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

2686 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

2686 reviews

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

Qlaira pill  

I have been prescribed Qlaira for heavy periods and excessive bleeding. I might have endometriosis but they didn't prove it yet. Qlaira stopped my excessive bleeding the very next day after taking the first pill. I also didn't notice any major side effects beside a little soreness in my breasts. My skin is crystal clear. I suffer from PMDD very bad and have bad pains in my abdomen during ovulation. It fixed all of these issues in the first month and I'm happy. My vaginal lubrication improved as well. Mood swings improved significantly.


Very positive mood

3 more effects

0 helpful

0 comments

Combined pill  
Used for 8+ yr
24 years old
🇬🇧 UK
  •  2 days ago

Yasmin pill  

Love this pill, I've been on it for nearly 10 years now and have noticed few changes and side effects. If anything, my skin is more clear and my periods are light (3-4 days instead of my usual 6-7). I feel more emotional than baseline but it does not bother my day-to-day activities.


Very negative mood

2 more effects

0 helpful

0 comments

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

Combined pill  

Overall its fine, slowed down my metabolism and made me pretty dry but that's all


Gained weight

0 helpful

0 comments

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

Qlaira pill  

I have been prescribed Qlaira for heavy periods and excessive bleeding. I might have endometriosis but they didn't prove it yet. Qlaira stopped my excessive bleeding the very next day after taking the first pill. I also didn't notice any major side effects beside a little soreness in my breasts. My skin is crystal clear. I suffer from PMDD very bad and have bad pains in my abdomen during ovulation. It fixed all of these issues in the first month and I'm happy. My vaginal lubrication improved as well. Mood swings improved significantly.


Very positive mood

3 more effects

0 helpful

0 comments

Combined pill  
Used for 8+ yr
24 years old
🇬🇧 UK
  •  2 days ago

Yasmin pill  

Love this pill, I've been on it for nearly 10 years now and have noticed few changes and side effects. If anything, my skin is more clear and my periods are light (3-4 days instead of my usual 6-7). I feel more emotional than baseline but it does not bother my day-to-day activities.


Very negative mood

2 more effects

0 helpful

0 comments

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

Combined pill  

Overall its fine, slowed down my metabolism and made me pretty dry but that's all


Gained weight

0 helpful

0 comments

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

Dretine pill  

This has by far been the best pill for me I love how confident and comfortable I feel


Very positive mood

3 more effects

0 helpful

0 comments

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

Microlite pill  

Thrush constantly. Horrible.


Somewhat negative mood

2 more effects

0 helpful

0 comments

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

Yasmin pill  

My worst side effects have been the mood swings, I am crying a lot more for no reason than I ever did before, it definitely has made me more emotional. My period has gone from being 3 to 4 days to being 1.5 / 2. My breasts become really sore and hard before and after my period. I don’t feel as sexually active as before and I experience dryness more regularly than normal. My skin is completely clear with the pill. Everything bad is / has been fairly manageable, not ideal but haven’t had any pregnancy scares.


Somewhat negative mood

3 more effects

0 helpful

0 comments

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

Zoely pill  

I had very good experience for 2.5 years and then I got acne.


Worse skin

1 more effect

0 helpful

0 comments

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

Microgynon 30 ED pill  

The “Nordette” pill was not much better than the Nur-Isterate injection. It just decreased my mood swings. I lost a bit of weight (went back to my normal size) my acne got worse . Libido was still incredibly low. And Vag still as dry as a desert


Somewhat positive mood

3 more effects

0 helpful

0 comments

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

Zoely pill  

This contraception is highly effective, but for me the main side-effect is major hair loss and irregular periods.


Top side effects not reported

0 helpful

0 comments

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

Rigevidon  

My legs randomly ache, I have. 0 sex drive, the thought of being touched is making me sick. I have severe anxiety and I’m borderline suicidal. This is not the right pill for me but going back to my gp and getting another one seems exhausting.


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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87% of women are happier with their contraceptive choice after speaking with one of The Lowdown's doctors

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