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

2523 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

2 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

2 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

2523 reviews

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

Yasmin pill  

I was reluctantly put on the Yasmin pill by my GP as I wasn’t coping with previous contraception pills. I didn’t have a good experience with Yasmin. I was spotting very often and got regular nausea and headaches, so in total, was on it for about 2 months before I decided to come off of it


Very negative mood

1 more effect

0 helpful

0 comments

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

Qlaira pill  

I become badly depressed and anxious while taking this. I lost all motivation to do anything - I knew it was a severe bad side effect. I suffered bad foot edema, I was in pain even just lying down , walking was painful on my feet.


Very negative mood

0 helpful

0 comments

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

Zoely pill  

I took Zoely for 2 months and a half, it was one of the worst experiences of my life. In the first month I had such a bad nausea that I couldn’t eat much anymore so I lost 7kg in around 1 month and a half and got me very bad pimples. What’s worse is the effect on my mental health. I’ve always been a positive person even if in my family there are cases of depression, with this I started to have it, having always negative thoughts, I could never see the positive in anything, and I spiraled in a very bad anxiety, making me think that everything was going for the worse so I was crying so often for very stupid things. I was also very irritable for nothing while usually I’m a very calm person. I wanted to get to three months to see if the symptoms could get better but when my boyfriend broke up with me because he could no longer stand my attitude I decided to quit it immediately and I wish I did it much sooner. It took me around 1 month and a half to feel a bit normal again, I would never recommend Zoely to anyone, taking it was one of the worst decisions of my life.


Very negative mood

3 more effects

0 helpful

0 comments

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

Yasmin pill  

I was reluctantly put on the Yasmin pill by my GP as I wasn’t coping with previous contraception pills. I didn’t have a good experience with Yasmin. I was spotting very often and got regular nausea and headaches, so in total, was on it for about 2 months before I decided to come off of it


Very negative mood

1 more effect

0 helpful

0 comments

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

Qlaira pill  

I become badly depressed and anxious while taking this. I lost all motivation to do anything - I knew it was a severe bad side effect. I suffered bad foot edema, I was in pain even just lying down , walking was painful on my feet.


Very negative mood

0 helpful

0 comments

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

Zoely pill  

I took Zoely for 2 months and a half, it was one of the worst experiences of my life. In the first month I had such a bad nausea that I couldn’t eat much anymore so I lost 7kg in around 1 month and a half and got me very bad pimples. What’s worse is the effect on my mental health. I’ve always been a positive person even if in my family there are cases of depression, with this I started to have it, having always negative thoughts, I could never see the positive in anything, and I spiraled in a very bad anxiety, making me think that everything was going for the worse so I was crying so often for very stupid things. I was also very irritable for nothing while usually I’m a very calm person. I wanted to get to three months to see if the symptoms could get better but when my boyfriend broke up with me because he could no longer stand my attitude I decided to quit it immediately and I wish I did it much sooner. It took me around 1 month and a half to feel a bit normal again, I would never recommend Zoely to anyone, taking it was one of the worst decisions of my life.


Very negative mood

3 more effects

0 helpful

0 comments

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

Yasmin pill  

I tried Yasmin due to the positive reviews and experiences of friends. Unfortunately, it just goes to show how individual birth control can be, as I didn't get on well with it, unlike my friends. I went on it hoping it would clear my skin up, but sadly my skin got a lot worse- really nasty cystic acne on and around my chin/mouth. I also had extremely sore boobs the whole time- the point where I couldn't even lift my arms above my head and i had to wear a sports bra 24/7 due to the pain. It also made my IBS intolerable and it was just generally unpleasant experience. I wanted to share my experience as I'd heard such positive things about it, but it just wasn't for me. I'm now on the Evra Patch and I absolutely love it.


Worse skin

0 helpful

0 comments

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

Gedarel 30/150 pill  

I've tried 12 birth control pills previously and learned that I'm very sensitive to progesterone. I took Gedarel for 2-3 months or so and it wasn't for me. It made me bleed so heavily the whole 2-3 months time that I had endometrial lining expel out of me, at the time it was quite scary as I didn't know what it was! I have also been on Cerelle the mini pill that also has Desogestrel in and I also had extremely heavy bleeding on that, so I think I'm just unlucky with progesterone. I'm now on the Evra patch and i love it


Top side effects not reported

0 helpful

0 comments

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

Lizinna pill  

Having previously tried 12 birth control pills, this was one of the better ones I've tried. I'm very sensitive to progesterone. I was on this pill for about 5 months and I noticed no change to my mood, my skin was significantly clearer and I skipped periods every 3 months which was great as mine are very heavy and painful. i definitely gained weight which is very common for me and birth control but it was also lifestyle changes too. Unfortunately this pill made my IBS so intolerable that I had to stop taking it. I would have continued on it otherwise so it was very annoying. I'm now on the Evra patch and loving it- very similar side effects but no IBS!


Very positive mood

2 more effects

0 helpful

0 comments

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

Microgynon 30 pill  

What they don’t tell you and should, is that if you have had a pregnancy effected by Hyperemesis Gravidarum, is that you may not be able to tolerate estrogen. It doesn’t apply to everyone, but sadly, it did apply to me and I had to come off them very quickly, because for me, it was exactly like being pregnant again, I was throwing up around the clock.


Very negative mood

1 more effect

0 helpful

0 comments

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

Yasmin pill  

Had thrush about 4/5 times when only on it for 4/5 months, along with the thrush swollen labia and very dry, also developed acne when I’ve never had it before, but used duac to sort that out still breakout now and again which has never happened to me before. I will be changing pill again, only good thing was that by breast grew


Worse skin

0 helpful

0 comments

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

Gedarel 20/150 pill  

I took the combined pill (first Rigevidon and later Gedarel) for more than 2 years. The first few months after taking Rigevidon I had nausea and tender breasts but this settled after about 2-3 months. I developed migraines that would coincide with the break week (pill-free days). I tried switching to skipping break weeks and taking the pill for several months in a row (until I got several days of breakthrough bleeding, usually every three months), but I still got migraines randomly throughout the months and also almost every time I did eventually take a break-week. I switched to Gedarel but this did not change anything about the migraines. I had to take break weeks more often with Gedarel since I would get breakthrough bleeding more quickly (every two months). Overall I liked being able to skip periods and I think my skin/acne and hair growth maybe improved slightly. However, because of the migraines I eventually switched to a progesterone only pill.


Improved skin

0 helpful

0 comments

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

Eloine pill  

i started taking this pill a year ago, i haven’t gotten pregnant so i believe it does it’s job, i don’t have any actually bad side effects as i’ve had with other pills, i would recommend


Somewhat positive mood

2 more effects

0 helpful

0 comments

Contraceptive alternatives and comparisons

Compare the Cap or diaphragm with other contraceptives

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