me through the day. Considering I’ve not been on hormonal oral contraceptives in years, I’m trying to ride out the first month and see if it gets better, but for now I’m seriously nauseous with tender boobs and a teary mood, and considering quitting. It’s a shame as I feel the skin benefits and lighter periods historically were worth it.


Very negative mood

1 more effect

0 helpful

0 comments

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

Yasmin pill  

From the ages of 15-20 I took Yasmin for my acne and I remember it was wonderful for my skin, hair and lightening of periods. My moods were a bit erratic and I was always teary, but I could contribute some of that to puberty/developmental years. Fast forward 13 or so years and I’ve restarted the pill, and decided on Yasmin. The first two weeks on Yasmin have been absolute hell. The main and so far only issue has been nausea which has been extreme. I’ve taken the pill in the morning with food, then in the evening with food. No matter what, I wake up feeling extremely sick and I have to take anti-nausea tablets (dramamine) to get me through the day. Considering I’ve not been on oral contraceptives in years, I’m trying to ride out the first month and see if it gets better, but for now I’m seriously unwell and considering quitting. Shame as I feel the skin benefits and lighted periods generally are well worth it.


Somewhat negative mood

1 more effect

0 helpful

0 comments

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

Yasmin pill  

other than my boobs getting bigger i experienced significant mood swings and emotions that didn't feel like me at all. in addition to this i noticed now after being off yasmin my sex drive is THROUGH THE ROOF. i felt as if yasmin took away my sex drive and made me into an angry emotional crazy lady. sadly im going to miss my d cups; it was hard to stop yasmin because of that but mentally im so much better. after reading the reviews from other people, im glad to see that i am not crazy about yasmin decreasing my libido.


Very negative mood

1 more effect

0 helpful

0 comments

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

Maexeni pill  

Loved Maexeni annoyingly however it’s pretty impossible to get in the UK due to medication shortages. Great sex drive, boobs got bigger and didn’t make me depressed like my first pill - what’s not love ahaha (minimal weight gain but may have also been due to uni lifestyle)


Somewhat positive mood

2 more effects

0 helpful

0 comments

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

Levest pill  

I got switched from Maexeni to Levest due to medication shortages. Despite levest having few negative side effects, it’s caused vaginal dryness especially during sex. My sex drive has also disappeared and it is now very painful to have, which is obviously very frustrating (and embarrassing when hooking up with people), not something I had ever experienced before January this year. I’ve noticed this seems to be a very common side effect so beware. Safe to say I will be switching back to Maexeni asap!!!!


Somewhat negative mood

2 more effects

0 helpful

0 comments

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

Yasmin pill  

Overall okay, main side effect affecting me is the loss of libido and vaginally dryness as someone in a long-term relationship.


Improved skin

2 more effects

0 helpful

0 comments

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

Zoely pill  

I’ve been on this for 2 1/2 months for perimenopause. My mood has been so bad I’ve had to have 2 weeks off work. I’m tired to the point even the smallest of things seem overwhelming. No sex drive whatsoever and unable to orgasm. I’m crying all the time and my poor husband doesn’t know what to do. The worst pill I’ve ever had.


Very negative mood

1 more effect

0 helpful

0 comments

Contraceptive alternatives and comparisons

Compare the Cap or diaphragm with other contraceptives

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