Cap or diaphragm vs Injection

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Cap or diaphragm

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Injection

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Overview

Rated 3.9

14 reviews

During or before sex

Frequency

84% - 94%

Effectiveness

None

Blood clot risk

None

Effect on fertility

Rated 2.9

259 reviews

Every 2-3 months

Frequency

97% - 99+%

Effectiveness

None

Blood clot risk

Short term

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.

Injection ingredients

Main hormones in Injection

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

Endometriosis

Heavy periods

Period pain

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Check out our latest reviews

Real life reviews from people like you

Cap or diaphragm reviews

14 reviews

Used for 3 - 5 yr
28 years old
🇬🇧 UK
  •  2 weeks ago

  •  Still using

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.

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Top side effects not reported

0 helpful

0 comments

Used for 18 mo - 3 yr
34 years old
🇬🇧 UK
  •  1st Jan 24

  •  Still using

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

0 helpful

1 comments

Used for 6 - 12 mo
34 years old
🇬🇧 UK
  •  14th Feb 23

  •  Still using

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!


Top side effects not reported

1 helpful

1 comments

Used for 3 - 5 yr
28 years old
🇬🇧 UK
  •  2 weeks ago

  •  Still using

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
34 years old
🇬🇧 UK
  •  1st Jan 24

  •  Still using

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

0 helpful

1 comments

Used for 6 - 12 mo
34 years old
🇬🇧 UK
  •  14th Feb 23

  •  Still using

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!


Top side effects not reported

1 helpful

1 comments


Injection reviews

259 reviews

Used for 12 - 18 mo
25 years old
🇬🇧 UK
  •  1 day ago

  •  Stopped using

I was placed on the Depo injections back in 2019 and had a total of 5/6 injections. They were stopped because they caused severe anxiety, multiple panic attacks daily and severe depression. The GP deemed it unsafe for me to continue as the mental health side effects were incredibly awful.


Top side effects not reported

0 helpful

0 comments

Used for 6 - 12 mo
23 years old
🇬🇧 UK
  •  5th Apr 24

  •  Still using

When I was 15, I started using the injection to manage my menstrual pain (due to Endo). It worked like magic and stopped my periods and pain right away! However, it also had a downside - it really impacted my mental health. Recently, I was diagnosed with endometriosis, and I tried different pills to manage it, but I kept forgetting to take them on time. So, I decided to give the Depot Provera injection another try. I was a bit hesitant at first, but I went ahead with it anyway. It took some time for my body to adjust, and I experienced some spotting and pelvic pain until my most recent injection. (I've had 5 injections now). Now, things have settled down, and I only get occasional twinges. The day after the injection, I experience some period-like pain, but it usually goes away after a couple of days. Overall, I would recommend this contraception, although everyone's experience is different. For me, it has finally given me what I wanted - freedom from pain.


Top side effects not reported

0 helpful

0 comments

Used for 3 - 5 yr
22 years old
🇬🇧 UK
  •  12th Mar 24

  •  Stopped using

It did it's job in preventing pregnancy but the side affects weren't pleasant - No sex drive, vaginal dryness, caused acne, moody and irritable. I got put on it at 16 as I couldn't be trusted to remember to take the pill. It stopped my period which was great! I came off it during COVID due to not being able to get to the doctor for it and the bleeding aftermath wasn't nice - a lot of heavy periods which calmed after a while. However, what caused me not to go back on it was I didn't realise how it affected my personality until I came off it. Off it I was no longer depressy or irritable, vaginal dryness went away and I suddenly had a sex drive. Overall it wasn't awful as I was none of the wiser to what I was like not being on it.


Top side effects not reported

0 helpful

0 comments

Used for 12 - 18 mo
25 years old
🇬🇧 UK
  •  1 day ago

  •  Stopped using

I was placed on the Depo injections back in 2019 and had a total of 5/6 injections. They were stopped because they caused severe anxiety, multiple panic attacks daily and severe depression. The GP deemed it unsafe for me to continue as the mental health side effects were incredibly awful.


Top side effects not reported

0 helpful

0 comments

Used for 6 - 12 mo
23 years old
🇬🇧 UK
  •  5th Apr 24

  •  Still using

When I was 15, I started using the injection to manage my menstrual pain (due to Endo). It worked like magic and stopped my periods and pain right away! However, it also had a downside - it really impacted my mental health. Recently, I was diagnosed with endometriosis, and I tried different pills to manage it, but I kept forgetting to take them on time. So, I decided to give the Depot Provera injection another try. I was a bit hesitant at first, but I went ahead with it anyway. It took some time for my body to adjust, and I experienced some spotting and pelvic pain until my most recent injection. (I've had 5 injections now). Now, things have settled down, and I only get occasional twinges. The day after the injection, I experience some period-like pain, but it usually goes away after a couple of days. Overall, I would recommend this contraception, although everyone's experience is different. For me, it has finally given me what I wanted - freedom from pain.


Top side effects not reported

0 helpful

0 comments

Used for 3 - 5 yr
22 years old
🇬🇧 UK
  •  12th Mar 24

  •  Stopped using

It did it's job in preventing pregnancy but the side affects weren't pleasant - No sex drive, vaginal dryness, caused acne, moody and irritable. I got put on it at 16 as I couldn't be trusted to remember to take the pill. It stopped my period which was great! I came off it during COVID due to not being able to get to the doctor for it and the bleeding aftermath wasn't nice - a lot of heavy periods which calmed after a while. However, what caused me not to go back on it was I didn't realise how it affected my personality until I came off it. Off it I was no longer depressy or irritable, vaginal dryness went away and I suddenly had a sex drive. Overall it wasn't awful as I was none of the wiser to what I was like not being on it.


Top side effects not reported

0 helpful

0 comments

Used for 12 - 18 mo
32 years old
🇬🇧 UK
  •  14th Feb 24

  •  Stopped using

The injection definitely stops pregnancy but does affect the body in different ways


Top side effects not reported

0 helpful

0 comments

Used for 1 - 3 mo
21 years old
🇬🇧 UK
  •  2nd Feb 24

  •  Stopped using

I’ve been taking the pill for over 7 years and wanted to try the injection for convenience of not worrying about taking a pill everyday, for that it was great no periods no more cramps, however I found too many side effects which overrule the one positive. - The first month was great, however month 2 and 3 I suffered with what I thought was recurring thrush but I went to the gp and did swabs but everything was negative with no infections, turns out to be vaginal dryness which are the same symptoms of thrush and is highly uncomfortable - never had this on the pill, it’s effecting my sex life as it’s uncomfortable and has lowered my libido also. - The mood swings are insane with the first shot, I was very emotional and distressed, increased intrusive thoughts about my relationship, didn’t like my body etc. - I’ve always had clear skin until the injection I noticed the odd one or two almost cystic types spots which were painful and rather embarrassing that would last for weeks. - Noticed fluctuation of breast size too I probably dropped a size or 2 but didn’t loose any body weight. Not sure how long it’s going to take to go back to normal but definitely advise to anyone wanting to go on it, research research research and book a session with your gp to review it.


Top side effects not reported

0 helpful

0 comments

Used for 8+ yr
27 years old
🇬🇧 UK
  •  20th Jan 24

  •  Stopped using

I used this contraception for nearly 10 years and I loved it- being young and having no periods saved me a lot of money and stress and was ideal when I went backpacking. It is only now I am older and have an interest in having a baby one day that I was keen to switch. It has taken me nearly 12 months to regain a regular cycle! I also never realised how bad it made my acne until I came off it.


Top side effects not reported

1 helpful

0 comments

Used for 3 - 6 mo
21 years old
🇬🇧 UK
  •  15th Jan 24

  •  Still using

I became emotional, my stomach is bloated all the time, I have no energy, I feel tired all the time, loss of appetite, I feel uncomfortable, my ears are ringing the whole time, my head feels foggy and I feel confused, I get bad period like cramps


Top side effects not reported

0 helpful

0 comments

Used for 1 - 3 mo
20 years old
🇬🇧 UK
  •  22nd Dec 23

  •  Still using

Period like cramps, increased white discharge, nausea and bloating made the experience horrible. Stopped getting my periods from the first shot which made me think i was pregnant.


Top side effects not reported

0 helpful

0 comments

Used for 1 - 3 mo
20 years old
🇬🇧 UK
  •  22nd Dec 23

  •  Still using

Period like cramps, increased white discharge, nausea and bloating was horrendous. Stopped getting my period from the first shot which made me think I was pregnant. My depression also got worse.


Top side effects not reported

0 helpful

0 comments

Used for 18 mo - 3 yr
30 years old
🇬🇧 UK
  •  2nd Nov 23

  •  Stopped using

I was on the sayanna press injection for 3 years. My periods started off a little irregular for the first couple of months and then stopped completely, which was a blessing as they have always been heavy and painful! Would start to get slight cramps in the week before the injection was due but otherwise, it seemed to suit me quite well. I'm a healthcare professional so injecting myself didn't bother me at all! I gained a little weight whilst using it but I am overweight anyway so unsure if I can attribute this to the injection!


Top side effects not reported

1 helpful

0 comments

Contraceptive alternatives and comparisons

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