Combined pill vs Cap or diaphragm

I switched to Gedarell after being on Microgynon 30ED for 5 years. I gained about 5kg in 2 years and my body felt puffy/inflammed even though I was eating well and regularly going to the gym. This caused me to come off the pill and I lost about 8kg in 2 months. I also experienced low libido and fatigue. After coming off the pill, I realised that it was making me feel quite numb. I wasn’t feeling any kind of emotion strongly which was a big adjustment for me after coming off it. Once I came off the pill I experienced significant hair loss for about 3 months but luckily my hair is quite thick so it wasn’t noticeable. Overall, I think this pill worked better for me as I didn’t have chronic thrush or bleeding during sex like I did on Microgynon but the weight gain was the main reason I decided to stop using it.

Was on this pill for around 7 years from the age of 15. Worked fairly well. The main side effects I experienced were bleeding during sex, chronic thrush, fatigue and low libido. After around 5 years I started peeing a lot during the night which led me to believe that it caused some insulin resistance. The pharmacies where I lived stopped supplying it so I ended up switching to another pill.

I’ve been taking Yasmin for just over 2 months now (skipping periods). About a month and a half in I noticed I’ve been extremely irritated, not particularly angry but it’s made me have a really short fuse. Unfortunately for me, it has made my boobs grow pretty significantly and made them super tender and sore after wearing sports bras etc. I’ve noticed a slight weight gain which also sucks as have been losing weight pretty steadily a few months before starting and I feel like I’ve lost that progress. I haven’t really noticed a change in my skin, i think it’s a little bit worse but maybe it’s purging? I’ve skipped both periods since starting, and noticed I was having some cramps after 1 month. I’ve had extreme cramping the last 48 hours and thought I was dying, and ended up passing a decidual cast (which I’ve never experienced before) and have had pretty heavy breakthrough bleeding the past 48 hours. A month ago I probably would’ve stayed on the pill but after everything I think I’ll be swapping to something else..

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 :)

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.

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.

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.

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!

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.

All in all it was acceptable

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?

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.

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.