This combination pack contains - Femcap 22mm for women who have never been pregnant (not even for a very short time). The pack also includes a 60g tube of Caya Natural Contraceptive Gel. FemCap is a cervical cap made of medical grade, hypoallergenic silicone rubber. Included is a discreet plastic case. Caya Gel is lactic acid based and inhibits sperm survival. The gel contains cellulose which increases the viscosity of the vaginal fluids and inhibits sperm motility to prevent conception. It is not spermicidal and does NOT contain nonoxynol-9.