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

2716 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

37% 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

2716 reviews

Combined pill  
Used for 6 - 12 mo
25 years old
🇬🇧 UK
  •  today

Yacella pill  

,,,


Somewhat negative mood

2 more effects

0 helpful

0 comments

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

Levest pill  

switched from a minipill to a combined pill loved it as my periods stopped and i didnt gain any weight although i was taken off of it as i experiance migranes and wasn't supposed to be perscribed it i did notice i was more sensitive and emotional whilst on it


Somewhat negative mood

1 more effect

0 helpful

0 comments

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

Drovelis pill  

Experienced breast tenderness and growth. Reduced cramping. Reduced sided effects compared to alternative oral contraceptives


Very positive mood

1 more effect

0 helpful

0 comments

Combined pill  
Used for 6 - 12 mo
25 years old
🇬🇧 UK
  •  today

Yacella pill  

,,,


Somewhat negative mood

2 more effects

0 helpful

0 comments

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

Levest pill  

switched from a minipill to a combined pill loved it as my periods stopped and i didnt gain any weight although i was taken off of it as i experiance migranes and wasn't supposed to be perscribed it i did notice i was more sensitive and emotional whilst on it


Somewhat negative mood

1 more effect

0 helpful

0 comments

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

Drovelis pill  

Experienced breast tenderness and growth. Reduced cramping. Reduced sided effects compared to alternative oral contraceptives


Very positive mood

1 more effect

0 helpful

0 comments

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

Yasmin pill  

During my first month I’ve had severe breakthrough bleeding that was heavy and lasted for 3 weeks, during the 3 weeks I was very emotional and paranoid. After the breakthrough bleed I developed two large spots on my lip and cheek (I never had this issue nor acne). Over all the pill hasn’t done much for me so far other than making me very paranoid about the side effects.


Somewhat negative mood

2 more effects

0 helpful

0 comments

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

Yasmin pill  

utis


Worse skin

0 helpful

0 comments

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

Rigevidon  

I actually find this to be pretty good, very few side effects, but the increased blood clot risk does concern me.


Top side effects not reported

0 helpful

0 comments

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

Eloine pill  

Started off well on this pill, good for PMS management. Had bleeding for weeks and breasts got bigger and were painful. Some of these effects subsided after a few weeks. On my 3rd pack i noticed i wasnt full after meals and was constantly feeling hungry and thinking about food. This continued through the fourth month. I have definitely gained weight and clothes not fitting properly, which is an unacceptable side effect for me personally.


Somewhat negative mood

1 more effect

0 helpful

0 comments

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

Rigevidon  

It is a balancing act, but, overall, I am happy with the results. I take the pill back to back as my cramps were so bad that they were effecting my personal and work life terribly and I could no longer stand the pain. Unlike other pills I have tried before, this stops my periods. After 3 or 4 months I get heavy spotting and take a break for 7 days which sorts it out - the breaks are fine with only mild cramping and nothing like my periods before. It has saved my ability to work. I have had negative side effects - weight gain and mood. I have no history of depression, anxiety or struggling to process things until I started taking this pill but I now struggle with these things most days. Compared to the pain, for me, the impact on my mental health is a trade off I've accepted.


Very negative mood

1 more effect

0 helpful

0 comments

Combined pill  
Used for 12 - 18 mo
26 years old
🇬🇧 UK
  •  1 month ago

Zoely pill  

Zoely was brilliant for managing my cyclical mood symptoms and essentially stopped my periods which was great in the context of endometriosis. I had no period pain on this pill. However unfortunately I struggled with significant vaginal dryness which honestly felt like perimenopause and made sex intolerable. I also noticed significant hair loss, but I can’t say 100% if this was Zoely or due to life stress.


Somewhat positive mood

1 more effect

0 helpful

0 comments

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

Levest pill  

Feel “out of it” a lot more but not necessarily depressed. However cramping is really bad


Somewhat negative mood

3 more effects

0 helpful

0 comments

Contraceptive alternatives and comparisons

Compare the Cap or diaphragm with other contraceptives

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