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

1373 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

43% 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
  •  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

1373 reviews

Progestogen-only / Mini pill  
Used for 5 - 8 yr
31 years old
🇬🇧 UK
  •  today

Desogestrel pill  

Was on desogestrel for almost 8 years. Only got light spotting when I missed a pill, otherwise very easy adjusting to pill. I’ve stopped now as I’m trying to conceive and actually stopping has been an experience - I’ve been getting hormonal acne and my sex drive has shot through the roof! I also developed minor vaginismus (related to stress levels) on the pill and that seems to have gone away in the last month since I stopped desogestrel. I can update this in a few months time in case these symptoms are temporary or not.


Decreased sex drive

0 helpful

0 comments

Progestogen-only / Mini pill  
Used for 8+ yr
33 years old
🇬🇧 UK
  •  6 days ago

Cerazette pill  

I would HIGHLY recommend this contraception. In my opinion it is one of the best, if not the best and has worked for me 100%


Somewhat positive mood

2 more effects

1 helpful

0 comments

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

Desogestrel pill  

This is the WORST. My mental health plummeted on this pill, crying nearlt everyday. Not to mention i was bleeding medium heavy for 30+ days every single day. Really terrible effect i would not recommend. My doctor said to wait another week but after bleeding for a month straight i couldnt.


Top side effects not reported

1 helpful

0 comments

Progestogen-only / Mini pill  
Used for 5 - 8 yr
31 years old
🇬🇧 UK
  •  today

Desogestrel pill  

Was on desogestrel for almost 8 years. Only got light spotting when I missed a pill, otherwise very easy adjusting to pill. I’ve stopped now as I’m trying to conceive and actually stopping has been an experience - I’ve been getting hormonal acne and my sex drive has shot through the roof! I also developed minor vaginismus (related to stress levels) on the pill and that seems to have gone away in the last month since I stopped desogestrel. I can update this in a few months time in case these symptoms are temporary or not.


Decreased sex drive

0 helpful

0 comments

Progestogen-only / Mini pill  
Used for 8+ yr
33 years old
🇬🇧 UK
  •  6 days ago

Cerazette pill  

I would HIGHLY recommend this contraception. In my opinion it is one of the best, if not the best and has worked for me 100%


Somewhat positive mood

2 more effects

1 helpful

0 comments

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

Desogestrel pill  

This is the WORST. My mental health plummeted on this pill, crying nearlt everyday. Not to mention i was bleeding medium heavy for 30+ days every single day. Really terrible effect i would not recommend. My doctor said to wait another week but after bleeding for a month straight i couldnt.


Top side effects not reported

1 helpful

0 comments

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

Desogestrel pill  

this was my first contraceptive pill i tried. in the first three months, i did struggle with lower mood and had consistent light bleeding that would last for over a week. later on, i adjusted better and eventually stopped having a period, with the occasional light bleeding from time to time. i experienced decreased sex drive and mentally has not been great but it has been manageable. i decided to stop this after 10 months due to suddenly getting worsened acne, which is not something i have struggled with since i was a young teenager


Somewhat negative mood

2 more effects

1 helpful

0 comments

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

Norgeston pill  

I’ve gained some weight but I don’t think it was the pill alone, other factors such as other medication and enjoying food are at play! I’ve enjoyed having a regular cycle (still ovulating) with less intense highs and lows emotionally but no impact to libido. Has been helpful for PMS overall. Some side effects are headaches and tender/larger breasts. I’ve adjusted the 3 hour window to take this pill a few times with ease too.


Somewhat positive mood

1 more effect

0 helpful

0 comments

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

Desogestrel pill  

Tried the mini pill because combined contraception scared me and I knew I had to go on something as I had recently got an abortion and suffered badly with period cramps. So far I’ve had very few side effects in the first month I had a couple of acne spots popping up due to the change in hormones but they stopped towards the end of my second month. I’ve been keeping an eye on my weight and it’s had no effect and I haven’t had an increase in appetite as I take the pill before I go to sleep at 9:30pm which I recommend so much. Overall my mood hasn’t been affected at all and I have stopped bleeding pretty much, I have had a small period recently on my 2nd month of pills but no cramps or bloating. Overall I’m super happy I started this pill of course it’s different for everybody my advice go with what you think is best for you and regularly check in with your doctor. It’s trial and error but don’t read into it online as everyone has different side effects this pill may work really well for you and not for others! I defo recommend though 🫶


Top side effects not reported

1 helpful

0 comments

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

Cerazette pill  

Hi in my experience the breakthrough bleeding was too much for me. I had to change pill due to starting on hrt. Previously used microgynon which was great periods were like clockwork. Short 4 days and fairly light. I stopped using it and now use noriday.


Top side effects not reported

0 helpful

0 comments

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

Cerazette pill  

The first few months have been rough. Originally went on this pill to alleviate symptoms of Endemetriosis but I’ve had worse side effects then my natural cycle with Endo. I’m giving it one more cycle and if nothing changes then I’ll go off the pill


Somewhat negative mood

2 more effects

0 helpful

0 comments

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

Progestogen-only / Mini pill  

I’ve been on multiple brands of pills, Cerazette, Yasminelle and Microlite. Microlite was the bane of my existence , it made me extremely hormonal I was constantly crying and a very irritable person but I’ve been on Cerazette about 2 years and have found it’s the one I agree with the most


Somewhat negative mood

2 more effects

0 helpful

0 comments

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

Contraceptive alternatives and comparisons

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