With 'rhoids, swelling and even tearing, something as simple as sitting will be a real pain in the...butt. The Perineal Comfort Cushion provides a much-needed relief from vag to tush in a discreet go-anywhere pillow. Sit on the donut side to relieve pressure, or flip it over and insert the reusable cold therapy pack (included) to reduce perineal pain and swelling. Go on and give yourself a seat [and sigh] of relief.TWIST, FOLD + GO: Cushion Auto-inflates in 30 seconds (no batteries or blowing required)COMPACT + PORTABLE: Design discreetly goes wherever you go - one less pain in the buttDONUT WORRY: Open “donut” space reduces pressure while sittingVERY COOL: Reusable contoured cold pack to cool sore perineal areasTWO SIDED: Donut side to relieve pressure, cold therapy side to reduce pain and swelling.INCLUDES: 1 Cushion, 1 Reusable Gel Cold Pack, 1 Machine-washable CoverPRO TIP: When using for the first time, your new cushion might need some extra air. Just blow into the valve to fill it all the wayProduct may ship in original packaging.