Cap or diaphragm vs Combined pill

Need help choosing? Speak to a doctor
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

2710 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

Try it now

Add your cap or diaphragm review

Try it now

£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

2710 reviews

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

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
  •  3 days 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
  •  4 days 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
37 years old
🇬🇧 UK
  •  today

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
  •  3 days 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
  •  4 days 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
  •  2 weeks 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

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

Drovelis pill  

I always feel tired, no matter how much I sleep it feels like it's never enough. Most days I don't feels in control of my emotions. And my hair falls in clumps but my gyno tells me not to worry.


Somewhat negative mood

1 more effect

0 helpful

0 comments

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

Yasmin pill  

Ok


Top side effects not reported

0 helpful

0 comments

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

Levest pill  

I switched to this pill after being on a mini pill and feeling a lack of emotion, not necessarily depression just nothingness. My doctor advised this pill would help with symptoms of PMS and I couldn’t disagree more, I am a usually very happy positive person. I felt angry, irritated, hopeless and then ultimately depressed in just 6 weeks on this pill. I ended up having a panic attack and it then dawned on me that the only thing that has changed recently is this new pill. I stopped taking it the day this happened and I have felt completely fine and back to my normal self since. Personally I would never recommend this pill, I never suffered from any mental health issues before the pill and it’s made me go off contraception completely. The ONLY thing I would say about this pill that is a positive is that my skin was flawless, but that isn’t worth it for me alone. My skin wasn’t bad before other than an occasional hormonal spot here and there.


Very negative mood

1 more effect

0 helpful

0 comments

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

Eloine pill  

I started taking Eloine for contraception but also as a way to mange my PMDD. It has definitely helped with managing the severe depression from PMDD and keep my mood more stable. I have more energy than I used to. I have felt slightly more hungry but also in a new relationship and started taking it just before Christmas so hard to tell if that is caused by the pill, or just general indulgence. The most annoying symptom I’ve had is irregular breakthrough bleeding, which has happened a lot. I bled continually for the first 5 weeks and now it comes and goes.


Somewhat positive mood

0 helpful

0 comments

Combined pill  
Used for 5 - 8 yr
31 years old
🇬🇧 UK
  •  1 month ago

Lucette pill  

I've loved Lucette for control over my periods and it largely got rid of my acne. My boobs got bigger which I loved too because I felt better proportioned. I think I gained some weight in my midsection, I didn't mind that for the other benefits it gave me but also could have been due to age. I think I had more discharge and would wear dailies for comfort. I wouldn't have come off it but was told I shouldn't have been on it in the first place due to having a history of migraine with aura that wasn't picked up earlier.


Improved skin

1 more effect

0 helpful

0 comments

Combined pill  
Used for 8+ yr
30 years old
🇬🇧 UK
  •  1 month ago

Yasmin pill  

I’ve been on Yasmin consistently for 13 years and have never had issues. I remember the first 1-3 months of taking it I did have a bit of nausea but after that, no side effects. I know I am one of the lucky few, but I really love this pill. I never have any issues and never period pain, I have great skin, no weight gain or libido loss. I haven’t changed brands because of how amazing it has been for me.


Improved skin

0 helpful

0 comments

Contraceptive alternatives and comparisons

Compare the Cap or diaphragm with other contraceptives

Order online

Order online now

Use our online prescription in under 5 mins

  • No GP appointment needed

  • Free standard delivery

Speak to a doctor

Not sure yet? Speak to a doctor

Schedule an appointment now

87% of women are happier with their contraceptive choice after speaking with one of The Lowdown's doctors

The Lowdown Footer

Women's health, reviewed.

Get the best women’s health info in your inbox

You are signing up to receive The Lowdown's latest findings and news in women's health. Your data will be used in accordance with our Privacy & Cookie policy

Built by doctors and experts

Our tools are made by medical professionals for your peace of mind

Our website uses affiliate links and we may earn a small commission if you click on them