Cap or diaphragm vs Progestogen-only / Mini pill

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Cap or diaphragm

Add your cap or diaphragm review

Progestogen-only / Mini pill

£From £0.22/day

Overview

Rated 3.9

15 reviews

During or before sex

Frequency

84% - 94%

Effectiveness

None

Blood clot risk

None

Effect on fertility

Rated 2.7

1364 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

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

32% somewhat negative

44% stopped periods

50% lost sex drive

44% no impact

45% no impact on skin

Cycle return

38% 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

Period pain

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Add your cap or diaphragm review

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£From £0.22/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
  •  2 weeks ago

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

1 comments

Cap or diaphragm  
Used for 3 - 6 mo
27 years old
🇬🇧 UK
  •  2 weeks ago

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

1 comments


Progestogen-only / Mini pill reviews

1364 reviews

Progestogen-only / Mini pill  
Used for 6 - 12 mo
34 years old
🇬🇧 UK
  •  3 days ago

Slynd pill  

Generally happy with this pill, which I'm now able to get from my GP. It's much better than Desogestrel for me. I haven't had a period since I started it and no breakthrough bleeding either. My skin is great on this pill and my weight hasn't changed - if anything I lost a bit of weight, which unfortunately made my boobs smaller. I read this pill has a diuretic effect but I haven't noticed that at all. Initially I had headaches and some disturbed sleep, but these went away after the first month. My sex drive is lower but not to the point of it being an issue. I love that it has the safety of a 24-hour window, plus it's made my mood really stable and has stopped my periods.


Improved skin

1 more effect

0 helpful

0 comments

Progestogen-only / Mini pill  
Used for 3 - 6 mo
Lowdown user
🇬🇧 UK
  •  2 weeks ago

Hana pill  

I have been taking Hana for 4-5 months now. Generally I have enjoyed the effects of taking a POP, but the specific effect Desogestrel had has led me to trying Slynd instead. Aside from the contraceptive effect, I mainly started taking this pill to combat low mood, hormonal headaches and to hopefully lighten my period. I did find all of these things improved on Hana, but I found that inconsistent and increasingly frequent bleeding was killing my sex drive, making it a touch redundant and prompting the switch. I would have likely reluctantly kept taking Hana (or tried a different brand) as I do feel my mood has benefited overall, and it is advised that bleeding can settle down over time, but now that Slynd was finally available in the UK, I see no need to compromise. In my first month on the pill, I had no bleeding at all (as you would expect). I also generally didn't notice many other side effects. I did have some mood swings - which took me by surprise, but were easier to handle once I identified what was happening and generally settled down after the first month. I also noticed slight vaginal dryness (not uncommon for me in my luteal phase and nothing a bit of lube can't fix) but have been unable to determine if this has also settled. As I got to the last week of pills in my first pack, I had a withdrawal bleed, which again was not unexpected. I was pleased to note that this was much lighter than my normal period, even if it lasted longer, because I could essentially just wear period underwear instead of my normal underwear and that would last all day. In my second month, I noticed some light but otherwise entirely manageable spotting. This alone would not have dissuaded me from taking this pill. I again had a withdrawal bleed around the start of the last week in the pack and would have been happy with that cadence. This is where the problems started, however. Through the course of the third month, I noticed that the light spotting was turning into more prolonged bleeding, which by the end of the month was almost constant and in some cases led me to leak through my clothes. Having done some research online, I decided to try taking two pills instead of just one - this did seem to make the bleeding lighter but it has continued. While I feel that the hormones have overall had a positive impact on my sex drive, it is very hard to feel attractive or think about sex when you are constantly bleeding.


Somewhat positive mood

0 helpful

0 comments

Progestogen-only / Mini pill  
Used for 3 - 6 mo
26 years old
🇬🇧 UK
  •  2 weeks ago

Noriday pill  

I have been on this pill for 4 months. My periods are regular which is the ONLY good thing about it. My skin is awful, bloating is insane. The bleeding is heavier than I’ve ever experienced and my sex drive has completely disappeared. Everyone’s experience is different but personally, this is the worst pill I’ve ever tried.


Very negative mood

3 more effects

0 helpful

0 comments

Progestogen-only / Mini pill  
Used for 6 - 12 mo
34 years old
🇬🇧 UK
  •  3 days ago

Slynd pill  

Generally happy with this pill, which I'm now able to get from my GP. It's much better than Desogestrel for me. I haven't had a period since I started it and no breakthrough bleeding either. My skin is great on this pill and my weight hasn't changed - if anything I lost a bit of weight, which unfortunately made my boobs smaller. I read this pill has a diuretic effect but I haven't noticed that at all. Initially I had headaches and some disturbed sleep, but these went away after the first month. My sex drive is lower but not to the point of it being an issue. I love that it has the safety of a 24-hour window, plus it's made my mood really stable and has stopped my periods.


Improved skin

1 more effect

0 helpful

0 comments

Progestogen-only / Mini pill  
Used for 3 - 6 mo
Lowdown user
🇬🇧 UK
  •  2 weeks ago

Hana pill  

I have been taking Hana for 4-5 months now. Generally I have enjoyed the effects of taking a POP, but the specific effect Desogestrel had has led me to trying Slynd instead. Aside from the contraceptive effect, I mainly started taking this pill to combat low mood, hormonal headaches and to hopefully lighten my period. I did find all of these things improved on Hana, but I found that inconsistent and increasingly frequent bleeding was killing my sex drive, making it a touch redundant and prompting the switch. I would have likely reluctantly kept taking Hana (or tried a different brand) as I do feel my mood has benefited overall, and it is advised that bleeding can settle down over time, but now that Slynd was finally available in the UK, I see no need to compromise. In my first month on the pill, I had no bleeding at all (as you would expect). I also generally didn't notice many other side effects. I did have some mood swings - which took me by surprise, but were easier to handle once I identified what was happening and generally settled down after the first month. I also noticed slight vaginal dryness (not uncommon for me in my luteal phase and nothing a bit of lube can't fix) but have been unable to determine if this has also settled. As I got to the last week of pills in my first pack, I had a withdrawal bleed, which again was not unexpected. I was pleased to note that this was much lighter than my normal period, even if it lasted longer, because I could essentially just wear period underwear instead of my normal underwear and that would last all day. In my second month, I noticed some light but otherwise entirely manageable spotting. This alone would not have dissuaded me from taking this pill. I again had a withdrawal bleed around the start of the last week in the pack and would have been happy with that cadence. This is where the problems started, however. Through the course of the third month, I noticed that the light spotting was turning into more prolonged bleeding, which by the end of the month was almost constant and in some cases led me to leak through my clothes. Having done some research online, I decided to try taking two pills instead of just one - this did seem to make the bleeding lighter but it has continued. While I feel that the hormones have overall had a positive impact on my sex drive, it is very hard to feel attractive or think about sex when you are constantly bleeding.


Somewhat positive mood

0 helpful

0 comments

Progestogen-only / Mini pill  
Used for 3 - 6 mo
26 years old
🇬🇧 UK
  •  2 weeks ago

Noriday pill  

I have been on this pill for 4 months. My periods are regular which is the ONLY good thing about it. My skin is awful, bloating is insane. The bleeding is heavier than I’ve ever experienced and my sex drive has completely disappeared. Everyone’s experience is different but personally, this is the worst pill I’ve ever tried.


Very negative mood

3 more effects

0 helpful

0 comments

Progestogen-only / Mini pill  
Used for 3 - 6 mo
24 years old
🇬🇧 UK
  •  2 weeks ago

Desogestrel pill  

3-6 months: (started the pill on 14/10/2024. I've done a review on my first 3 months so this is a follow up) Day 126 - 17/02/2024 – I’ve pretty much had 2 back to back periods with a 2 day break between which I really didn’t appreciate. They really hurt and I convinced myself something was wrong. I have made a doctors appointment to talk through everything. I’m just fed up with bleeding all of the time. I’m spending SO MUCH on pads it’s ridiculous. 12/03/2025 - I’m on my second week of my 6th month of the pill. I’ve kept having back to back periods and consulted the doctor. Because I’m coming up to 25 I had a routine smear (that came back clear) and the doctor did a pelvic exam and they recon it’s the pill that’s the cause of all the bleeding (which I assumed it was anyway. But better safe than sorry). I’m fed up of the bleeding but they’ve given me 6 more months after this to see if it settles. If not we’ll switch to something else. 5/4/2025 - I’m coming to the end of my 1st week in the 7th month of the pill. All I can say is that I’ve stopped bleeding/spotting for the most part. It’s been about 3 weeks since I last bled. So I guess the doctor was right. However, I had like a 1 day period at the beginning of the week it was painful and some period blood and then nothing since. But the last couple of days I’ve had some cramping as if a period wants to start but hasn’t yet. Overall, I think we’re getting back on track hopefully. Sorry I didn't reflect as much but it's pretty much been the same sort of story for the past 3 months


Worse skin

2 more effects

0 helpful

0 comments

Progestogen-only / Mini pill  
Used for 1 - 3 mo
16 years old
🇬🇧 UK
  •  3 weeks ago

Zelleta pill  

Since taking the zelleta pull my mood has gotten a lot worse. I catch myself crying over little things I would have never cried about before. I used to take the cerelle pill which worked well for me but now I get irritated easily and lasch out at my boyfriend a lot.


Very negative mood

1 more effect

0 helpful

0 comments

Progestogen-only / Mini pill  
Used for 5 - 8 yr
23 years old
🇬🇧 UK
  •  3 weeks ago

Noriday pill  

Never have had a pregnancy scare (touch wood). I’ve been on Noriday for at least 5 years now and affect trying 2 different BC’s and another mini-pill, this is by far the best off.


Improved skin

1 more effect

0 helpful

0 comments

Progestogen-only / Mini pill  
Used for 3 - 5 yr
27 years old
🇬🇧 UK
  •  3 weeks ago

Noriday pill  

I’ve been on this pill for about 4 years now and I wouldn’t recommend it to anyone. Periods come and go when they please (at least 2/3 times a month) and can last for weeks on end. I tried to change to Desogestrel after a trip to the doctors but that made me throw up for 5 days straight. I’m limited to what pills I can take due to family history so I’m stuck with this until I can find an alternative, only plus side is is haven’t fell pregnant once whilst on it.


Improved skin

1 more effect

0 helpful

0 comments

Progestogen-only / Mini pill  
Used for 1 - 3 mo
38 years old
🇬🇧 UK
  •  3 weeks ago

Cerazette pill  

I wanted to come on here to write this review and want people of the potential side effects of this medicine. I have experienced a really negative change in general outlook, mood and self worth and completely put it down to this pill. I have today thrown it in the bin after becoming so down that I couldn’t function. I have been on this pill before & for a lengthy stretch, but this time (after having a child) has been completely different and utterly awful. At the start of taking it my periods were quite constant, but they did get lighter and more manageable on this pill. If the mood change wasn’t so bad I would still take it but it’s not worth it at all


Very negative mood

1 more effect

0 helpful

0 comments

Progestogen-only / Mini pill  
Used for 3 - 5 yr
32 years old
🇬🇧 UK
  •  1 month ago

Cerazette pill  

I have been on Cerazette for 4 years now. Initially, I had headaches, breast tenderness and mood swings. These symptoms subsided after 3 months. My periods became very irregular and then stopped altogether. Although my doctors deny this all the time, I feel like the pill caused excessive weight gain. Yes, I have had circumstances that affected my life but the weight gain was dramatic. In the first year alone, I gained 15 kilograms. After 4 years, I am up to 25 kg extra weight (BMI 29) and I am struggling to lose the weight with diet and exercise. Lately, I have had more bodily hair growth and am losing some hair on my head. Not many mood swings but definitely feeling angry most of the time. I am also struggling with a very low sex drive, which is starting to affect my marriage. I have an appointment with my GP, will try to switch to the combined pill to try.


Somewhat negative mood

3 more effects

0 helpful

0 comments

Progestogen-only / Mini pill  
Used for 3 - 6 mo
22 years old
🇬🇧 UK
  •  1 month ago

Lovima pill  

This pill stopped me from getting pregnant and that was the only good thing about it. Constant spotting, sore nipples, and decreased sex drive. Now on norgeston and so much happier!


Decreased sex drive

0 helpful

0 comments

Contraceptive alternatives and comparisons

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