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

2772 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

2772 reviews

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

Rigevidon  

Need change for another one


Somewhat negative mood

1 more effect

0 helpful

0 comments

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

Millinette 30/75 pill  

Had it for almost a year now, I’ve been on the pill (around 5 different ones) since I was 13 due to heavy non stop bleeding. This one had the fewest noticeable side effects that didn’t make me want to change, apart from the sex drive. I don’t know if it’s because my hormones have been tampered with since I started puberty but I’m 18 now and this low libido, sex drive and vaginal dryness is not ideal. It’s a bit of a hindrance.


Improved skin

1 more effect

0 helpful

0 comments

Combined pill  
Used for 3 - 6 mo
30 years old
🇬🇧 UK
  •  1 week ago

Drovelis pill  


Improved skin

0 helpful

0 comments

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

Rigevidon  

Need change for another one


Somewhat negative mood

1 more effect

0 helpful

0 comments

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

Millinette 30/75 pill  

Had it for almost a year now, I’ve been on the pill (around 5 different ones) since I was 13 due to heavy non stop bleeding. This one had the fewest noticeable side effects that didn’t make me want to change, apart from the sex drive. I don’t know if it’s because my hormones have been tampered with since I started puberty but I’m 18 now and this low libido, sex drive and vaginal dryness is not ideal. It’s a bit of a hindrance.


Improved skin

1 more effect

0 helpful

0 comments

Combined pill  
Used for 3 - 6 mo
30 years old
🇬🇧 UK
  •  1 week ago

Drovelis pill  


Improved skin

0 helpful

0 comments

Combined pill  
Used for 12 - 18 mo
27 years old
🇬🇧 UK
  •  2 weeks ago

Zoely pill  

I requested Zoelly after attending a talk at spire about endometriosis as it was recommenced. For the first 3 months I loved it! Minimal cramps and much lighter periods lasting 2 and a half days (always been 6-7 days and heavy for me). After about 9 months - 1 year. Periods went back to 6 days but lighter. However, my endo symptoms have worsened. I can’t say if that’s is due to the pill though. I was taken off this due to developing migraines (I think developed due to stress rather than the pill) and endo symptoms worsening so to try another option.


Top side effects not reported

0 helpful

0 comments

Combined pill  
Used for 12 - 18 mo
17 years old
🇬🇧 UK
  •  2 weeks ago

Dianette pill  

Went in it for my acne which it massively improved, however experienced a lot of mental health issues (but obviously can’t be certain that’s from the pill) and a loss of libido.


Somewhat negative mood

2 more effects

0 helpful

0 comments

Combined pill  
Used for 12 - 18 mo
31 years old
🇬🇧 UK
  •  2 weeks ago

Zoely pill  

Honestly the best of all of the pills I’ve taken. However, after 18m on this I’m going to come off it and go back to natural cycles due to the following - loss of sex drive, constant and I mean constant headaches, generally feeling a bit ‘flat’ and tired all the time. I also have heavy limbs which is a weird side effect. That said, Zoely did not have any negative implications on my skin, weight, appetite and I don’t get mood swings- in fact I just feel a bit too flat overall so perhaps If mood swings are an issue it might suit you! But I’ve gone the other way


Somewhat negative mood

1 more effect

0 helpful

0 comments

Combined pill  
Used for 8+ yr
32 years old
🇬🇧 UK
  •  3 weeks ago

Gedarel 20/150 pill  

Regular and shorter period (4 days) and light flow. It made my skin perfect and my hair a bit thinner. I gained a lot of weight while on it and it was impossible for me to lose it, no matter how much I worked out or what diet I was doing. If I could go back I wouldn’t start using it, as in my case I only needed it for contraception.


Somewhat negative mood

3 more effects

0 helpful

0 comments

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

Rigevidon  

Within the 1st month, I had terrible mood swings; I become angry and irritable towards my parent. I seemed to calm down but then pick back up again in the next week. From withdrawal from this, everything was ok, apart from having a few pains and it also made my periods light. I didn’t have any symptoms of nausea or vomiting but I did gain a bit of weight and had breast tenderness (i dont know if my breast got bigger). By the 2nd month, I ended up feeling really low and had quite dark thoughts; my headache got worse and I was crying a lot during the day/night. Because of this I’m no longer taking this pill.


Somewhat negative mood

2 more effects

0 helpful

1 comments

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

Ovranette pill  

I was extremely anxious. I would be extremely jittery and uncomfortable in my own body each day I took it. I was very emotional by the evenings and tired from being so anxious..


Very negative mood

1 more effect

0 helpful

0 comments

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

Yaz pill 🇺🇸  

I felt my best on Yaz. I had lots of energy, my mood was always good. But I got over 10 UTIs a year. I was on so many antibiotics. I couldn't get to the bottom of it. We looked at everything with my Dr. Only when I went to treat my reoccurring dry eyes it clicked. The week after I switched pills from Yaz, I havnt had a UTI since. I spent years suffering and countless antibiotics


Very positive mood

1 more effect

0 helpful

0 comments

Contraceptive alternatives and comparisons

Compare the Cap or diaphragm with other contraceptives

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