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Product information from glad rags the keeper is a great alternative to tampons. This soft, natural gum rubber cup collects the flow rather than absorbing it, so the vaginal tissues aren't dried out as they can be by tampons. The keeper holds up to an ounce of fluid and should be emptied several times a day; simply rinse and reinsert. Detailed instructions come with your order. Not recommended for those with latex allergies. The keeper should last for 10 years so it's a great value. Size a is for after vaginal childbirth; size b is for before vaginal childbirth. Women who have had cesarean sections should order size b. Ingredients: the keeper is the most convenient form of menstrual protection, because it won't leak, is great for active lifestyles, and doesn't require you to carry around bulky menstrual products. The keeper is healthier and more comfortable for your body-no risk of toxic shock syndrome or harmful chemicals, no bulky messy pads to deal with, and perhaps fewer cramps and a shorter cycle. The keeper is better for the environment as it reduces waste and is manufactured in a sustainable manner. The keeper will save you money, time and trips to the store. Suggested use detailed instructions come with your order.