Progestogen-only / Mini pill vs Cap or diaphragm

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Progestogen-only / Mini pill

£From £0.22/day

Cap or diaphragm

Add your cap or diaphragm review

Overview

Rated 2.7

1455 reviews

Daily

Frequency

91% - 99+%

Effectiveness

None

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

Progestogen-only / Mini pill ingredients

Main hormones in Progestogen-only / Mini pill

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

32% somewhat negative

44% stopped periods

49% lost sex drive

44% no impact

46% no impact on skin

Cycle return

38% don’t know impact

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

Benefits: What this contraceptive can help with

Period pain

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

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£From £0.22/day

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Add your cap or diaphragm review

Check out our latest reviews

Real life reviews from people like you

Progestogen-only / Mini pill reviews

1455 reviews

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

Read more

Somewhat negative mood

2 more effects

0 helpful

0 comments

Progestogen-only / Mini pill  
Used for 12 - 18 mo
23 years old
🇬🇧 UK
  •  2 weeks ago

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

0 helpful

0 comments

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

Desogestrel pill  

it has helped massively with my cramps which is the reason i was put onto it. my tender breasts and spotting are what i have struggled with the most


Somewhat negative mood

1 more effect

0 helpful

3 comments

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

0 helpful

0 comments

Progestogen-only / Mini pill  
Used for 12 - 18 mo
23 years old
🇬🇧 UK
  •  2 weeks ago

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

0 helpful

0 comments

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

Desogestrel pill  

it has helped massively with my cramps which is the reason i was put onto it. my tender breasts and spotting are what i have struggled with the most


Somewhat negative mood

1 more effect

0 helpful

3 comments


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 :)


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

Cap or diaphragm  
Used for 18 mo - 3 yr
Lowdown user
🇬🇧 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

2 helpful

2 comments

Cap or diaphragm  
Used for 6 - 12 mo
Lowdown user
🇬🇧 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
Lowdown user
🇬🇧 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

3 helpful

1 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

1 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 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

Contraceptive alternatives and comparisons

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