When I first heard about 18 Again and its combination of ingredients, I was convinced of its efficacy and safety immediately. Each internationally and clinically approved ingredient has been combined to give you a highly effective product. 18 Again is not only recommended, but also possibly the best gel for achieving vaginal tightening, strength and rejuvenation. There is no product other than 18 Again that addresses all these needs without any surgical intervention. This product can be used across all age groups of women who have attained puberty. This gel is for all age groups who have attained puberty and is approved by the expert gynaecologists.