Reviews

Cap or diaphragm reviews

3.8

13 reviews

A contraceptive diaphragm or cap is a barrier method of contraception. It is usually a circular dome made of plastic although they come in different shapes, sizes and materials. It is inserted into the vagina before sex and you need to use it with a gel that kills sperm called spermicide. It's a bit tricky to get the hang of, but some women love it.

During or before sex

Frequency

84% - 94%

Effectiveness

None

Blood clot risk

None

Effect on fertility

Cap or diaphragm

How does the Cap or diaphragm work?

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.

Cap or diaphragm alternatives

Contraceptives that work in similar ways, or brands that have close or exactly the same hormonal ingredients


Cap or diaphragm FAQs

No FAQs at this moment

Reviews

3.8

13 reviews

Filter reviews

Community reviews

Used for 18 mo - 3 yr
34 years old
🇬🇧 UK
  •  1st Jan 24

  •  Still using

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.

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Top side effects not reported

0 helpful

1 comments

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

  •  Still using

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!


Top side effects not reported

1 helpful

1 comments

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

  •  Stopped using

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

  •  Stopped using

All in all it was acceptable


Top side effects not reported

0 helpful

0 comments

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

  •  Stopped using

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

  •  Stopped using

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 8+ yr
Lowdown user
🇬🇧 UK
  •  20th Aug 19

  •  Stopped using

An oldie here! I was first fitted with a Cap (can't recall the brand) when I was 27. I had been married for just over six months but, more importantly, had been on the Pill for more than 10 years and was keen to use a contraceptive method that was ultra-reliable and guaranteed to have no side-effects, either short or long term. The Brook Advisory Clinic in Tottenham Court Road fitted my first Cap, I'd been going there since I was a schoolgirl and stayed with them because it was clear they were far more expert in contraceptive medicine than my GP - and I suspect that is still the case. Before deciding to use a Cap all available methods were talked through with me by a nurse, specially trained by Brook and, frankly, with better knowledge that our family GP (who I knew well as a family friend) or any other doctor I knew. Before coming off the Pill I was taught with a practice Cap how to coat it with spermicide gel and how to insert correctly. I was sent out to walk around the area for 20 minutes, ostensibly to see if I had inserted it correctly but in reality I suspect this was more of a confidence building exercise to reassure me that it wasn't rocket science and that the Cap would remain in place until it was removed*. I was encouraged to start using my Cap while I was tailing off the last month of Pills so that when the time came I would be confident in using it "for real". Once I was dependent on a Cap I found it to be a quick and easy method. No need to insert hours before you think you may need it: carry in your handbag and simply insert when you go to the loo (if out for a date) or last thing at night before you go to bed. One huge plus is that if your period starts while you're out-and-about and you have your Cap in there are no embarrassing leaks and no stained underwear - the Cap catches it all! I used a Cap for 10 years, only stopping when I decided the time was right to have children. I had no side effects of any kind and no failures. As a child of 1960s and have grown up with the expectation of always having aan active and lively (and varied!) sex-life. The Cap proved more than equal to the task. So long as you use it correctly, this is the one sure-fire female-led method with no side effects and plenty of pluses. One very important point: DON'T expect your family GP, or the practice nurse, to be very enthusiastic about fitting you with a Cap. It is still the case that contraceptive medicine is barely touched on in standard UK medical training for doctors, and I'm told it doesn't happen for nurses either. In any case, I'd strongly advise any woman seeking proper, accurate and informed contraceptive advice to go, at least for the first year, to a specialist clinic such as those run by Marie Stopes or the Brook. * I'm concerned by at the comment by another reviewer that her Cap can slide around in her vagina: if this is the case either it doesn't fit properly or she isn't using it correctly; whichever, if it isn't securely in place over her cervix then it cannot work properly.


Top side effects not reported

5 helpful

0 comments

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

  •  Stopped using

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

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

  •  Stopped using

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

  •  Stopped using

A bit fiddly until I got used to it.


Top side effects not reported

0 helpful

0 comments

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