Adult: As gel: To be used in conjunction with barrier methods of contraception such as diaphragms or caps. Apply approx 2 cm strips on each side of the diaphragm or fill 1/3 of the cap. Apply extra gel if coitus takes place 3 hours or more after insertion of diaphragms or cap. Allow the diaphragm to remain undisturbed for at least 6 hours after coitus. Apply more cream or other spermicides prior to any subsequent coitus within this period, without removing the diaphragm/cap. Use a vaginal applicator for inserting more gel. Alternatively, as gel/foam: Insert 1 applicatorful into the vaginal prior to intercourse. As film: Insert 1 film as far into the vagina as possible against the cervix. As sponge: Insert 1 sponge deep into the vagina. Wait 6 hours after the last intercourse before removing the sponge. Refer to individual product guideline for detailed application instructions.