Cap or diaphragm vs Progestogen-only / Mini pill
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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
1498 reviews
Daily
Frequency
91% - 99+%
Effectiveness
None
Blood clot risk
None
Effect on fertility
Cap or diaphragm ingredients
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
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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
Used for 1 - 3 mo
26 years old
🇬🇧 UK
• 13th Dec 25
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
Used for 3 - 6 mo
27 years old
🇬🇧 UK
• 6th Apr 25
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
Used for 3 - 5 yr
Lowdown user
🇬🇧 UK
• 13th May 24
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
Used for 1 - 3 mo
26 years old
🇬🇧 UK
• 13th Dec 25
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
Used for 3 - 6 mo
27 years old
🇬🇧 UK
• 6th Apr 25
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
Used for 3 - 5 yr
Lowdown user
🇬🇧 UK
• 13th May 24
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
1498 reviews
Used for 1 - 3 mo
47 years old
🇬🇧 UK
• 2 days ago
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
Used for 6 - 12 mo
36 years old
🇬🇧 UK
• 2 days ago
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
0 comments
Used for 6 - 12 mo
17 years old
🇬🇧 UK
• 2 weeks ago
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
Used for 1 - 3 mo
47 years old
🇬🇧 UK
• 2 days ago
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
Used for 6 - 12 mo
36 years old
🇬🇧 UK
• 2 days ago
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
0 comments
Used for 6 - 12 mo
17 years old
🇬🇧 UK
• 2 weeks ago
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
Used for 1 - 3 mo
20 years old
🇬🇧 UK
• 2 weeks ago
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
Used for 1 - 3 mo
33 years old
🇬🇧 UK
• 2 weeks ago
Had to stop after a month - constant headaches that turned into migraines every few days. Near constant bleeding for two weeks, cystitis and some swelling. I’m very sensitive to hormones and felt that even if I could get through the settling in phase this one wouldn’t work for me.
Decreased sex drive
0 helpful
0 comments
Used for 1 - 3 mo
27 years old
🇬🇧 UK
• 3 weeks ago
Feel like the mini pill has levelled out my mood after years of going literally crazy 1-2 days before my period. Having no periods is a welcome relief but I have experienced a slight drop in libido and some dryness which isn’t ideal.
Somewhat positive mood
1 more effect
0 helpful
0 comments
Used for 3 - 6 mo
32 years old
🇬🇧 UK
• 1 month ago
Slynd started off great no period was a bonus, water retention went down. Then after 2 months it made me very irritable and my mood very very low. Within a week of stopping both returned to normal.
Very negative mood
1 more effect
0 helpful
0 comments
Used for 6 - 12 mo
22 years old
🇬🇧 UK
• 28th May 26
went on cerazette after trying out microgynon30ED and noriday (which both caused frequent irregular bleeding). My GP told me cerazette was fantastic for people who experience frequent bleeding on other mini-pills and often their periods stop. i started it back in late september 2025, and experienced bleeding every second week. fine, i thought, it’s just my body getting used to it! by november i was having just one period a month again! yay!! this was short lived however, as by december i was back to having it every 2nd week. in january i bled for 25 days straight. i was told that the first 3-5 months are expected to see changes in bleeding, so i stuck it out a bit longer. unfortunately the bleeding never stopped, and i continued to get my period now every week and a half, or sometimes even more frequently with only 3 days break in between cycles. :( it’s end of may now and have been on cerazette for 9 months. i am still bleeding every week and a half and honestly im sick of it. i have stopped taking cerazette now. hopefully there’s another one out there for me :(
Top side effects not reported
0 helpful
0 comments
Used for 3 - 6 mo
38 years old
🇬🇧 UK
• 14th May 26
I was on the depo shot for 22 years and really started to worry about my bone density as my mother has osteoporosis and I was also struggling to inject in certain bits of my stomach from scar nodules. So I swapped to the mini pill as its the same but with less side effects. I originally came to this site to read the reviews and as usual, people always tend to leave a review for the negatives. I can honestly say Ive had absolutely no side effects, my period still hasn't returned after being on the shot and I've actually lost weight. Hopefully someone needs to read this.
Very positive mood
1 more effect
0 helpful
0 comments
Used for 18 mo - 3 yr
24 years old
🇬🇧 UK
• 14th May 26
Not a good experience, lots of weight gain, more emotional/moody. cant wear contacts anymore
Somewhat negative mood
3 more effects
0 helpful
0 comments
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