One time use but very effective [SEP] I would have given 5 stars but I was not aware it was a one time use item (not indicated in the description). It looks like a large tea bag filled with herbs. It worked well. It was my first time doing a yoni steam and I only used once for 10 minutes. It was very effective.. The herbs used are the best for this use. The bag is so large, I would cut the bag open and use about 2 or 3 tablespoons rather than the entire bag. You could get 5 more steams.