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

2503 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

45% lighter periods

47% 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
28 years old
🇬🇧 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
34 years old
🇬🇧 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

0 helpful

1 comments

Cap or diaphragm  
Used for 6 - 12 mo
34 years old
🇬🇧 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
28 years old
🇬🇧 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
34 years old
🇬🇧 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

0 helpful

1 comments

Cap or diaphragm  
Used for 6 - 12 mo
34 years old
🇬🇧 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

2503 reviews

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

Microgynon 30 ED pill  

I was automatically put on the pill as soon as i became sexually active, within 6 months of this I was on put on antidepressants, of course I didn’t realise and wasn’t told the possibility of a connection. I conceived my 2nd child whilst on the pill. As I got older and became single again I came off the pill and saw a huge change in myself, I also came off the antidepressants easily and felt healthier mentally, I also felt an increase in libido….Something I lost completely whilst on the pill. I’m now dating again and looking for an alternative contraceptive as I cannot go back to how I was before. I also recently found out that the pill can contribute to the production of gallstones.


Very negative mood

1 more effect

0 helpful

0 comments

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

Dretine pill  

I’ve been taking this for over a month and I’ve had terrible skin, I’ve never had spots in my life and I’ve got so many. I’ve also rarely ever had thrush, which I have now read is a common side effect. Also some hair loss. Not a great pill at all, have stopped taking completely.


Very negative mood

1 more effect

0 helpful

0 comments

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

Rigevidon  

Started off on this pill, I'm one of those lucky people who are never sick but while on this pill I would quite regularly feel nauseous a few hours after taking it and on about 5 occasions would vomit aswell, which for me was very unusual but after switching to a different pill these side effects went away.


Worse skin

0 helpful

0 comments

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

Microgynon 30 ED pill  

I was automatically put on the pill as soon as i became sexually active, within 6 months of this I was on put on antidepressants, of course I didn’t realise and wasn’t told the possibility of a connection. I conceived my 2nd child whilst on the pill. As I got older and became single again I came off the pill and saw a huge change in myself, I also came off the antidepressants easily and felt healthier mentally, I also felt an increase in libido….Something I lost completely whilst on the pill. I’m now dating again and looking for an alternative contraceptive as I cannot go back to how I was before. I also recently found out that the pill can contribute to the production of gallstones.


Very negative mood

1 more effect

0 helpful

0 comments

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

Dretine pill  

I’ve been taking this for over a month and I’ve had terrible skin, I’ve never had spots in my life and I’ve got so many. I’ve also rarely ever had thrush, which I have now read is a common side effect. Also some hair loss. Not a great pill at all, have stopped taking completely.


Very negative mood

1 more effect

0 helpful

0 comments

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

Rigevidon  

Started off on this pill, I'm one of those lucky people who are never sick but while on this pill I would quite regularly feel nauseous a few hours after taking it and on about 5 occasions would vomit aswell, which for me was very unusual but after switching to a different pill these side effects went away.


Worse skin

0 helpful

0 comments

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

Yasmin pill  

I got prescribed the combination pill due to recurring endometrial polyps. I'm pretty happy with this pill, it took me 3 months to adapt to taking it with frequent mood swings, irritation and sore breasts in the beginning, but once I got past that I really saw the benefits. My hair had been progressively thinning for 3 years before I started this medication, let me confirm that as soon as I started taking this it went away like magic. My hair is thicker and my hairline is barely visible now, it's so much thicker and I'm thrilled. No pregnancies on this pill either so it does work. I do still have tender breasts from time to time and some light cramping but I still feel it's worth taking. 9/10 recommend.


Somewhat positive mood

0 helpful

0 comments

Combined pill  
Used for 5 - 8 yr
26 years old
🇬🇧 UK
  •  3 weeks ago

Gedarel 30/150 pill  

I originally went on the Gederal 30/150 combined pill because I had irregular periods and acne. This pill was recommended by my doctor to specifically help with acne. I really liked this pill, I didn’t feel like I experienced any side effects and it really helped clear up my skin. I still got the occasional spot but my skin was so much better. I also liked the ease of being able to chose if/when I got my period by continually taking the pill or having a 7 day break. My periods were super regular and would typically start 2 days after starting the 7 day break, and they would last 5 days with 1-2 heavier days in the middle but mostly very light. I didn’t notice any mood changes. Unfortunately, after about 7 years on this pill I had a few migraines with auras and was told by my GP that I had to stop taking this pill due to the risk of Stroke. I am now on the mini-pill which I am experiencing some negative side effects with.


Improved skin

0 helpful

0 comments

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

Yaz pill 🇺🇸  

I decided to go back on COC pills after years of having depo injections. The pills have made my periods lighter and I only get some cramps the day before I have my bleed. No real side effects apart from weight gain and my breasts have increased in size and are more tender (all the time not just when having my period).


Somewhat negative mood

2 more effects

0 helpful

0 comments

Combined pill  
Used for 6 - 12 mo
15 years old
🇬🇧 UK
  •  1 month ago

Yasmin pill  

This pill has been awful for me. I went on as had really bad irregular periods but i have seen no change except bleeding in between, extreme abdominal pain and hair loss. I have also seen my skin which is normally clear be breaking out all the time. I am only speaking of my experience


Very negative mood

2 more effects

0 helpful

0 comments

Combined pill  
Used for 1 - 3 mo
19 years old
🇬🇧 UK
  •  1 month ago

Microgynon 30 pill  

Apart from the vaginal dryness and loss of sex drive, i’m happy with this pill as it did not have any really negative side effects for me, plus it grew my breasts which i liked.


Decreased sex drive

0 helpful

0 comments

Combined pill  
Used for 1 - 3 mo
28 years old
🇬🇧 UK
  •  20th Oct 24

Marvelon pill  

I was only on this for 2 weeks because my anxiety was sky high. I had panic attacks so bad my chest hurt and I couldn't breathe. At the time, I had nothing to worry about in my life. It is scary because if I had taken Marvelon during the time I was severely depressed, then this pill might've sent me over the edge. GP said it wasn't the pill. However, a few days after stopping Marvelon, the anxiety and panic attacks disappeared. It was definitely Marvelon.


Very negative mood

0 helpful

0 comments

Combined pill  
Used for 12 - 18 mo
27 years old
🇬🇧 UK
  •  18th Oct 24

Microgynon 30 pill  

main thing for me was the super low sex drive. filling this out, interested to also see sweating a lot as an option. As I do sweat a lot, very easily so very interested (and hope) that is a side effect as looking to change/come off.


Decreased sex drive

0 helpful

0 comments

Contraceptive alternatives and comparisons

Compare the Cap or diaphragm with other contraceptives

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