We plan to develop an effective custom-molded contraceptive cervical cap for intermenstrual use. It would aim to offer a new female barrier method of contraception with a lower pregnancy rate, a longer period of continuous use, better protection against some sexually transmittable infections, and less need for user compliance than those currently available. Although the only previous custom-fitted cap, "Contracap", encountered excessive dislodgements and pregnancies, it proved beyond a doubt that custom-fitted caps can be worn for months without adverse effects. While preliminary results suggest that a custom-molded cervical cap might provide a means of long-term wear without dislodgement, further refinement of procedures is needed. In order to develop an effective custom-molded contraceptive cervical cap for intermenstrual use, we will pursue the following three aims: (1) to explore, improve, and simplify methods of taking cervical impressions in an effort to develop the custom-molded cap, (2) to research, test, and develop specific changes in cap materials and design aimed at improving retention and efficacy, and (3) to test caps for safety, stability, and acceptability, but not for contraception.Awardee's statement of the potential commercial applications of the research:The need for, and concern about, both birth control and protection from the epidemic of venereal infections is growing throughout the world. If an effective long-term cervical cap could be individually molded in a quick and simple process, it might well meet both of these needs and take over a significant share of the contraceptive market.National Institute of Child Health and Human Development (NICHD)