Combined pill vs Cap or diaphragm
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Overview
Rated 2.8
2789 reviews
Daily
Frequency
91% - 99+%
Effectiveness
Increased
Blood clot risk
None
Effect on fertility
Rated 3.8
16 reviews
During or before sex
Frequency
84% - 94%
Effectiveness
None
Blood clot risk
None
Effect on fertility
Combined pill ingredients
Main hormones in Combined pill
progestogen
oestrogen
Cap or diaphragm ingredients
What Lowdown reviewers say
Benefits: What this contraceptive can help with
Acne or bad skin
Heavy periods
PMS and PMDD
PCOS symptoms
Period pain
There are no benefits that are recognised in scientific research or guidelines for this contraceptive
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£From £0.16/day
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Add your cap or diaphragm review
Check out our latest reviews
Real life reviews from people like you
Combined pill reviews
2789 reviews
Used for 6 - 12 mo
39 years old
🇬🇧 UK
• today
Brilliant medication, the bio identical oestrogen is definitely kinder and easier to manage. I managed to gain weight and keep it, it's something I struggled with massively before. I have nicer bust size too 😁. Tbh is better than Eloine and I have less tension in my body. I recommend it to neurodiverse ppl for certain.
Very positive mood
1 more effect
0 helpful
0 comments
Used for 1 - 3 mo
24 years old
🇬🇧 UK
• 4 days ago
I have been taking for a month now and I was TERRIFIED after trying rigevidon when I was 16 (I’m 24 now). I have PMS (I believe PMDD) so I got to the point where I was desperate for help. My acne, fatigue and low moods were just too much for life and I needed to do something about it! The first couple of weeks I felt a tiny bit nauseous (no where near as bad as rigevidon which I assume is bc of the lower oestrogen in Eloine) and I got some night sweats which have calmed down also after a couple of weeks. I have also experienced some slight fluttering anxiety and heavy chest when I wake up (I take it at 11pm due to my schedule) which isn’t ideal but as someone who used to be extremely anxious I haven’t found this particularly overwhelming or affecting my life. It hasn’t been through the day so I believe it’s because of the time I am taking it but not a major issue. I have insatiable hunger but again, as someone who didn’t eat much and had low appetite (especially the week leading up to my period) this has had a majorly positive effect on my life, I’m fuelling myself more which is probably also helping my fatigue and mood in itself! Regarding weight gain, I have had no water retention type of weight gain from it, any weight gain will be due to eating more bc of the hunger but personally I have not noticed any gain yet. However, PMDD wise, it has changed my life so far. The week I usually feel down and sleep 14 hours I didn’t even realise that week had passed (I’m taking it continuously without the placebos). No acne, no low moods no fatigue, I just finally feel normal 🙏🏻 If you’re looking into this for PMS and PMDD that is becoming too much, I would honestly give this a go. As someone who had awful nausea with rigevidon, it took me two years to get the courage to try another but I’m so so happy I did. I used to spend the PMDD weeks struggling and my normal weeks recovering, now every week is just normal
Very positive mood
1 more effect
0 helpful
0 comments
Used for 1 - 3 mo
17 years old
🇬🇧 UK
• 4 days ago
I haven’t used it for long but the side effects aren’t bad or huge.
Improved skin
1 more effect
0 helpful
0 comments
Used for 6 - 12 mo
39 years old
🇬🇧 UK
• today
Brilliant medication, the bio identical oestrogen is definitely kinder and easier to manage. I managed to gain weight and keep it, it's something I struggled with massively before. I have nicer bust size too 😁. Tbh is better than Eloine and I have less tension in my body. I recommend it to neurodiverse ppl for certain.
Very positive mood
1 more effect
0 helpful
0 comments
Used for 1 - 3 mo
24 years old
🇬🇧 UK
• 4 days ago
I have been taking for a month now and I was TERRIFIED after trying rigevidon when I was 16 (I’m 24 now). I have PMS (I believe PMDD) so I got to the point where I was desperate for help. My acne, fatigue and low moods were just too much for life and I needed to do something about it! The first couple of weeks I felt a tiny bit nauseous (no where near as bad as rigevidon which I assume is bc of the lower oestrogen in Eloine) and I got some night sweats which have calmed down also after a couple of weeks. I have also experienced some slight fluttering anxiety and heavy chest when I wake up (I take it at 11pm due to my schedule) which isn’t ideal but as someone who used to be extremely anxious I haven’t found this particularly overwhelming or affecting my life. It hasn’t been through the day so I believe it’s because of the time I am taking it but not a major issue. I have insatiable hunger but again, as someone who didn’t eat much and had low appetite (especially the week leading up to my period) this has had a majorly positive effect on my life, I’m fuelling myself more which is probably also helping my fatigue and mood in itself! Regarding weight gain, I have had no water retention type of weight gain from it, any weight gain will be due to eating more bc of the hunger but personally I have not noticed any gain yet. However, PMDD wise, it has changed my life so far. The week I usually feel down and sleep 14 hours I didn’t even realise that week had passed (I’m taking it continuously without the placebos). No acne, no low moods no fatigue, I just finally feel normal 🙏🏻 If you’re looking into this for PMS and PMDD that is becoming too much, I would honestly give this a go. As someone who had awful nausea with rigevidon, it took me two years to get the courage to try another but I’m so so happy I did. I used to spend the PMDD weeks struggling and my normal weeks recovering, now every week is just normal
Very positive mood
1 more effect
0 helpful
0 comments
Used for 1 - 3 mo
17 years old
🇬🇧 UK
• 4 days ago
I haven’t used it for long but the side effects aren’t bad or huge.
Improved skin
1 more effect
0 helpful
0 comments
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
Used for 18 mo - 3 yr
Lowdown user
🇬🇧 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
2 helpful
2 comments
Used for 6 - 12 mo
Lowdown user
🇬🇧 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
Lowdown user
🇬🇧 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
3 helpful
1 comments
Used for 1 - 3 mo
Lowdown user
🇬🇧 UK
• 12th May 21
Top side effects not reported
1 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 3 - 5 yr
Lowdown user
🇬🇧 UK
• 20th Aug 19
Top side effects not reported
0 helpful
0 comments
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