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 3.8

16 reviews

During or before sex

Frequency

84% - 94%

Effectiveness

None

Blood clot risk

None

Effect on fertility

Rated 2.7

1504 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

88% no impact on mood

88% no change

94% no impact

100% no impact

83% 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

39% 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

16 reviews

Cap or diaphragm  
Used for 1 - 3 mo
26 years old
🇬🇧 UK
  •  13th Dec 25

Cap or diaphragm  

I decided to invest in the Caya diaphragm since I was determined to find a non-hormonal method I could use that wouldn’t impact sex too much (I get irritation with condoms and the copper coil moved out of place pretty much immediately). I really wanted it to work but unfortunately it was way too uncomfortable during sex. It feels like there’s just way too much ‘stuff’ inside me. And I think it obstructs my natural wetness (I suspect that’s why some people mention a lot of discharge upon removal). My partner also said while he could definitely feel it, it wasn’t uncomfortable. I’d choose condoms over the diaphragm unfortunately. Hope this helps :)

Read more

Top side effects not reported

0 helpful

0 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 1 - 3 mo
26 years old
🇬🇧 UK
  •  13th Dec 25

Cap or diaphragm  

I decided to invest in the Caya diaphragm since I was determined to find a non-hormonal method I could use that wouldn’t impact sex too much (I get irritation with condoms and the copper coil moved out of place pretty much immediately). I really wanted it to work but unfortunately it was way too uncomfortable during sex. It feels like there’s just way too much ‘stuff’ inside me. And I think it obstructs my natural wetness (I suspect that’s why some people mention a lot of discharge upon removal). My partner also said while he could definitely feel it, it wasn’t uncomfortable. I’d choose condoms over the diaphragm unfortunately. Hope this helps :)


Top side effects not reported

0 helpful

0 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


Progestogen-only / Mini pill reviews

1504 reviews

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

Slynd pill  

A couple of months after starting Slynd I noticed a lot of hair in the plug hole after showering. I have fine but dense hair, so it took some time to realise just how much I was losing. I estimate I lost in a day what I previously would have lost in a week. The hairline behind my ears receded 2-3cm but otherwise I shed all over my head. My hair is now very thin, pony tail barely there, and my scalp is very visible if I wear my hair back. I think I have lost 2/3 of my hair at least. It is still falling out at the same rate a month after stopping it.


Top side effects not reported

0 helpful

0 comments

Progestogen-only / Mini pill  
Used for 12 - 18 mo
35 years old
🇬🇧 UK
  •  5 days ago

Desogestrel pill  

I was on this mini pill for just over a year after switching from the combined pill. It slowly affected my mood to the point where my mood was constantly flat and I didn’t feel excited about anything. My libido was also very low. I felt a massive difference after stopping. Positives were I didn’t have periods often (every 6-8 weeks) and not much period pain. The 12 hour window to take the pill was also helpful when I sometimes forgot, as some other mini pills have shorter windows.


Very negative mood

3 more effects

0 helpful

0 comments

Progestogen-only / Mini pill  
Used for 12 - 18 mo
18 years old
🇬🇧 UK
  •  2 weeks ago

Slynd pill  

I’ve had no serious side effects and the ones I’ve had are very minimal and don’t affect me


Worse skin

1 more effect

0 helpful

0 comments

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

Slynd pill  

A couple of months after starting Slynd I noticed a lot of hair in the plug hole after showering. I have fine but dense hair, so it took some time to realise just how much I was losing. I estimate I lost in a day what I previously would have lost in a week. The hairline behind my ears receded 2-3cm but otherwise I shed all over my head. My hair is now very thin, pony tail barely there, and my scalp is very visible if I wear my hair back. I think I have lost 2/3 of my hair at least. It is still falling out at the same rate a month after stopping it.


Top side effects not reported

0 helpful

0 comments

Progestogen-only / Mini pill  
Used for 12 - 18 mo
35 years old
🇬🇧 UK
  •  5 days ago

Desogestrel pill  

I was on this mini pill for just over a year after switching from the combined pill. It slowly affected my mood to the point where my mood was constantly flat and I didn’t feel excited about anything. My libido was also very low. I felt a massive difference after stopping. Positives were I didn’t have periods often (every 6-8 weeks) and not much period pain. The 12 hour window to take the pill was also helpful when I sometimes forgot, as some other mini pills have shorter windows.


Very negative mood

3 more effects

0 helpful

0 comments

Progestogen-only / Mini pill  
Used for 12 - 18 mo
18 years old
🇬🇧 UK
  •  2 weeks ago

Slynd pill  

I’ve had no serious side effects and the ones I’ve had are very minimal and don’t affect me


Worse skin

1 more effect

0 helpful

0 comments

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

Desogestrel pill  

i have definitely noticed good and bad side effects just after a month of taking this mini pill, one of the good ones is i have lost weight without changing my diet or physical exercise, as well as an increased sex drive and enlarged breasts! (a positive for a smaller chest sized girlie like me) however i have also experienced negatives such as very drastic mood swings that change rapidly, as well as uncomfortable vaginal dryness and more bloating than usual. i am also spotting quite frequently but not heavy whatsoever, i only have to use a tampon a day to prevent the blood from ruining my nice underwear


Somewhat negative mood

2 more effects

0 helpful

0 comments

Progestogen-only / Mini pill  
Used for 8+ yr
35 years old
🇬🇧 UK
  •  2 weeks ago

Desogestrel pill  

I have been on this contraception since I was 17 and I am now 35. The contraception has done what it said it would do and provided me with a very low risk of pregnancy. During that time I had no scares or worries that i was pregnant. Whilst being on this pill I have had no bleeding for over 5 years. Prior to that the bleeding was very minimal and infrequent. I have suffered with hornmonal (neck and jaw) acne throughout the whole time I have been on this pill. I have had frequent lower back ache and stomach cramps. I have suffered with normal to severe anxiety which has fluctuated throughout the years.


Somewhat negative mood

2 more effects

0 helpful

0 comments

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

Desogestrel pill  

I started taking desogestrel for Endometriosis symptoms, I was having a lot of fatigue and thought I would try altering my hormones. I saw on the packet that the pill contained lactose but after a google search I was fairly confident that it was a low enough level to not affect me too much (I have had quite a lot of gut symptoms due to Endo and eliminated a few foods, lactose was one of them). After being on the pill for 3 months I was sure that the lactose has been causing some significant side effects, including less control over my bowels. Through an e-consult, I requested a version of the pill that didn't contain lactose. It turns out that there is not one single oral contraceptive pill that does not contain lactose! This is unbelievable to me and I believe there should be more awareness of this.


Somewhat negative mood

3 more effects

0 helpful

0 comments

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

Hana pill  

I think this is the best mini-pill I have taken so far as it has very little side effects for me personally speaking. Made my periods a lot lighter, almost non existent which is great for my endometriosis. Mood wise it didn't have much of an effect either, other mini pills made me sad or depressed. Its frustrating its not free on the NHS in the UK but you can buy it over the counter after you have consulted with a pharmacist. Worth a try if other mini-pills didnt agree with you.


Decreased sex drive

0 helpful

0 comments

Progestogen-only / Mini pill  
Used for 6 - 12 mo
36 years old
🇬🇧 UK
  •  1 month ago

Slynd pill  

Expect to bleed for up to 2 months while you shed your uterine lining (TMI, but you asked!) but if you stick it out, it will transform your life. My lower belly is flat, my skin improved massively, my moods are stable and my brainfog is gone too (though this could be blue light sensitivity/food intolerance-related). Try this if your experiencing massive spikes in estrogen levels around your ovulation, dangerous mood swings, or can’t take estrogen for whatever reason. Lifesaver!


Very positive mood

3 more effects

0 helpful

1 comments

Progestogen-only / Mini pill  
Used for 6 - 12 mo
17 years old
🇬🇧 UK
  •  1 month ago

Cerazette pill  

It's stopped my period completely which is great, not that i had bad periods to begin with but it was definitely convenient. i've become quite irritable since being on cerazette and just overall heightened negative emotions. in the first couple months i had lots of nausea but that went away pretty quickly. overall it's been an alright experience, not bad but not amazing


Somewhat negative mood

0 helpful

0 comments

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

Cerelle pill  

This is my second time using Cerelle and I’m about a month into it. The first time, about a year ago, I decided to stop using it because I was constantly bleeding. However this time round my periods seem to have stopped all together.


Worse skin

1 more effect

0 helpful

0 comments

Contraceptive alternatives and comparisons

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