Cap or diaphragm vs Combined pill
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£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
2625 reviews
Daily
Frequency
91% - 99+%
Effectiveness
Increased
Blood clot risk
None
Effect on fertility
Cap or diaphragm ingredients
Combined pill ingredients
Main hormones in Combined pill
progestogen
oestrogen
What Lowdown reviewers say
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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£From £0.16/day
Check out our latest reviews
Real life reviews from people like you
Cap or diaphragm reviews
15 reviews
Used for 3 - 6 mo
27 years old
🇬🇧 UK
• 6th Apr 25
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
Used for 3 - 5 yr
Lowdown user
🇬🇧 UK
• 13th May 24
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
Used for 18 mo - 3 yr
Lowdown user
🇬🇧 UK
• 1st Jan 24
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
Used for 3 - 6 mo
27 years old
🇬🇧 UK
• 6th Apr 25
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
Used for 3 - 5 yr
Lowdown user
🇬🇧 UK
• 13th May 24
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
Used for 18 mo - 3 yr
Lowdown user
🇬🇧 UK
• 1st Jan 24
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
2625 reviews
Used for 8+ yr
28 years old
🇬🇧 UK
• 3 days ago
I loved this pill at first and didn’t have any issues. After 4.5 years I started getting severe sharp head pains as well as lower back and pelvic pain which my gp said was from the pill. I swapped to Desogestril which I didn’t like to came off the pill and the pains stopped. I started back on Millinette after a couple of months and have been fine for 5 years until this year I have had an upset stomach and severe dizziness which has been put down to Vestibular Migraines. I have also had severe anxiety. I came off the pill and my stomach has gone back to normal but the constant dizziness, vertigo and severe anxiety is ongoing
Somewhat positive mood
2 more effects
0 helpful
0 comments
Used for 1 - 3 mo
22 years old
🇬🇧 UK
• 3 days ago
Don’t listen to everyone fear mongering about the combined pill . As a young adult , I’ve had zero issues with taking it . I was at first so so scared of the side effects but I have had zero !! Literally no changed whatsoever. I have endometriosis and pcos and the pill so far hasn’t made a huge difference but then again I don’t have very many symptoms or pain for either of the conditions . No mood swings , no anxiety depression or anything . I feel exactly as before , more balanced maybe ? No weight gain at all , didn’t kill my libido either . Actually I would say it made my libido a bit stronger . No change in personality , sense of smell taste or anything else . I’ve had literally zero effects and feel just like before . So honestly if you’re thinking of going on it , try it for a month , you can always quit if you don’t like it . Remember everyone’s body is different though and may react in a different way.
Increased sex drive
0 helpful
0 comments
Used for 3 - 6 mo
25 years old
🇬🇧 UK
• 2 weeks ago
I decided to try Eloine due to negative experiences with other combined pills and the low-dose appealed to me. Unfortunately this turned out to be the worst decision I've ever made. In the first month I felt fine but soon after I began experiencing cramps, headaches and significant mood swings. After 4 months, I was suffering from daily severe headaches and migraines with aura. These migraines were consistent, occurring at the same time each week and lasting nearly two hours (something I had never dealt with before). I often had to take afternoons off work and isolated myself in a dark, quiet room until my vision returned and the dizziness subsided. The only times these migraines didn’t occur was the week I had off for my period. I also started experiencing regular spotting. Alongside the physical symptoms, my mood deteriorated. I became easily irritable, leading to frequent arguments with my partner… something that was rare for us before. This change in my behavior left me feeling down and my anxiety gradually worsened. My sex drive plummeted and eventually vanished altogether. The only positives from this pill was my heavy periods and awful period pain decreased and I lost weight. After discussing my symptoms with a doctor, I was advised to stop taking Eloine immediately. Since stopping, my headaches and migraines have ceased (I haven't had a migraine since) and I began feeling like my old self again within 6 months. The impact of this pill extended beyond my health; it affected my relationship as well. This experience has left me wary of contraceptive pills, making me hesitant to try another option.
Very negative mood
3 more effects
0 helpful
0 comments
Used for 8+ yr
28 years old
🇬🇧 UK
• 3 days ago
I loved this pill at first and didn’t have any issues. After 4.5 years I started getting severe sharp head pains as well as lower back and pelvic pain which my gp said was from the pill. I swapped to Desogestril which I didn’t like to came off the pill and the pains stopped. I started back on Millinette after a couple of months and have been fine for 5 years until this year I have had an upset stomach and severe dizziness which has been put down to Vestibular Migraines. I have also had severe anxiety. I came off the pill and my stomach has gone back to normal but the constant dizziness, vertigo and severe anxiety is ongoing
Somewhat positive mood
2 more effects
0 helpful
0 comments
Used for 1 - 3 mo
22 years old
🇬🇧 UK
• 3 days ago
Don’t listen to everyone fear mongering about the combined pill . As a young adult , I’ve had zero issues with taking it . I was at first so so scared of the side effects but I have had zero !! Literally no changed whatsoever. I have endometriosis and pcos and the pill so far hasn’t made a huge difference but then again I don’t have very many symptoms or pain for either of the conditions . No mood swings , no anxiety depression or anything . I feel exactly as before , more balanced maybe ? No weight gain at all , didn’t kill my libido either . Actually I would say it made my libido a bit stronger . No change in personality , sense of smell taste or anything else . I’ve had literally zero effects and feel just like before . So honestly if you’re thinking of going on it , try it for a month , you can always quit if you don’t like it . Remember everyone’s body is different though and may react in a different way.
Increased sex drive
0 helpful
0 comments
Used for 3 - 6 mo
25 years old
🇬🇧 UK
• 2 weeks ago
I decided to try Eloine due to negative experiences with other combined pills and the low-dose appealed to me. Unfortunately this turned out to be the worst decision I've ever made. In the first month I felt fine but soon after I began experiencing cramps, headaches and significant mood swings. After 4 months, I was suffering from daily severe headaches and migraines with aura. These migraines were consistent, occurring at the same time each week and lasting nearly two hours (something I had never dealt with before). I often had to take afternoons off work and isolated myself in a dark, quiet room until my vision returned and the dizziness subsided. The only times these migraines didn’t occur was the week I had off for my period. I also started experiencing regular spotting. Alongside the physical symptoms, my mood deteriorated. I became easily irritable, leading to frequent arguments with my partner… something that was rare for us before. This change in my behavior left me feeling down and my anxiety gradually worsened. My sex drive plummeted and eventually vanished altogether. The only positives from this pill was my heavy periods and awful period pain decreased and I lost weight. After discussing my symptoms with a doctor, I was advised to stop taking Eloine immediately. Since stopping, my headaches and migraines have ceased (I haven't had a migraine since) and I began feeling like my old self again within 6 months. The impact of this pill extended beyond my health; it affected my relationship as well. This experience has left me wary of contraceptive pills, making me hesitant to try another option.
Very negative mood
3 more effects
0 helpful
0 comments
Used for 3 - 5 yr
23 years old
🇬🇧 UK
• 2 weeks ago
I have tried about 4 different types of birth control. This one is the only one that has not made be spot for months at a time. This is the first time in my life I have a normal 5-7 day period once a month. My cystic acne has also improved a lot. My boobs did get bigger and it’s more difficult to maintain my weight but with more effort the weight gain is only minimal. Cramps were only bad the first couple months starting it. I also get a headache the entire time I am on my 7 days off the pill. I also get depressed close to my period. Overall the side effects are bad but better than any other I’ve tried and it actually regulates my cycle. I can’t wait until I’m old enough to get my tubes tied because I am over pumping my body with hormones
Improved skin
2 more effects
0 helpful
0 comments
Used for 18 mo - 3 yr
24 years old
🇬🇧 UK
• 2 weeks ago
Tricycled Femodene for about three years, cleared my skin up but mood swings were apparent. Started having an increased and unusual discharge (with no infection) GP advised to stop taking this pill and change contraception. Just a heads up in case this happens to anyone else as was a very alarming thing to go through with no advice!
Somewhat negative mood
2 more effects
0 helpful
0 comments
Used for 12 - 18 mo
36 years old
🇬🇧 UK
• 2 weeks ago
I’m pleased with the lack of periods on this pill (despite the 4 day sugar pill break), and therefore the monthly pain from endometriosis. However, I have gained quite a lot of weight and often feel bloated, so I’m considering changing meds.
Gained weight
0 helpful
0 comments
Used for 3 - 6 mo
39 years old
🇬🇧 UK
• 2 weeks ago
At first I spotted almost everyday but after 2 months the spotting stopped. I noticed that I started having mood swings, 😔. The most uncomfortable though is the breast enlargement. My breasts have grown bigger. They're mostly feeling tender and sore. It's uncomfortable. Other than that the pill didn't change my menstrual cycle.
Somewhat negative mood
1 more effect
0 helpful
0 comments
Used for 1 - 3 mo
44 years old
🇬🇧 UK
• 2 weeks ago
If you have androgenic hair loss this makes this worse. My GP put me on it to manage my periods when I had originally asked for HRT. The hair loss is severe and is seriously affecting my mental health
Somewhat positive mood
1 more effect
0 helpful
0 comments
Used for 6 - 12 mo
35 years old
🇬🇧 UK
• 3 weeks ago
Since taking this pill it has regulated my period , I take it 21 days then have a 7 day break , i stop on a Saturday then I come on , on the Thursday and I finish on the Wednesday. It’s like that every month , but when I do stop taking them I get cramps and a bellyache and also runny stools , but soon as I start them again the pains subside and my stools become harder . I am finding a little more discharge than usual but I’ve heard that’s normal because of the hormonal changes . But overall I’d definitely recommend to anyone who fits the criteria 🙂
Top side effects not reported
0 helpful
0 comments
Used for 18 mo - 3 yr
26 years old
🇬🇧 UK
• 3 weeks ago
Lucette has worked well for me for managing period cramps and acne. However since starting it I've had an increase in back pain, a flare up of eczema that I've never had before, and I can't have caffeine without having a bad reaction. My sex drive has also decreased a lot.
Improved skin
2 more effects
0 helpful
0 comments

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