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

2484 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

48% lighter periods

46% 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
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.

Read more

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

0 helpful

1 comments

Cap or diaphragm  
Used for 6 - 12 mo
Lowdown user
🇬🇧 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
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

0 helpful

1 comments

Cap or diaphragm  
Used for 6 - 12 mo
Lowdown user
🇬🇧 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

2484 reviews

Combined pill  
Used for 12 - 18 mo
39 years old
🇬🇧 UK
  •  today

Qlaira pill  

Start of it was great, made my periods less painful and lighter. After a while periods came back to lasting a long time, got extreme period pains, discharge in my nipple, blood clot in my leg and they said it was dangerous to continue it’s use since I’m a smoker.


Somewhat negative mood

3 more effects

0 helpful

0 comments

Combined pill  
Used for 12 - 18 mo
Lowdown user
🇬🇧 UK
  •  2 weeks ago

Gedarel 20/150 pill  

At the start all was going great but in the last 2/3 months things have started going really downhill, I have started shedding hair at an alarming rate, I have gained weight, I have developed thrush on my boob, my eczema is awful, the skin on my face is so oily, I constantly feel down and sad which I used to only experience when I was in the week before my period. It’s definitely not a long term solution.


Somewhat negative mood

2 more effects

0 helpful

0 comments

Combined pill  
Used for 12 - 18 mo
Lowdown user
🇬🇧 UK
  •  2 weeks ago

Zoely pill  

unfortunately caused severe negative effects on my mental health and quality of life. increased anxiety & depression (both were constant) and drastically reduced my confidence and body image. all symptoms intensified the week before a period was due - body image was so poor i wouldn't leave the house or wear anything other than baggy clothes, felt suicidal, cried over nothing, lost all motivation/drive, couldn't concentrate + poor short term memory, felt worthless, anhedonic, insomnia that was worst the few days before a bleed, and persistent fatigue & lethargy. i did try to stick it out as i assumed it was pre-existing conditions causing my symptoms, but they got progressively worse the longer i was on it. after i came off the pill i noticed pretty rapid improvement in my self confidence and overall mental health.


Very negative mood

1 more effect

0 helpful

0 comments

Combined pill  
Used for 12 - 18 mo
39 years old
🇬🇧 UK
  •  today

Qlaira pill  

Start of it was great, made my periods less painful and lighter. After a while periods came back to lasting a long time, got extreme period pains, discharge in my nipple, blood clot in my leg and they said it was dangerous to continue it’s use since I’m a smoker.


Somewhat negative mood

3 more effects

0 helpful

0 comments

Combined pill  
Used for 12 - 18 mo
Lowdown user
🇬🇧 UK
  •  2 weeks ago

Gedarel 20/150 pill  

At the start all was going great but in the last 2/3 months things have started going really downhill, I have started shedding hair at an alarming rate, I have gained weight, I have developed thrush on my boob, my eczema is awful, the skin on my face is so oily, I constantly feel down and sad which I used to only experience when I was in the week before my period. It’s definitely not a long term solution.


Somewhat negative mood

2 more effects

0 helpful

0 comments

Combined pill  
Used for 12 - 18 mo
Lowdown user
🇬🇧 UK
  •  2 weeks ago

Zoely pill  

unfortunately caused severe negative effects on my mental health and quality of life. increased anxiety & depression (both were constant) and drastically reduced my confidence and body image. all symptoms intensified the week before a period was due - body image was so poor i wouldn't leave the house or wear anything other than baggy clothes, felt suicidal, cried over nothing, lost all motivation/drive, couldn't concentrate + poor short term memory, felt worthless, anhedonic, insomnia that was worst the few days before a bleed, and persistent fatigue & lethargy. i did try to stick it out as i assumed it was pre-existing conditions causing my symptoms, but they got progressively worse the longer i was on it. after i came off the pill i noticed pretty rapid improvement in my self confidence and overall mental health.


Very negative mood

1 more effect

0 helpful

0 comments

Combined pill  
Used for 5 - 8 yr
Lowdown user
🇬🇧 UK
  •  2 weeks ago

Rigevidon  

This was my first contraception given to me by my GP at age 19. I believe Rigevidon is the cheapest which is why often it is what many are prescribed, that is what I learned from watching a doc by Davina McCall! It took me years to realise my mood swings and emotional outbursts were a side effect, not a true reflection of who I was. I felt like I had too many artificial hormones inside affecting my mental heath and the close relationships around me. I also suffered with acne. Once I moved to the implant (which really wasn’t a scary or painful procedure), mentally I have been in such a better place.


Very negative mood

2 more effects

0 helpful

0 comments

Combined pill  
Used for 8+ yr
Lowdown user
🇬🇧 UK
  •  3 weeks ago

Rigevidon  

I was prescribed this pill mainly for my moods and it really did help. I was taking the pill for many years and every month when I had my break in tablets I would get a headache. I thought it was a symptom of PMS but after having a pill review with my GP they advised me to stop taking it. Since I stopped I haven’t had one headache which is quite worrying. They always ask about migraines in the questionnaire but never headaches so it didn’t even occur to me that it might be the pill causing this


Very positive mood

0 helpful

0 comments

Combined pill  
Used for 8+ yr
Lowdown user
🇬🇧 UK
  •  1 month 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
Lowdown user
🇬🇧 UK
  •  1 month 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
Lowdown user
🇬🇧 UK
  •  1 month 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
Lowdown user
🇬🇧 UK
  •  1 month 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
Lowdown user
🇬🇧 UK
  •  1 month 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

Contraceptive alternatives and comparisons

Compare the Cap or diaphragm with other contraceptives

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