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
2649 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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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
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
2649 reviews
Used for 18 mo - 3 yr
22 years old
🇬🇧 UK
• 2 days ago
I’ve had a pretty good experience with this pill. I went on my first pill at age 19 (Rigevidon) and I experienced quite a lot of nausea with it so got given Millinette 30/75. The nausea persisted and I felt sick almost every time I ate with no particular pattern, so they put me on Millinette 20/75 which has slightly less oestrogen. I have had a pretty good experience but at almost the 2 year mark of taking it, I have started to experience a lot of brain fog and almost feeling like a shell of myself! Sex drive is very low too as well as vaginal dryness and my first ever case of thrush. These however are the only side effects I’ve experienced now apart from some headaches when I have a pill break. I’m open to trying something new but don’t want to rock the boat as I haven’t had the worst experience. But that being said I do feel like it is affecting mine and my partner’s sex life. Could anyone advise me of another option that may help get my libido back on track?
Somewhat negative mood
2 more effects
0 helpful
0 comments
Used for 1 - 3 mo
19 years old
🇬🇧 UK
• 5 days ago
Ever since I started using Ovreena I started feeling this thrush-like sensation down there. It was unbearable itchiness that came usually after showers/sexual intercourse and no I didn't have any visible changes to my skin other than mild swelling weirdly only the left side of my labia and clitoral area. I've taken all sorts of tests from STD's, vaginal infections to going to multiple gynaecologists and dermatologists. Nothing they diagnosed me with was adding up until I stopped the pill. One dermatologist that thought I might have Lichen Sclerosis (Though I had no visible changes to my skin or any of those symptoms other than the itching), she recommended to use Aqueous cream as a form of vaginal wash and a steroid topical cream on top of a thin layer of vaseline to the affected area with a higher dose of antihistamines for prescription. This helped me get rid of the symptoms to help me sleep and function during the night and throughout the day but when it wore off it came back. After I stopped taking Ovreena it took about a month for the itching to stop completely so long story short it started when I started taking the pill I had this issue and then after I stopped it went away. I hope this helps for anyone with similar symptoms.
Decreased sex drive
1 more effect
0 helpful
0 comments
Used for 3 - 5 yr
21 years old
🇬🇧 UK
• 2 weeks ago
Been taking for around 4 years, almost flawless except totally ruined any sex drive/libido and that sucks so bad. Great for skin though and regulating periods/lighter periods, which is why I went on it in the first place👍🏼
Improved skin
1 more effect
0 helpful
0 comments
Used for 18 mo - 3 yr
22 years old
🇬🇧 UK
• 2 days ago
I’ve had a pretty good experience with this pill. I went on my first pill at age 19 (Rigevidon) and I experienced quite a lot of nausea with it so got given Millinette 30/75. The nausea persisted and I felt sick almost every time I ate with no particular pattern, so they put me on Millinette 20/75 which has slightly less oestrogen. I have had a pretty good experience but at almost the 2 year mark of taking it, I have started to experience a lot of brain fog and almost feeling like a shell of myself! Sex drive is very low too as well as vaginal dryness and my first ever case of thrush. These however are the only side effects I’ve experienced now apart from some headaches when I have a pill break. I’m open to trying something new but don’t want to rock the boat as I haven’t had the worst experience. But that being said I do feel like it is affecting mine and my partner’s sex life. Could anyone advise me of another option that may help get my libido back on track?
Somewhat negative mood
2 more effects
0 helpful
0 comments
Used for 1 - 3 mo
19 years old
🇬🇧 UK
• 5 days ago
Ever since I started using Ovreena I started feeling this thrush-like sensation down there. It was unbearable itchiness that came usually after showers/sexual intercourse and no I didn't have any visible changes to my skin other than mild swelling weirdly only the left side of my labia and clitoral area. I've taken all sorts of tests from STD's, vaginal infections to going to multiple gynaecologists and dermatologists. Nothing they diagnosed me with was adding up until I stopped the pill. One dermatologist that thought I might have Lichen Sclerosis (Though I had no visible changes to my skin or any of those symptoms other than the itching), she recommended to use Aqueous cream as a form of vaginal wash and a steroid topical cream on top of a thin layer of vaseline to the affected area with a higher dose of antihistamines for prescription. This helped me get rid of the symptoms to help me sleep and function during the night and throughout the day but when it wore off it came back. After I stopped taking Ovreena it took about a month for the itching to stop completely so long story short it started when I started taking the pill I had this issue and then after I stopped it went away. I hope this helps for anyone with similar symptoms.
Decreased sex drive
1 more effect
0 helpful
0 comments
Used for 3 - 5 yr
21 years old
🇬🇧 UK
• 2 weeks ago
Been taking for around 4 years, almost flawless except totally ruined any sex drive/libido and that sucks so bad. Great for skin though and regulating periods/lighter periods, which is why I went on it in the first place👍🏼
Improved skin
1 more effect
0 helpful
0 comments
Used for 3 - 5 yr
20 years old
🇬🇧 UK
• 2 weeks ago
Somewhat positive mood
1 more effect
0 helpful
0 comments
Used for 1 - 3 mo
32 years old
🇬🇧 UK
• 2 weeks ago
This is my second month with this pill. In the first 2 weeks, I was constantly bloated and had small cramps in my stomach a few hours after taking it, also I was ALWAYS hungry, so I ended up gaining more than 5 pounds in that time. I changed to this pill in hopes of getting back some of my sex drive, which went nonexistent on Yasmin and Eloine, also I hoped it would improve my mood a bit, as I felt moody, anxious and depressed while taking the previous pills. It may have stabilised my mood a bit as I experience less intense PMS symptoms, but my overall mood is still low all the time, and it did not help with my libido either. Another downside for me is the heavy bleeding I get on the break, on the other pills I had very light periods, but now it is like a normal period with cramps and blood knots. I also get headaches in the pill break, which is unusual for me. I did not experience too much change regarding my skin, maybe a couple more spots but nothing crazy.
Worse skin
1 more effect
0 helpful
0 comments
Used for 6 - 12 mo
25 years old
🇬🇧 UK
• 2 weeks ago
I’ve been using Lizinna for just over 8 months. Started taking due to my PMS symptoms so I take 3 packs back to back then a break. I notice around the 3rd pack my mood is impacted negatively, and I know it’s time for a break. I haven’t spotted using this pill, I don’t get as many spots and if I do they don’t last as long and my general mood is better than before. I have gained 1+ stone in weight in the 8 months of using this pill. I haven’t been moving significantly less or eating significantly more so there is no other change than starting this pill. It is effecting me quite a bit as it is sending my body image down the swanny. I guess the pros outweigh the cons (pardon the pun)
Somewhat positive mood
2 more effects
0 helpful
0 comments
Used for 1 - 3 mo
29 years old
🇬🇧 UK
• 3 weeks ago
My skin has got worse with this pill and I will be changing, however my mood has been a lot better.
Somewhat positive mood
1 more effect
0 helpful
0 comments
Used for 1 - 3 mo
22 years old
🇬🇧 UK
• 3 weeks ago
Overall a good pill and much better than countless others I’ve tried in the past. Migraines are worst for me I’ve been experiencing them more than ever whilst being on this pill.
Top side effects not reported
0 helpful
0 comments
Used for 3 - 5 yr
19 years old
🇬🇧 UK
• 1 month ago
Eloine completely cleared up the acne I had for 6 years! I would definitely reccomend it, although I will say that when I first started using it I had very intense mood swings but I think that’s normal due to the hormone change.
Somewhat positive mood
2 more effects
0 helpful
0 comments
Used for 1 - 3 mo
24 years old
🇬🇧 UK
• 1 month ago
Lost my sex drive, every birth control I’ve been on has this effect on me. The biggest change I noticed is I was so hungry on this, I was bingeing yet before I took it I had great self control and was working out. It makes me feel like I’ve got early pregnancy symptoms which isn’t good for when you worry about it. I get nausea a lot and cravings, I don’t know for sure if it’s this pill but it started about 4 weeks after I started on the pill and I’ve never had anything like this before except for when I was pregnant
Somewhat negative mood
2 more effects
0 helpful
0 comments

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