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

2703 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

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

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

2703 reviews

Combined pill  
Used for 3 - 6 mo
36 years old
🇬🇧 UK
  •  1 day 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
  •  3 days 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
  •  2 weeks 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

Combined pill  
Used for 3 - 6 mo
36 years old
🇬🇧 UK
  •  1 day 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
  •  3 days 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
  •  2 weeks 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

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

Eloine pill  

Such a shame my body didn’t like it because my brain definitely did! I have felt so much happier in the 6 weeks I’ve been taking this (compared to years of being on Microgynon) BUT I have had thrush 3 times in those 6 weeks!!! It caused a lot of vaginal dryness which led to thrush :(


Very positive mood

2 more effects

0 helpful

1 comments

Combined pill  
Used for 18 mo - 3 yr
26 years old
🇬🇧 UK
  •  2 weeks ago

Microgynon 30 pill  

I first started using microgynon aged 19 (it was the first pill offered to me when I wanted to go on the pill) and aside from weight gain, I didn’t really have that many side effects and got on well with it. I stopped using I when I was 22 after a break up. I then went back on it aged 25 and had a totally different experience. I didn’t gain as much weight the second time round but my breasts did go up a cup size which was annoying as none of my nice bras fitted me anymore!! I experienced period like cramps constantly, enough to need to take painkillers sometimes. At first I ignored it but after a few months of being in constant low level pain I couldn’t take it anymore. I have now switched to Yasmin after the pharmacist suggested it may be due to the type of progesterone in microgynon causing the cramps.


Somewhat positive mood

1 more effect

0 helpful

0 comments

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

Microlite pill  

It’s made my skin worse, my anxiety is terrible, I am a lot more emotional and I feel worse. It did make me periods go from 11 days to 3 days though which was the point of me going on it.


Very negative mood

1 more effect

0 helpful

0 comments

Combined pill  
Used for 8+ yr
24 years old
🇬🇧 UK
  •  2 weeks ago

Femodene pill  

I started Femodene when I was 16 for my acne, this was for my face and bacne/chest. I found it worked well for me however I did get the odd “hormonal” spot on my face when coming back onto the pill. When it comes to day to day though, I won’t lie everything felt numb. I had no excitement anymore, no motivation, I felt grumpy and tired and 0 sex drive. I felt alone but had people all around me. From being on it for so long I couldn’t remember what I was like before so have nothing really to compare it to. I train in the gym 4-5 times a week and I found I wasn’t seeing as much progress as I should have been as well.


Somewhat negative mood

2 more effects

0 helpful

0 comments

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

Yasmin pill  

It seems with this I lose and gain weight easily, overall loose weight I don’t have much appetite and I’ve lost a lot of breast fullness which is a shame


Somewhat positive mood

2 more effects

0 helpful

0 comments

Combined pill  
Used for 3 - 6 mo
Lowdown user
🇬🇧 UK
  •  1 month ago

Combined pill  

I think it caused decidual cast both times years apart. They passed both times when stopping the pill. Once didn’t feel it. Second time excruciating pain.


Somewhat negative mood

1 more effect

0 helpful

0 comments

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

Microgynon 30 pill  

A week after starting to take this pill, I started having recurring UTIs triggered by sexual activity. I stopped taking the pill 6 months in for this reason, but still have constant issues. Aside from the recurrent UTIs, which have impacted both uni and work lives (I have to miss days due to the pain), I also get a frequent burning sensation with no trigger, which causes general discomfort in my day-to-day life. Due to the massive negative impact this pill has had, I am now extremely wary of any form of contraception and wish I had never started taking microgynon in the first place.


Very negative mood

1 more effect

0 helpful

1 comments

Contraceptive alternatives and comparisons

Compare the Cap or diaphragm with other contraceptives

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