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

1414 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

31% somewhat negative

44% stopped periods

49% lost sex drive

44% no impact

46% 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

Try it now

£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
  •  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


Progestogen-only / Mini pill reviews

1414 reviews

Progestogen-only / Mini pill  
Used for 12 - 18 mo
36 years old
🇬🇧 UK
  •  1 day ago

Slynd pill  

I went on Slynd to help with endometriosis, but unfortunately I developed a wide range of side effects that made me stop. The most unusual one was nerve-like stinging pain after sex and orgasms. Even though I stayed lubricated, I would get a burning/nerve pain that lasted for days afterwards. Alongside that, I also experienced dry mouth, chest pain, insomnia, low mood, low energy, acne, dry skin, anxiety, and frequent headaches. The combination left me feeling really unwell, physically and emotionally. I wanted to share because painful orgasms and these systemic symptoms weren’t something I’d ever read about with Slynd, and if anyone else is going through the same thing, you’re not imagining it


Very negative mood

2 more effects

0 helpful

0 comments

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

Desogestrel pill  

I stopped taking the pill yesterday. I used desogestrel for four months for my endometriosis. I tried really hard to stay positive, to remind myself that it takes time for the side effects to go away and for my endo pain to lessen. Well, unfortunately desogestrel hasn't helped at all, but has made everything worse for me. I've gained 5 kgs in these four months. I've always been naturally skinny and never gained (or lost) weight, so gaining this much in such a short amount of time is a lot for my body and self-esteem. Most of my pants don't fit anymore. Sure, some of it is just endo bloating, but the weight gain does play a part in it. And then there's the hot flashes. One minute I'm sweating like crazy, the next I'm feeling cold. I've also had constant breakthrough bleeding, so I'm using pantyliners daily. For the last two months of using the pills, I've had my periods every other week, which means I'm in terrible pain more often than I was without the pills. That's why I finally decided I've had enough and stopped taking desogestrel. I can't stand all the side effects and the pain. But this is just my experience, the pills might work for someone else! :)


Somewhat negative mood

1 more effect

0 helpful

0 comments

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

Cerazette pill  

I used this for a month hoping it would help with period cramps. Do not recommend. I used it perfectly and felt nauseous everyday after taking it. I got a 9 day period (with cramps) during what was supposed to be my "ovulation" week.It had me feeling very anrgy, caused me period like pains and headaches daily.


Somewhat negative mood

2 more effects

0 helpful

0 comments

Progestogen-only / Mini pill  
Used for 12 - 18 mo
36 years old
🇬🇧 UK
  •  1 day ago

Slynd pill  

I went on Slynd to help with endometriosis, but unfortunately I developed a wide range of side effects that made me stop. The most unusual one was nerve-like stinging pain after sex and orgasms. Even though I stayed lubricated, I would get a burning/nerve pain that lasted for days afterwards. Alongside that, I also experienced dry mouth, chest pain, insomnia, low mood, low energy, acne, dry skin, anxiety, and frequent headaches. The combination left me feeling really unwell, physically and emotionally. I wanted to share because painful orgasms and these systemic symptoms weren’t something I’d ever read about with Slynd, and if anyone else is going through the same thing, you’re not imagining it


Very negative mood

2 more effects

0 helpful

0 comments

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

Desogestrel pill  

I stopped taking the pill yesterday. I used desogestrel for four months for my endometriosis. I tried really hard to stay positive, to remind myself that it takes time for the side effects to go away and for my endo pain to lessen. Well, unfortunately desogestrel hasn't helped at all, but has made everything worse for me. I've gained 5 kgs in these four months. I've always been naturally skinny and never gained (or lost) weight, so gaining this much in such a short amount of time is a lot for my body and self-esteem. Most of my pants don't fit anymore. Sure, some of it is just endo bloating, but the weight gain does play a part in it. And then there's the hot flashes. One minute I'm sweating like crazy, the next I'm feeling cold. I've also had constant breakthrough bleeding, so I'm using pantyliners daily. For the last two months of using the pills, I've had my periods every other week, which means I'm in terrible pain more often than I was without the pills. That's why I finally decided I've had enough and stopped taking desogestrel. I can't stand all the side effects and the pain. But this is just my experience, the pills might work for someone else! :)


Somewhat negative mood

1 more effect

0 helpful

0 comments

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

Cerazette pill  

I used this for a month hoping it would help with period cramps. Do not recommend. I used it perfectly and felt nauseous everyday after taking it. I got a 9 day period (with cramps) during what was supposed to be my "ovulation" week.It had me feeling very anrgy, caused me period like pains and headaches daily.


Somewhat negative mood

2 more effects

0 helpful

0 comments

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

Slynd pill  

In general I had a good experience with Slynd. It helped my underlying endometriosis significantly and for the 4 months I was on it I had no period cramps or pain for the first time ever. Unfortunately I had to stop taking it because I was spotting everyday. I thought my body needed time to adjust but after 4 months I was still wearing a pantyliner every day. It was very minimal and I had no pain but I just didn't want to wear liners every day. Once I stopped Slynd I went back to 'normal' after about 3 days but sadly my periods are back to being painful. As an aside, I noticed a reduction in sweating whilst on Slynd and several days I would go without antiperspirant or deodorant.


Top side effects not reported

0 helpful

0 comments

Progestogen-only / Mini pill  
Used for 18 mo - 3 yr
28 years old
🇬🇧 UK
  •  1 month ago

Cerelle pill  

Great pill been on and off twice for a few years, no side effects bar really really really tender and sore and sensitive breasts. I have such bad health anxiety and honestly this had my questioning if I needed to go to the doctors because of the scary big C that’s how sore and tender my breasts have been, can’t even lie on them.


Somewhat positive mood

0 helpful

0 comments

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

Cerazette pill  

Went on this for fibroid heavy bleeding and period pain. Have daily bleeding and spotting since starting, and periods are now more irregular and as heavy as before. It didn't help with pain at all. Im going to finish out this month's pack and go off them. However, I got some acupuncture two weeks ago and the pain during my period this month has been greatly reduced. Would reccommend trying it!


Somewhat negative mood

2 more effects

0 helpful

0 comments

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

Desogestrel pill  

Since i was 18 i tried 7 different contraception methods (pills and nuvaring). However i had diagnosed migraines, but none of the OBGYNs i was seeing though this was a concern. Now i am 24 and i finally found a competent OBGYN thanks to my friend. She was the only one who really looked through and studied my medical history and suggested taking desogestrel for my ovarian cysts and corpus luteum cyst, which were more rare occasion. I started my second pack today and i’m scared to jinx but the last two weeks were amazing. The first two weeks were a hell, i had bleeding for quite some time and then spotting for a week or more. Now i don’t have any spotting, my sex drive is the same, i am happy and i feel like i even started to lose weight. I am planning to update my story next month to see how my body would feel on these pills.


Somewhat positive mood

1 more effect

0 helpful

0 comments

Progestogen-only / Mini pill  
Used for 3 - 6 mo
17 years old
🇬🇧 UK
  •  13th Aug 25

Cerelle pill  

I was taking the contraception to stop painful periods or although I wasn’t any physical pain, my mental health went in freefall.


Very negative mood

2 more effects

0 helpful

0 comments

Progestogen-only / Mini pill  
Used for 3 - 6 mo
30 years old
🇬🇧 UK
  •  7th Aug 25

Desogestrel pill  

It feels nice not having a period. But I’ve noticed I’ve become more spotty , I sweat more also & get thrush


Somewhat positive mood

3 more effects

0 helpful

0 comments

Progestogen-only / Mini pill  
Used for 1 - 3 mo
31 years old
🇬🇧 UK
  •  6th Aug 25

Slynd pill  

Has helped with PMDD symptoms, have not had a period since I’ve been using it. Complete loss of sex drive which I really don’t like.


Very positive mood

1 more effect

0 helpful

0 comments

Contraceptive alternatives and comparisons

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