Combined pill vs Cap or diaphragm
Need help choosing? Speak to a doctor
Combined pill ingredients
Main hormones in Combined pill
progestogen
oestrogen
Cap or diaphragm ingredients
What Lowdown reviewers say
Check out our latest reviews
Real life reviews from people like you
Combined pill reviews
2477 reviews
Used for 1 - 3 mo
36 years old
🇬🇧 UK
• 5 days ago
My GP started me on this pill to help with perimenopausal symptoms (mainly insomnia and brain fog but to a lesser extent mood swings). For these, this pill has been a game changer and after only a couple of months, I feel like myself again. The only negative is that I've noticed a quite marked weight change and have gained around 3kg, most of which I think is water weight as I have gone puffy all over my body despite being an active person who spends a lot of time in the gym and has an active job. So I'm hoping this settles down after a couple more months, if it doesn't I think I'll try switching to another pill.
Very positive mood
1 more effect
0 helpful
0 comments
Used for 1 - 3 mo
31 years old
🇬🇧 UK
• 5 days ago
Pros: PMDD completely gone Didn't bleed for 3 months as didn't have a break and no spotting at all Felt happier in general Stabilised my moods Increased cup size-- went from a C to a DD in 2 months Cons: Breast tenderness and pain was horrific for the first 8 weeks Increased weight significantly in 3 months Completely lost sex drive and found sex disgusting Heart palpitations Constipation Constant hunger Heart burn that lasted for around 2 weeks on second pack If I could have stayed on this pill forever, I would have. Yes, there were side effects but they were nothing compared to the horrific time I go through every month of my cycle anyway. The only reason I stopped is because I have a condition called POTS, and it turns out oestrogen makes it worse! I was running packs back to back and I was so happy being able to have a stable mood and feel less depressed. But in the end the heart palpitations that were exascerbated by my condition were enough to make it worse. I did have weight gain on this pill as well, and having stopped 3 days ago, I've dropped almost half the weight I put on already, so I was definitely retaining a lot. All in all, yes there are side effects, but I'm more sad about having to stop it than I was about them in the first place.
Very positive mood
2 more effects
0 helpful
0 comments
Used for 3 - 6 mo
43 years old
🇬🇧 UK
• 1 week ago
I used to be on this for years before having my two children and so I went back on but I’ve decided to come back off and try the copper coil instead of hormonal contraception. I remember when I came off I felt like I’d come back to life, as though I’d sort of been numbed when I was on it. I’d been on various types of hormonal contraception for over 20 years so I don’t think I’d noticed it happening to me over time until I came off. But having now had a few years off contraception altogether going back on I can really feel it this time. I had been losing my baby weight but that stopped when I started the pill again, I suspect it’s bloating and water rather than actual body fat. My sex drive has plummeted to basically nothing and I just don’t feel like me.
Somewhat negative mood
2 more effects
0 helpful
0 comments
Used for 1 - 3 mo
36 years old
🇬🇧 UK
• 5 days ago
My GP started me on this pill to help with perimenopausal symptoms (mainly insomnia and brain fog but to a lesser extent mood swings). For these, this pill has been a game changer and after only a couple of months, I feel like myself again. The only negative is that I've noticed a quite marked weight change and have gained around 3kg, most of which I think is water weight as I have gone puffy all over my body despite being an active person who spends a lot of time in the gym and has an active job. So I'm hoping this settles down after a couple more months, if it doesn't I think I'll try switching to another pill.
Very positive mood
1 more effect
0 helpful
0 comments
Used for 1 - 3 mo
31 years old
🇬🇧 UK
• 5 days ago
Pros: PMDD completely gone Didn't bleed for 3 months as didn't have a break and no spotting at all Felt happier in general Stabilised my moods Increased cup size-- went from a C to a DD in 2 months Cons: Breast tenderness and pain was horrific for the first 8 weeks Increased weight significantly in 3 months Completely lost sex drive and found sex disgusting Heart palpitations Constipation Constant hunger Heart burn that lasted for around 2 weeks on second pack If I could have stayed on this pill forever, I would have. Yes, there were side effects but they were nothing compared to the horrific time I go through every month of my cycle anyway. The only reason I stopped is because I have a condition called POTS, and it turns out oestrogen makes it worse! I was running packs back to back and I was so happy being able to have a stable mood and feel less depressed. But in the end the heart palpitations that were exascerbated by my condition were enough to make it worse. I did have weight gain on this pill as well, and having stopped 3 days ago, I've dropped almost half the weight I put on already, so I was definitely retaining a lot. All in all, yes there are side effects, but I'm more sad about having to stop it than I was about them in the first place.
Very positive mood
2 more effects
0 helpful
0 comments
Used for 3 - 6 mo
43 years old
🇬🇧 UK
• 1 week ago
I used to be on this for years before having my two children and so I went back on but I’ve decided to come back off and try the copper coil instead of hormonal contraception. I remember when I came off I felt like I’d come back to life, as though I’d sort of been numbed when I was on it. I’d been on various types of hormonal contraception for over 20 years so I don’t think I’d noticed it happening to me over time until I came off. But having now had a few years off contraception altogether going back on I can really feel it this time. I had been losing my baby weight but that stopped when I started the pill again, I suspect it’s bloating and water rather than actual body fat. My sex drive has plummeted to basically nothing and I just don’t feel like me.
Somewhat negative mood
2 more effects
0 helpful
0 comments
Cap or diaphragm reviews
14 reviews
Used for 3 - 5 yr
28 years old
🇬🇧 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 18 mo - 3 yr
34 years old
🇬🇧 UK
• 1st Jan 24
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
0 helpful
1 comments
Used for 6 - 12 mo
34 years old
🇬🇧 UK
• 14th Feb 23
I used the caya cap. It has been a game changer after previously taking the pill. I feel in control, no need to remember to take a pill, just put it in when needed. Better than condoms as it is women based and not detectable. Effect of not taking hormonal contraceptives has been amazing. All the side effects that I had ( migraines, reduced sex drive, dryness, breast tenderness, strong period pains, breakthrough bleeding and emotionalness) all gone. I wish someone had told me about it before!
Very positive mood
2 more effects
1 helpful
1 comments
Used for 3 - 5 yr
28 years old
🇬🇧 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 18 mo - 3 yr
34 years old
🇬🇧 UK
• 1st Jan 24
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
0 helpful
1 comments
Used for 6 - 12 mo
34 years old
🇬🇧 UK
• 14th Feb 23
I used the caya cap. It has been a game changer after previously taking the pill. I feel in control, no need to remember to take a pill, just put it in when needed. Better than condoms as it is women based and not detectable. Effect of not taking hormonal contraceptives has been amazing. All the side effects that I had ( migraines, reduced sex drive, dryness, breast tenderness, strong period pains, breakthrough bleeding and emotionalness) all gone. I wish someone had told me about it before!
Very positive mood
2 more effects
1 helpful
1 comments
Used for 1 - 3 mo
37 years old
🇬🇧 UK
• 2nd Dec 22
Having experienced terrible physical and mental health side effects from both types of contraceptive pill (Combined and POP), and permanent pain and repeated UTIs with the copper coil, I hoped that Caya diaphragm would be a suitable non-hormonal method to try. Unfortunately, I found insertion very tricky - it seems I have a case of "deep vagina, small fingers", as I could never tell whether I'd pushed the diaphragm up far enough to cover my cervix, and sex was always a bit uncomfortable. I'm naturally prone to cystitis and thrush, and getting both while using the diaphragm also put me off using it long term. However, on the plus side - I didn't get pregnant (though I was still breastfeeding a lot, and my periods hadn't yet returned postpartum), and I did manage to avoid the hormonal depression, skin changes and weight gain/loss that I've experienced in the past with pills.
Top side effects not reported
2 helpful
0 comments
Used for 1 - 3 mo
Lowdown user
🇬🇧 UK
• 12th May 21
Top side effects not reported
0 helpful
0 comments
Used for 3 - 6 mo
Lowdown user
🇬🇧 UK
• 23rd Aug 19
Fiddly and a faff. Didn’t bother a couple of times and ended up pregnant. He’s nearly 20 now and I’m still married to his father so not all bad :) Tried the copper coil for a bit after but it gave me very heavy periods and stomach cramps which had never been a problem before. Switched to the mirena coil and now on my third - no periods for 15 years and no menopausal symptoms despite being 52. What’s not to like?
Top side effects not reported
1 helpful
0 comments
Used for 1 - 3 mo
Lowdown user
🇬🇧 UK
• 21st Aug 19
I was only using it shortly, as I wanted to avoid hormones. It was not bad, but the need of using a spermicide as well was the reason why I stopped, I had vaginal discharge caused by the spermicide.
Top side effects not reported
0 helpful
0 comments
Used for 12 - 18 mo
Lowdown user
🇬🇧 UK
• 20th Aug 19
As someone who has struggled with more mainstream contraception, this was a miracle. Zero side effects and non-invasive! You're able to insert it up to two hours before sex so it doesn't have the moodkiller effect of a condom, and neither partner can feel it once it's in, unless you're searching for it with a finger. Inserting and removing it takes a little getting used to, but the initial learning curve is very much worth it. (And any Mooncup users will find it easy enough.) Note you will need to be fitted by a nurse/ health practitioner to ensure its effectiveness. This can be tricky to find unless you live in a larger city/ you have a very thorough doctor, but it was worth persisting for me.
Top side effects not reported
0 helpful
0 comments
Used for 3 - 5 yr
Lowdown user
🇬🇧 UK
• 20th Aug 19
Top side effects not reported
0 helpful
0 comments
Used for 8+ yr
Lowdown user
🇬🇧 UK
• 20th Aug 19
Tried the pill in my early 20s but didn’t like the side effects, felt generally unwell and slightly “down” while taking it. Started using the cap in my mid-twenties, first one fitted at the wonderful Marie Stopes Centre, but subsequent ones refitted after two preganancies by my (female) GP. Used it for about 25 years until menopause (apart from gaps to have children). Brilliant if used properly with gel or cream, no side effects, and means when you want to attempt a pregnancy your body doesn’t have to adjust to your normal hormone levels as it does if you take the pill. Pregnant within 3 months of trying for both my preganancies.
Top side effects not reported
1 helpful
0 comments
![The Lowdown Footer](https://the-lowdown-public-images.s3.eu-west-2.amazonaws.com/Lowdown_Combination+mark_DRK_300ppi.png)
Women's health, reviewed.
Get the best women’s health info in your inbox
You are signing up to receive The Lowdown's latest findings and news in women's health. Your data will be used in accordance with our Privacy & Cookie policy
Slide into our DMs
Built by doctors and experts
Our tools are made by medical professionals for your peace of mind
Pharmacy services provided by Phlo Technologies Ltd. GPhC reg number: 9011171
When you click on some links on this site, we may get a small affiliate commission