Cap or diaphragm vs Implant
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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
612 reviews
Every 3 years
Frequency
Over 99%
Effectiveness
None
Blood clot risk
None
Effect on fertility
Cap or diaphragm ingredients
Implant ingredients
Main hormones in Implant
progestogen
What Lowdown reviewers say
Benefits: What this contraceptive can help with
There are no benefits that are recognised in scientific research or guidelines for this contraceptive
Heavy periods
Ovulation pain
Period pain
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Check out our latest reviews
Real life reviews from people like you
Cap or diaphragm reviews
15 reviews
Used for 3 - 6 mo
27 years old
🇬🇧 UK
• 6th Apr 25
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
Used for 3 - 5 yr
Lowdown user
🇬🇧 UK
• 13th May 24
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
Used for 18 mo - 3 yr
Lowdown user
🇬🇧 UK
• 1st Jan 24
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
Used for 3 - 6 mo
27 years old
🇬🇧 UK
• 6th Apr 25
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
Used for 3 - 5 yr
Lowdown user
🇬🇧 UK
• 13th May 24
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
Used for 18 mo - 3 yr
Lowdown user
🇬🇧 UK
• 1st Jan 24
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
Implant reviews
612 reviews
Used for 1 - 3 mo
32 years old
🇬🇧 UK
• 3 days ago
All the great wetness I was feeling down there is all gone. I have painful sexual intercourse and I'm sad.
Very negative mood
1 more effect
0 helpful
0 comments
Used for 6 - 12 mo
17 years old
🇬🇧 UK
• 5 days ago
Poor experience. Great at preventing pregnancy however side effects on mental and physical health were not worth it. I chose to prioritise my health and swap to condoms.
Very negative mood
0 helpful
0 comments
Used for 18 mo - 3 yr
24 years old
🇬🇧 UK
• 1 month ago
Bled constantly for months, then no period for ages, then bleeding again for weeks on end. Really heavy which is abnormal for me. No sex drive, I was really depressed for the nearly 3 years I was on this and I thought that was just me, funnily enough when i came off it I felt so much better and couldn’t believe most my problems were probably being caused by this implant
Somewhat negative mood
1 more effect
0 helpful
0 comments
Used for 1 - 3 mo
32 years old
🇬🇧 UK
• 3 days ago
All the great wetness I was feeling down there is all gone. I have painful sexual intercourse and I'm sad.
Very negative mood
1 more effect
0 helpful
0 comments
Used for 6 - 12 mo
17 years old
🇬🇧 UK
• 5 days ago
Poor experience. Great at preventing pregnancy however side effects on mental and physical health were not worth it. I chose to prioritise my health and swap to condoms.
Very negative mood
0 helpful
0 comments
Used for 18 mo - 3 yr
24 years old
🇬🇧 UK
• 1 month ago
Bled constantly for months, then no period for ages, then bleeding again for weeks on end. Really heavy which is abnormal for me. No sex drive, I was really depressed for the nearly 3 years I was on this and I thought that was just me, funnily enough when i came off it I felt so much better and couldn’t believe most my problems were probably being caused by this implant
Somewhat negative mood
1 more effect
0 helpful
0 comments
Used for 6 - 12 mo
26 years old
🇬🇧 UK
• 1 month ago
Extreme weight gain, despite always being a consistent weight and no changes in lifestyle/eating habits. Also I have become increasingly more self conscious and body conscious, so an affect on mental health
Very negative mood
2 more effects
0 helpful
0 comments
Used for 3 - 5 yr
19 years old
🇬🇧 UK
• 13th Jul 25
Great if you want to have sex and not worry about pregnancy’s however the change in my physical appearance and mood swings have been crazy and I will be getting it removed asap as I can’t go on like this
Very negative mood
1 more effect
1 helpful
0 comments
Used for 1 - 3 mo
20 years old
🇬🇧 UK
• 5th Jul 25
Some infrequent cramping and bleeding but in general a good experience. Despite a lot of fear and generally being very bad with needles, a very good fitting experience (thank you to the nurse for introducing me to glucose shots that reduced the delayed faint for me!), and very convenient to not have to think about it for a few years. Feeling for it has not been as bad as it sounded, and while you cannot avoid side effects as easily - unlike a pill or patch you can't just stop taking it or take a break - they have not been worse than a usual cycle, and happen less frequently so overall, happy!
Somewhat positive mood
0 helpful
0 comments
Used for 6 - 12 mo
21 years old
🇬🇧 UK
• 4th Jul 25
Great, less to worry about. But the cramps are brutal as well as the mood swings.
Somewhat negative mood
0 helpful
0 comments
Used for 18 mo - 3 yr
26 years old
🇬🇧 UK
• 1st Jul 25
Random bleeding throughout which was frustrating. Partner felt like I seemed happier in general once I came off. Suffered anxiety attacks after coming off the implant (may or may not be related currently unsure)
Somewhat positive mood
2 more effects
0 helpful
0 comments
Used for 8+ yr
30 years old
🇬🇧 UK
• 27th Jun 25
Great for if you are looking for contraception that you can forget about and prevent periods however it caused lasting weight gain and awful mood such as unreasonable anger which was almost misdiagnosed as a personality disorder until I came off the contraception.
Very negative mood
2 more effects
0 helpful
0 comments
Used for 5 - 8 yr
31 years old
🇬🇧 UK
• 10th Jun 25
I had 3 implants back to back and really rated them. I felt they personally kept me in a very even emotional space as I didn’t have hormonal cycle mood fluctuations and didn’t experience any persistent low mood on it. My period stopped when I had the implant (which I loved) and had no side effects, which was great as after coming off the implant to conceive found when on no hormones I got terrible headaches and acne around my period which I had forgotten about! On reflection I probably did have slightly worse skin on the implant but not significantly. Around the 2 year mark each time it ‘ran out’ and suddenly there didn’t seem to be enough hormone to stop my periods and had persistent breakthrough bleeding which prompted me to get them changed early each time which resolved the issue. I have since been told you can take ibruprofen for a few days to counter this but have no experience of this. The reason it gets 4 stars not 5 is I really struggled to get it taken out as many health care practitioners are trained in insertion and many less is removal. When I wanted to start a family I was told there would be a 3 month wait for removal which was absolutely unacceptable to me and I ended up getting a family member who is a Dr to cut it out at home as I was so desperate. This lack of bodily autonomy I found very distressing and has put me off getting one again incase there’s a delay removing it, however it was late 2021 so may have been in part due to Covid so have to take that into account
Somewhat positive mood
0 helpful
0 comments

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