Cap or diaphragm vs Progestogen-only / Mini pill

Need help choosing? Speak to a doctor
Cap or diaphragm

Want to switch contraception?

Progestogen-only / Mini pill

£From £0.22/day

Overview

Rated 3.8

13 reviews

During or before sex

Frequency

84% - 94%

Effectiveness

None

Blood clot risk

None

Effect on fertility

Rated 2.7

1240 reviews

Daily

Frequency

91% - 99+%

Effectiveness

None

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.

Progestogen-only / Mini pill ingredients

Main hormones in Progestogen-only / Mini pill

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

Period pain

Try it now

Want to switch contraception?

Try it now

£From £0.22/day

Check out our latest reviews

Real life reviews from people like you

Cap or diaphragm reviews

13 reviews

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.

Read more

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 1 - 3 mo
37 years old
🇬🇧 UK
  •  2nd Dec 22

  •  Stopped using

Having experienced terrible physical and mental health side effects from both types of contraceptive pill (Combined and POP), and permanent pain and repeated UTIs with the copper coil, I hoped that Caya diaphragm would be a suitable non-hormonal method to try. Unfortunately, I found insertion very tricky - it seems I have a case of "deep vagina, small fingers", as I could never tell whether I'd pushed the diaphragm up far enough to cover my cervix, and sex was always a bit uncomfortable. I'm naturally prone to cystitis and thrush, and getting both while using the diaphragm also put me off using it long term. However, on the plus side - I didn't get pregnant (though I was still breastfeeding a lot, and my periods hadn't yet returned postpartum), and I did manage to avoid the hormonal depression, skin changes and weight gain/loss that I've experienced in the past with pills.


Top side effects not reported

2 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 1 - 3 mo
37 years old
🇬🇧 UK
  •  2nd Dec 22

  •  Stopped using

Having experienced terrible physical and mental health side effects from both types of contraceptive pill (Combined and POP), and permanent pain and repeated UTIs with the copper coil, I hoped that Caya diaphragm would be a suitable non-hormonal method to try. Unfortunately, I found insertion very tricky - it seems I have a case of "deep vagina, small fingers", as I could never tell whether I'd pushed the diaphragm up far enough to cover my cervix, and sex was always a bit uncomfortable. I'm naturally prone to cystitis and thrush, and getting both while using the diaphragm also put me off using it long term. However, on the plus side - I didn't get pregnant (though I was still breastfeeding a lot, and my periods hadn't yet returned postpartum), and I did manage to avoid the hormonal depression, skin changes and weight gain/loss that I've experienced in the past with pills.


Top side effects not reported

2 helpful

0 comments


Progestogen-only / Mini pill reviews

1240 reviews

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

  •  Stopped using

Short term symptoms were: very tender breasts and feeling weird for a week couple of weeks. Most importantly I suppose - I did not get pregnant while on the mini pill, so it did it's job. It also stopped my periods completely, which was convenient. I was struggling on and off with depression starting just BEFORE I started on the pill, so it didn't caused thay but but I do think it prolonged the problem.


Top side effects not reported

0 helpful

0 comments

Used for 6 - 12 mo
19 years old
🇬🇧 UK
  •  1 day ago

  •  Stopped using

Put on a lot of weight


Top side effects not reported

0 helpful

0 comments

Used for 1 - 3 mo
Lowdown user
🇬🇧 UK
  •  2 days ago

  •  Still using

I’ve been on this pill for 7 weeks after having the Modena coil and then copper coil. For them removed fallen on pregnant so had to try something else. I was struggling as I suffer with hormonal acne so wanted to go on a combined pill but I could t as I suffer with migraines. So I but the bullet and give this a try. I can honestly say it’s helped with my anxiety and mood swings so much. I feel a lot calmer in myself too. My periods have stayed same so far maybe a bit lighter. My acne hasn’t improved or got worse really just same well I think so anyway. The first few weeks I was constantly bloated and constipated but I just take two husk tablets a night now and I’m back to goi g regular. Overall I’m finding this pill ok and I’m happy with the way it’s helped my mood swings.


Top side effects not reported

0 helpful

0 comments

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

  •  Stopped using

Short term symptoms were: very tender breasts and feeling weird for a week couple of weeks. Most importantly I suppose - I did not get pregnant while on the mini pill, so it did it's job. It also stopped my periods completely, which was convenient. I was struggling on and off with depression starting just BEFORE I started on the pill, so it didn't caused thay but but I do think it prolonged the problem.


Top side effects not reported

0 helpful

0 comments

Used for 6 - 12 mo
19 years old
🇬🇧 UK
  •  1 day ago

  •  Stopped using

Put on a lot of weight


Top side effects not reported

0 helpful

0 comments

Used for 1 - 3 mo
Lowdown user
🇬🇧 UK
  •  2 days ago

  •  Still using

I’ve been on this pill for 7 weeks after having the Modena coil and then copper coil. For them removed fallen on pregnant so had to try something else. I was struggling as I suffer with hormonal acne so wanted to go on a combined pill but I could t as I suffer with migraines. So I but the bullet and give this a try. I can honestly say it’s helped with my anxiety and mood swings so much. I feel a lot calmer in myself too. My periods have stayed same so far maybe a bit lighter. My acne hasn’t improved or got worse really just same well I think so anyway. The first few weeks I was constantly bloated and constipated but I just take two husk tablets a night now and I’m back to goi g regular. Overall I’m finding this pill ok and I’m happy with the way it’s helped my mood swings.


Top side effects not reported

0 helpful

0 comments

Used for 1 - 3 mo
39 years old
🇬🇧 UK
  •  1 week ago

  •  Still using

Started first day of period and bleed went on for 11 days (3 days heavy) and then stopped. Started spotting exactly when next period would have been due but skipped placebos and this stopped as soon as it started. I suffer with endometriosis and heavy periods so need the break as ferritin was constantly low. Also sciatica pain on left side has strangely stopped since starting these and only on 2nd packet. Moods are more consistent and I’m not getting as angry over the small things anymore. Overall I’m pretty happy with this pill and hoping I can carry on with it to menopause now.


Top side effects not reported

0 helpful

0 comments

Used for 1 - 3 mo
24 years old
🇬🇧 UK
  •  2 weeks ago

  •  Still using

I started the mini-pill as a quick method inbetween the time I was waiting to get the Copper Coil contraceptive. It has worked very well! No spotting or bleeding. Except, my periods were slightly heavier but had little to no cramps. I was very skeptical of the pill affecting my mental health but I am not sure as it could be other reasons!


Top side effects not reported

0 helpful

0 comments

Used for 12 - 18 mo
31 years old
🇬🇧 UK
  •  3 weeks ago

  •  Stopped using

Overall after trying many different pills, this was the best, I started to have very depressive weeks so I stopped as I was afraid of some suicidal thoughts.


Top side effects not reported

0 helpful

0 comments

Used for 3 - 6 mo
43 years old
🇬🇧 UK
  •  3 weeks ago

  •  Still using

I've been on Slynd (Slinda) for 5 months. I've had irregular bleeding the whole time. It is lighter than an actual period but enough to have to wear a protection of some sort. I also get mild cramps with it often. I have PCOS and I feel it has helped my acne a bit but not as much as some combined pills I have been on (Yasmin, Yaz). I had hoped it would improve my skin more. No effect on weight, appetite or sex drive. I sleep very good with this pill but I see loads of quite vivid dreams, which I never used to see (or remember) in the past. My mood is stable with this pill, however I feel like my mood has been overall more positive on the combined pills.


Top side effects not reported

0 helpful

0 comments

Used for 1 - 3 mo
26 years old
🇬🇧 UK
  •  3 weeks ago

  •  Still using

I couldn’t be happier with this pill. After having a break from contraception and using FAM and falling pregnant twice, I decided I needed to go back on birth control. I initially tried the copper coil but it expelled after 24 hours and I didn’t want to go through the insertion process again. I went to the doctor and she’s said to give the mini pill a go, and I was prescribed Zelleta. I was really nervous as I have previously been in the combined pill for 7 years and it really impacted my mood so I was hesitant to try a pill again, but the doctor told me my body could react differently to the mini pill and she was right. The first two weeks I had headaches almost everyday, and was feeling extremely tired but I think this was down to my body getting used to the pill. After the three week mark they both disappeared. I had no loss of sex drive, I would actually say it’s increased which took me by surprise. I’ve lost around 8lbs and I feel like I have more energy. The only downside for me is my skin (previously completely clear) has had some breakouts but I will take it. My low mood and anxiety has decreased significantly. I was so hesitant to go back on the pill but when your doctor says they’re not all the same and you just have to find the right one for you, listen to them because it’s so true.


Top side effects not reported

1 helpful

0 comments

Used for 6 - 12 mo
28 years old
🇬🇧 UK
  •  1 month ago

  •  Still using

Lovima has essentially stopped my periods, with rare spotting for 1-2 days (hardly requires a pantyliner), but mostly these only come if I have been late taking a pill (less than 12 hours late but more than 6ish hours late). My mood is definitely slightly better, I noticed it especially after > 6 months. Less side effects than a combined pill so honestly would recommend.


Top side effects not reported

0 helpful

0 comments

Used for 3 - 6 mo
20 years old
🇬🇧 UK
  •  1 month ago

  •  Stopped using

The only side effect I had on this pill was the irregular bleeding. It worked for the first 2 months and then I just bled for the next 4 months (until I stopped). I suffer from VERY painful periods and even when I wasn’t bleeding or it was really light I can recall having 3 huge pain episodes that would last a few days. The pill didn’t affect my mood, but the side effects did because I had to spend nearly all summer inside because of the anxiety and depression. Aswell because of the bleeding I lost interest in sex (again, not caused by the pill directly). Overall I’m disappointed this method didn’t work. If I didn’t have bleeding and unexpected cramps this would’ve been perfect.


Top side effects not reported

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

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

Pharmacy services provided by Phlo Technologies Ltd. GPhC reg number: 9011171

When you click on some links on this site, we may get a small affiliate commission