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

15 reviews

During or before sex

Frequency

84% - 94%

Effectiveness

None

Blood clot risk

None

Effect on fertility

Rated 2.8

2607 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

87% no impact on mood

87% no change

93% no impact

100% no impact

80% 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

15 reviews

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.

Read more

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 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

2 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 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

2 comments


Combined pill reviews

2607 reviews

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

Microlite pill  

Little to no very noticeable side effects, my anxiety definitely heightened but that was a personal predisposition. Overall very happy experience but swapping due to some low moods


Somewhat negative mood

2 more effects

0 helpful

0 comments

Combined pill  
Used for 3 - 5 yr
29 years old
🇬🇧 UK
  •  3 days ago

Yacella pill  

Been on this pill for years and it has treated me well. I have lighter periods and they are a lot less painful. I have suffered very badly with acne over the years and although my skin is not perfect, it has been the most stable on this pill. I don’t find any other side effects to my mood or body that I notice.


Improved skin

0 helpful

0 comments

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

Yasmin pill  

As soon as I started taking it, my first period whist on this pill came after a week and it was the most horrible period I’ve had in my entire life (it was a longer period then I ever had before (with really heavy cramps constantly) that was the first step in the negative journey. After that, I continued taking it and my acne got worse especially on my back. I had thought it would improve but was much worse event at month two. After two months of taking this pill, I’ve also gained weight which I noticed straight away but had put down to temporary water retention but seems to not budge and have had extreme weight fluctuations like never before and been feeling very off and not myself ever since taking it/depressed, also have lost all sex drive. I am at the point where it’s either stick it out for another month to see if symptoms ease up or stop and cut my losses. I’ve decided to stop.


Very negative mood

3 more effects

0 helpful

0 comments

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

Microlite pill  

Little to no very noticeable side effects, my anxiety definitely heightened but that was a personal predisposition. Overall very happy experience but swapping due to some low moods


Somewhat negative mood

2 more effects

0 helpful

0 comments

Combined pill  
Used for 3 - 5 yr
29 years old
🇬🇧 UK
  •  3 days ago

Yacella pill  

Been on this pill for years and it has treated me well. I have lighter periods and they are a lot less painful. I have suffered very badly with acne over the years and although my skin is not perfect, it has been the most stable on this pill. I don’t find any other side effects to my mood or body that I notice.


Improved skin

0 helpful

0 comments

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

Yasmin pill  

As soon as I started taking it, my first period whist on this pill came after a week and it was the most horrible period I’ve had in my entire life (it was a longer period then I ever had before (with really heavy cramps constantly) that was the first step in the negative journey. After that, I continued taking it and my acne got worse especially on my back. I had thought it would improve but was much worse event at month two. After two months of taking this pill, I’ve also gained weight which I noticed straight away but had put down to temporary water retention but seems to not budge and have had extreme weight fluctuations like never before and been feeling very off and not myself ever since taking it/depressed, also have lost all sex drive. I am at the point where it’s either stick it out for another month to see if symptoms ease up or stop and cut my losses. I’ve decided to stop.


Very negative mood

3 more effects

0 helpful

0 comments

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

Gedarel 20/150 pill  

This was prescribed to me to help regulate my periods; however did the complete opposite and have made them worse. I have no clue when my periods are going to begin or end now, as well as if the bleeding will be light spotting or extremely heavy. I have become incredibly sensitive to many things that would never have bothered me pre-pill, as well have been bed bound due to negative mood changes that I have no explanation for. I have been sad before, however, these feelings I could not explain or combat so I have decided to switch pill.


Very negative mood

1 more effect

0 helpful

0 comments

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

Ovranette pill  

My period was ok on it. My acne was very bad cystic nothing would get rid of it. Changed to Yasmin and I haven’t had cystic acne my skin is clearing. Hair thinned on top of my head too. This pill can cause high androgens which can cause bad hormonal acne and hair loss


Somewhat negative mood

2 more effects

0 helpful

0 comments

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

Rigevidon  

This sent me nearly insane with my moods. I had no other side effects other than it made me nearly suicidal. I know you could say maybe it wasn’t the pill but I was fine before taking it, happy in myself, then after I had a mental breakdown I stopped taking it and suddenly felt like myself again. I’ve heard a lot of people say it’s been awful for their mood and I’m surprised they haven’t banned it yet


Very negative mood

1 more effect

0 helpful

0 comments

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

Combined pill  

I’ve never had Thrush before and went on this pill 2 months ago and got it within the first 20 days of using it. I’ve also felt nauseas everyday since maybe the first week into it. Will symptoms subside? I really hope so. I havent bled but I was on the depo injection for the last year so its normal for it to take a while to bleed again.


Gained weight

0 helpful

1 comments

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

Drovelis pill  

My experience is overall positive. For the first month I had breakthrough spotting almost every day, it was light and painless, just a bit worrisome, but it settled in the 2nd month. I started taking Drovelis for painful periods, and I have to say that while they are shorter and lighter, it's not like it completely changed around. I used to take around 4 painkillers a day on my period, now I'm down to one: so it is a big change, but I can't say the periods are painless. In the first month I also had some mood swings, but I can't be sure if that's due to the pill. I'm writing this review because I was very scared of taking birth control after reading so many negative opinions, but overall it's a net positive experience. No changes to my weight, my libido is stable, overall it's nothing too scary.


Top side effects not reported

0 helpful

0 comments

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

Eloine pill  

I switched to this after using Yasmine (no problems with that, I just wanted to try a lower-dose estrogen pill). In the first year, all seemed fine, regular light periods, no break-outs, fewer mood swings, but lately in the past 6 months, I noticed my mental health worsen, my ADHD symptoms became stronger, my depression and my anxiety crept higher, and my libido slowly went non-existent. Also, my breasts (or rather my nipples), which were usually only swollen/sore before the placebo tablets, became constantly sensitive in a bad way. Now I am looking for a different pill.


Somewhat negative mood

2 more effects

0 helpful

0 comments

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

Eloine pill  

I started taking Eloine after I had experienced depression-like symptoms on the two weeks before my period for around 3 months. It was really hard to deal with and I think I have very bad PMT or maybe PMDD? I also had horrendous hormonal acne that really damaged the way I felt about myself, this mixed with the pre period mood swings made me feel like I wasn’t myself anymore. I researched different treatments that can help both PMT symptoms and hormonal acne, so I gave Eloine a go. I started it in February and wow has it changed how I experience periods (not to be dramatic but it really has changed my quality of life too). I feel very little mood swings now, I just feel when my luteal phase starts but in terms of energy not mentally! I just feel soooo much better in myself. My only complaint is I’ve experienced slight breast enlargement - but I’m consistently working out to try and combat this. I’ve never really had issues with period heaviness or cramps, but I would say my period is a lot lighter but last a day or so longer than before I was on the pill. Overall, my PMT symptoms have been totally ushered away by Eloine, I’m currently seeing a dermatologist for acne who also says this will help alongside other treatments. Facial oil is very much reduced. If you are struggling with acne or mood problems, please know that you are not alone. My mum grew up dealing with this, and so did her mum. Unfortunately some people are just dealt that hormonal issue card but I would definitely recommend this pill, sometimes natural remedies just don’t scratch the surface of what you’re going through. You’ve got this!!! Things will get better and I’m rooting for you 🩷


Very positive mood

1 more effect

0 helpful

0 comments

Contraceptive alternatives and comparisons

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