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

2791 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

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

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

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 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

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


Combined pill reviews

2791 reviews

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

Yacella pill  

I have been happy with this pill and haven’t really noticed anything significant and has been working as it should, however over the past 15ish months i have been having recurring thrush and i have worked it down to i believe being this pill. i have gone to the pharmacy today and gotten a new pill to try so fingers crossed but yeah turns out thrush is a symptom i believe 1 in 10 people on it


Top side effects not reported

0 helpful

0 comments

Combined pill  
Used for 3 - 5 yr
31 years old
🇬🇧 UK
  •  2 days ago

Yasmin pill  

no comment


Decreased sex drive

0 helpful

0 comments

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

Zoely pill  

Brilliant medication, the bio identical oestrogen is definitely kinder and easier to manage. I managed to gain weight and keep it, it's something I struggled with massively before. I have nicer bust size too 😁. Tbh is better than Eloine and I have less tension in my body. I recommend it to neurodiverse ppl for certain.


Very positive mood

1 more effect

0 helpful

0 comments

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

Yacella pill  

I have been happy with this pill and haven’t really noticed anything significant and has been working as it should, however over the past 15ish months i have been having recurring thrush and i have worked it down to i believe being this pill. i have gone to the pharmacy today and gotten a new pill to try so fingers crossed but yeah turns out thrush is a symptom i believe 1 in 10 people on it


Top side effects not reported

0 helpful

0 comments

Combined pill  
Used for 3 - 5 yr
31 years old
🇬🇧 UK
  •  2 days ago

Yasmin pill  

no comment


Decreased sex drive

0 helpful

0 comments

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

Zoely pill  

Brilliant medication, the bio identical oestrogen is definitely kinder and easier to manage. I managed to gain weight and keep it, it's something I struggled with massively before. I have nicer bust size too 😁. Tbh is better than Eloine and I have less tension in my body. I recommend it to neurodiverse ppl for certain.


Very positive mood

1 more effect

0 helpful

0 comments

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

Eloine pill  

I have been taking for a month now and I was TERRIFIED after trying rigevidon when I was 16 (I’m 24 now). I have PMS (I believe PMDD) so I got to the point where I was desperate for help. My acne, fatigue and low moods were just too much for life and I needed to do something about it! The first couple of weeks I felt a tiny bit nauseous (no where near as bad as rigevidon which I assume is bc of the lower oestrogen in Eloine) and I got some night sweats which have calmed down also after a couple of weeks. I have also experienced some slight fluttering anxiety and heavy chest when I wake up (I take it at 11pm due to my schedule) which isn’t ideal but as someone who used to be extremely anxious I haven’t found this particularly overwhelming or affecting my life. It hasn’t been through the day so I believe it’s because of the time I am taking it but not a major issue. I have insatiable hunger but again, as someone who didn’t eat much and had low appetite (especially the week leading up to my period) this has had a majorly positive effect on my life, I’m fuelling myself more which is probably also helping my fatigue and mood in itself! Regarding weight gain, I have had no water retention type of weight gain from it, any weight gain will be due to eating more bc of the hunger but personally I have not noticed any gain yet. However, PMDD wise, it has changed my life so far. The week I usually feel down and sleep 14 hours I didn’t even realise that week had passed (I’m taking it continuously without the placebos). No acne, no low moods no fatigue, I just finally feel normal 🙏🏻 If you’re looking into this for PMS and PMDD that is becoming too much, I would honestly give this a go. As someone who had awful nausea with rigevidon, it took me two years to get the courage to try another but I’m so so happy I did. I used to spend the PMDD weeks struggling and my normal weeks recovering, now every week is just normal


Very positive mood

1 more effect

0 helpful

0 comments

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

Drovelis pill  

I haven’t used it for long but the side effects aren’t bad or huge.


Improved skin

1 more effect

0 helpful

0 comments

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

Qlaira pill  

I went on Qlaira after reading reviews that it helped with recurring thrush caused from other combination pills. It did - I haven't had thrush since being on this pill! However, definitely experience more mood swings and I bleed lightly for around 10 days which is really frustrating. Considering changing because of the bleed. First month of bleeding was also much more painful but think I was just getting used to it.


Increased sex drive

0 helpful

0 comments

Combined pill  
Used for 3 - 6 mo
21 years old
🇬🇧 UK
  •  2 weeks ago

Eloine pill  

I am currently still taking the Eloine combined pill. I am experiencing dizziness and finding it hard to work. I also have very severe back pain. Struggling with PMDD this was the option my GP offered to me and it definitely made it feel worse. I am very low on energy and suffer with an achy body every day.


Very positive mood

1 more effect

0 helpful

0 comments

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

Yasmin pill  

Very sore breast. Loss of sex drive. Breast enlargement. Weight gain.


Somewhat positive mood

2 more effects

0 helpful

0 comments

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

Gedarel 20/150 pill  

this pill was very good the first time i was on it around 3 years ago and i didn't feel much change in myself apart from being able to control my PMDD symptoms which was a positive. i tried some other pills and then got settled back on this and have been for just over a year. i find that this time round my sex drive is very low & i have very little interest in sex or anything of the sort. i also dont feel 100% like myself, not necessarily depressed but just not like me. i feel almost numb and i am very insecure about myself and my body image. i do struggle with mental health issues outside of the pill but i feel like i have periovuously been on pills that dont make me feel this way & the low sex drive is having an all round impact on how i feel towards myself. i take this pill for 3 months and then have a break. i like that i can have control over my breaks and it has also made my periods 3-4 days instead of 6-8 days. i am currently looking to change my pill to soemthing different as i no longer think this is working for me. i do believe that trying pills is so important to find what works for you so please don't be afraid if you're wanting to try this pill.


Somewhat negative mood

2 more effects

0 helpful

0 comments

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

Zoely pill  

The first weeks were fine, after that i got mood swings for 3 weeks. I either felt absolutely nothing, or was annoyed, angry or sad. When the moodswings stopped, i started getting headaches everyday. I'm now noticing hairloss too. I've almost been 3 months on this pill and have been terribly bloated everyday. I am getting off this pill.


Very negative mood

2 more effects

0 helpful

0 comments

Contraceptive alternatives and comparisons

Compare the Cap or diaphragm with other contraceptives

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