Implant vs Cap or diaphragm

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Implant

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Cap or diaphragm

Add your cap or diaphragm review

Overview

Rated 2.8

589 reviews

Every 3 years

Frequency

Over 99%

Effectiveness

None

Blood clot risk

None

Effect on fertility

Rated 3.9

14 reviews

During or before sex

Frequency

84% - 94%

Effectiveness

None

Blood clot risk

None

Effect on fertility

Implant ingredients

Main hormones in Implant

progestogen

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.

What Lowdown reviewers say

38% somewhat negative

45% irregular periods

50% lost sex drive

41% gained weight

58% no impact on skin

Cycle return

31% in 1 month

86% no impact on mood

86% no change

93% no impact

100% no impact

75% no impact on skin

Cycle return

50% in 1 month

Benefits: What this contraceptive can help with

Heavy periods

Ovulation pain

Period pain

There are no benefits that are recognised in scientific research or guidelines for this contraceptive

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Check out our latest reviews

Real life reviews from people like you

Implant reviews

589 reviews

Implant  
Used for 5 - 8 yr
41 years old
🇬🇧 UK
  •  2 weeks ago

Nexplanon implant  

Due to a family history of thrombosis I was advised against the combined pill which at the time was still the most common option, so the implant seemed a good choice. Whilst it was convenient in that it was long lasting and easily fitted, with no horrendous side effects, with the conversation about choices becoming more open I realised that I had been putting up with side effects which were gradually getting me down - irregular bleeding and low libido (possibly connected!) made regular sex with my partner less easy and fun than it should be, and I found that the more I exercised the more I bled, and I wanted to exercise more. I decided to switch to the copper IUD to experience a normal cycle again without the hormones, and am very happy I changed.

Read more

Somewhat negative mood

1 more effect

0 helpful

0 comments

Implant  
Used for 6 - 12 mo
32 years old
🇬🇧 UK
  •  2 weeks ago

Implant  

Ever since using this form of contrception i get twice my period in one month and feels like stabing pains now and then in my stomach but not all the time. I was recommended the implant after i had my miscarriage Moody sometimes but other than that i guess its safe to have the implant in like its said everyones body is different


Somewhat negative mood

2 more effects

0 helpful

0 comments

Implant  
Used for 6 - 12 mo
21 years old
🇬🇧 UK
  •  3 weeks ago

Nexplanon implant  

Worked well as a contraception, but in the year I had it in for I probably had about 30 days only without any bleeding or spotting. I also trialled taking the mini pill alongside the implant to try and reduce the bleeding but this had no effect. I had thrush multiple times throughout the year I had the implant, and had never had it before. My mood was the worst it had ever been, but there had been other life changes going on at the time which may have contributed.


Very negative mood

1 more effect

0 helpful

0 comments

Implant  
Used for 5 - 8 yr
41 years old
🇬🇧 UK
  •  2 weeks ago

Nexplanon implant  

Due to a family history of thrombosis I was advised against the combined pill which at the time was still the most common option, so the implant seemed a good choice. Whilst it was convenient in that it was long lasting and easily fitted, with no horrendous side effects, with the conversation about choices becoming more open I realised that I had been putting up with side effects which were gradually getting me down - irregular bleeding and low libido (possibly connected!) made regular sex with my partner less easy and fun than it should be, and I found that the more I exercised the more I bled, and I wanted to exercise more. I decided to switch to the copper IUD to experience a normal cycle again without the hormones, and am very happy I changed.


Somewhat negative mood

1 more effect

0 helpful

0 comments

Implant  
Used for 6 - 12 mo
32 years old
🇬🇧 UK
  •  2 weeks ago

Implant  

Ever since using this form of contrception i get twice my period in one month and feels like stabing pains now and then in my stomach but not all the time. I was recommended the implant after i had my miscarriage Moody sometimes but other than that i guess its safe to have the implant in like its said everyones body is different


Somewhat negative mood

2 more effects

0 helpful

0 comments

Implant  
Used for 6 - 12 mo
21 years old
🇬🇧 UK
  •  3 weeks ago

Nexplanon implant  

Worked well as a contraception, but in the year I had it in for I probably had about 30 days only without any bleeding or spotting. I also trialled taking the mini pill alongside the implant to try and reduce the bleeding but this had no effect. I had thrush multiple times throughout the year I had the implant, and had never had it before. My mood was the worst it had ever been, but there had been other life changes going on at the time which may have contributed.


Very negative mood

1 more effect

0 helpful

0 comments


Cap or diaphragm reviews

14 reviews

Cap or diaphragm  
Used for 3 - 5 yr
28 years old
🇬🇧 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 18 mo - 3 yr
34 years old
🇬🇧 UK
  •  1st Jan 24

Cap or diaphragm  

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

Cap or diaphragm  
Used for 6 - 12 mo
34 years old
🇬🇧 UK
  •  14th Feb 23

Cap or diaphragm  

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

Cap or diaphragm  
Used for 3 - 5 yr
28 years old
🇬🇧 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 18 mo - 3 yr
34 years old
🇬🇧 UK
  •  1st Jan 24

Cap or diaphragm  

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

Cap or diaphragm  
Used for 6 - 12 mo
34 years old
🇬🇧 UK
  •  14th Feb 23

Cap or diaphragm  

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

Cap or diaphragm  
Used for 1 - 3 mo
37 years old
🇬🇧 UK
  •  2nd Dec 22

Cap or diaphragm  

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

Cap or diaphragm  
Used for 1 - 3 mo
Lowdown user
🇬🇧 UK
  •  12th May 21

Cap or diaphragm  

All in all it was acceptable


Top side effects not reported

0 helpful

0 comments

Cap or diaphragm  
Used for 3 - 6 mo
Lowdown user
🇬🇧 UK
  •  23rd Aug 19

Cap or diaphragm  

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

Cap or diaphragm  
Used for 1 - 3 mo
Lowdown user
🇬🇧 UK
  •  21st Aug 19

Cap or diaphragm  

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

Cap or diaphragm  
Used for 12 - 18 mo
Lowdown user
🇬🇧 UK
  •  20th Aug 19

Cap or diaphragm  

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

Cap or diaphragm  
Used for 3 - 5 yr
Lowdown user
🇬🇧 UK
  •  20th Aug 19

Cap or diaphragm  

A bit fiddly until I got used to it.


Top side effects not reported

0 helpful

0 comments

Cap or diaphragm  
Used for 12 - 18 mo
Lowdown user
🇬🇧 UK
  •  20th Aug 19

Cap or diaphragm  

After bad experiences with the pill I wanted to avoid hormonal contraception, and did not think the coil was right for me. The diaphragm is therefore the only method of contraception (other than condoms) that I found available. I got it fitted at a local sexual health clinic fine - although I did have to ring up to request that my appointment was with someone trained with fitting it, as not everyone can do this. There were a few different sizes to make sure you get one that fits you. It's a bit tricky to get the hang of putting it in and taking it out at first, but if you're used to fiddling with a mooncup you'll pick it up. It's good when you have planned when you need to use it, as you can insert it a couple of hours before and not have to worry about it in the moment. My partner says he can feel it but it's usually not uncomfortable for him - occasionally when I'm on top. As someone who has had a lot of UTIs, I was a bit worried about the increased risk of cystitis (because the rim sits against your bladder) but have never got it when using the diaphragm. The downside is that it requires a bit of extra planning, so if I'm lazy I end up just using condoms instead. Also it's pretty gross when you take it out after leaving it in overnight, and a load of stinky semen-spermicide goo comes out! All in all, a bit of a faff but I'd way rather use this than hormonal contraception. I only use this occasionally as a result. I wish there was a really good non hormonal, non coil option out there!


Top side effects not reported

5 helpful

0 comments

Contraceptive alternatives and comparisons

Compare the Implant with other contraceptives

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