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

1463 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

32% somewhat negative

43% stopped periods

49% lost sex drive

44% no impact

45% 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

1463 reviews

Progestogen-only / Mini pill  
Used for 6 - 12 mo
21 years old
🇬🇧 UK
  •  today

Desogestrel pill  

I’ve been using Desogestrel for over 6 months now it’s the first pill I tried as I didn’t like the fact that the combined pill affected your blood pressure. I struggled with heavy periods, cramping and always hated when my period came around as I had to use heavy flow tampons/towels continuously for 5-6 days. Since going on the pill I haven’t noticed any unusual side effects I take it in the evening at about 9pm I wouldn’t recommend it if you have spot prone skin as I didn’t originally I haven’t noticed a difference other than small breakouts before my period is due however I know it can make others worse if you already have spots. It hasn’t changed my weight at all however it does increase your appetite so as long as you keep on top of it stay active and eat healthy it shouldn’t affect you either. I’m very sexually active with my partner and so far we have had no pregnancy scares and we don’t use condoms. Overall the pill has made my periods much lighter I tend to either not bleed or bleed very little and I no longer have any cramping. It does cause breakthrough bleeding occasionally so if you want to stay regular I wouldn’t recommend this pill. I’m really happy with my decision to go on this form of contraception,


Very positive mood

1 more effect

0 helpful

0 comments

Progestogen-only / Mini pill  
Used for 1 - 3 mo
28 years old
🇬🇧 UK
  •  5 days ago

Zelleta pill  

The side effects I experienced on this pill were awful. I can’t take estrogen so have limited options. My mood dipped, and I had the worst breakouts of my life. Giant painful spots all over my chin which tanked my confidence, and I was bleeding almost constantly. Changed to Slynd after 3 months and can’t recommend that pill enough!


Somewhat negative mood

1 more effect

0 helpful

0 comments

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

Slynd pill  

This pill has been a game changer! I can’t tolerate estrogen, and I had previously been taking Zelleta which was causing near constant bleeding and my skin looked horrendous. I started taking Slynd in April 2025 and my periods are lighter than without contraception, and my skin has almost completely cleared up. I still get some spots around my period, but that was normal for me before contraception. I haven’t noticed any other side effects 9 months into taking it. My periods were irregular the first 3 months, but now are normal every 4-5 weeks.


Improved skin

0 helpful

0 comments

Progestogen-only / Mini pill  
Used for 6 - 12 mo
21 years old
🇬🇧 UK
  •  today

Desogestrel pill  

I’ve been using Desogestrel for over 6 months now it’s the first pill I tried as I didn’t like the fact that the combined pill affected your blood pressure. I struggled with heavy periods, cramping and always hated when my period came around as I had to use heavy flow tampons/towels continuously for 5-6 days. Since going on the pill I haven’t noticed any unusual side effects I take it in the evening at about 9pm I wouldn’t recommend it if you have spot prone skin as I didn’t originally I haven’t noticed a difference other than small breakouts before my period is due however I know it can make others worse if you already have spots. It hasn’t changed my weight at all however it does increase your appetite so as long as you keep on top of it stay active and eat healthy it shouldn’t affect you either. I’m very sexually active with my partner and so far we have had no pregnancy scares and we don’t use condoms. Overall the pill has made my periods much lighter I tend to either not bleed or bleed very little and I no longer have any cramping. It does cause breakthrough bleeding occasionally so if you want to stay regular I wouldn’t recommend this pill. I’m really happy with my decision to go on this form of contraception,


Very positive mood

1 more effect

0 helpful

0 comments

Progestogen-only / Mini pill  
Used for 1 - 3 mo
28 years old
🇬🇧 UK
  •  5 days ago

Zelleta pill  

The side effects I experienced on this pill were awful. I can’t take estrogen so have limited options. My mood dipped, and I had the worst breakouts of my life. Giant painful spots all over my chin which tanked my confidence, and I was bleeding almost constantly. Changed to Slynd after 3 months and can’t recommend that pill enough!


Somewhat negative mood

1 more effect

0 helpful

0 comments

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

Slynd pill  

This pill has been a game changer! I can’t tolerate estrogen, and I had previously been taking Zelleta which was causing near constant bleeding and my skin looked horrendous. I started taking Slynd in April 2025 and my periods are lighter than without contraception, and my skin has almost completely cleared up. I still get some spots around my period, but that was normal for me before contraception. I haven’t noticed any other side effects 9 months into taking it. My periods were irregular the first 3 months, but now are normal every 4-5 weeks.


Improved skin

0 helpful

0 comments

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

Zelleta pill  

I used zelleta for 2 months within a few days of starting the pill my period started it lasted for 3 weeks with heavy bleeding then it stopped for 5 days the started again for 3 weeks and stopped for 3 days then started again for 3 weeks when I phoned the doctor they said it was normal when I told them I was using 1 to 2 pads in an 1 and a half they said it was normal I then stopped the pill in December my period started lasted 5 days and stopped now my next period is due to start. I would not recommend to anyone.


Very negative mood

3 more effects

0 helpful

0 comments

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

Desogestrel pill  

Completely ruined my skin and gave me awful acne after already suffering with it for years. Also gave me horrible headaches and migraines. Would never recommend this to anyone.


Somewhat negative mood

2 more effects

0 helpful

0 comments

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

Desogestrel pill  

Been on Desogestrel for just over 3 months now, started October. Had a good run with no side effects until 6th Jan and have been spotting ever since with no sign of it stopping. Told by nurse it can take 3+ months for body to get used to it. Also have a big increase in spots on face, majority chin and neck but can be all over which is really annoying. Lower back pain and some cramps experienced also. Unsure how long I’ll leave it before asking GP to change as spotting everyday is a little annoying.


Worse skin

1 more effect

0 helpful

1 comments

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

Zelleta pill  

Was put on zeletta 5 weeks ago had one normal period 2 weeks later, then 2 weeks ago I started heavily bleeding a week later it became even heavier especially at night where i get intense cramping and fill a pad or tampon every 1-2hrs losing significantly large blood clots, several phone calls to doctors who claimed "its normal" on zelleta then prescribed me tranexamic acid 4 days ago which has not helped at all the large blood clots, cramping and heavy bleeding still continues so today 2 weeks later my doctor has asked me to stop and up dosage of tranexamic acid. I also noticed a breakout with large spots on face that ive never had! Very low mood and loss of motivation crying over the most smallest of things! This pill has ruined me this past 2 weeks and wreaked havoc on my body hoping now ive stopped the bleeding and cramping will ease, I honestly wish id looked into this more before started but was told it was the same as the last brand cerelle (which I had no issues with) so started to take. I have never experienced anything like this and its really taken a toll on me.


Very negative mood

2 more effects

0 helpful

0 comments

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

Desogestrel pill  

Hi everyone, I’ve been on Cerazette since October. Before that I had a Mirena coil, but I was bleeding constantly and had it removed after 10 months. First month on Cerazette was great period on time, only 4 days. Since then it’s been a mess: weeks of spotting short breaks a few days of bleeding then spotting again now spotting again with very sore breasts, which feels like another period starting My GP says to wait 6 months for things to settle, but I was told the same with Mirena and it never improved. I can’t use other hormonal methods and coils don’t suit me, so I’m really stuck. This constant bleeding/spotting is physically and mentally exhausting, and it’s affecting my relationship too. Did anyone actually see improvement on Cerazette? If yes, how long did it take? Or did you eventually have to stop? Thanks for any honest experiences.


Increased sex drive

1 more effect

2 helpful

1 comments

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

Noriday pill  

I felt satisfied until I came on here and realised my symptoms might be to do with this pill. I had a baby 14 months ago and have recently felt awful - low self esteem,anxiety, back pain, bad skin, weight gain, bloating, headaches, migraines... The list goes on. I thought it was part and parcel of having a small human but I'm starting to think it might be because of the noriday. In terms of my periods this is the best mini pill I've tried which is why I've still given it 3 stars. They're shorter and not too heavy or painful so an improvement for me. But due to the other symptoms I might have to look at an alternative. Maybe the dreaded coil.


Somewhat negative mood

2 more effects

1 helpful

0 comments

Progestogen-only / Mini pill  
Used for 12 - 18 mo
23 years old
🇬🇧 UK
  •  8th Jan 26

Cerelle pill  

The good thing about Cerelle is that it stopped my periods. However, it triggered an androgenic response for me so I gained weight on it, got lots of stretch marks (which I have never had before), experienced hair loss, experience increased and darker body hair, and it gave me bad skin, also seemed to be more irritable all the time. I have been changed to a combined pill now so fingers crossed everything gets better!


Somewhat negative mood

2 more effects

1 helpful

0 comments

Contraceptive alternatives and comparisons

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