Evaluation of a Non-Hormonal Centella Asiatica-based Vaginal Gel as a Treatment for Vaginal Lesion Caused by Pessary

A 79-year-old, non-smoker patient with arterial hypertension and dyslipidemia visited the institute for pessary replacement. The patient had a history of pregnancy once, no abortion, and a child. Vulvar examination showed external atrophic genitalia. The colposcopy image showed an ulcer on the right side with active bleeding of about 2 cm in the patient´s vagina due to the pessary usage. A non/hormonal Centella Asiatica-based vaginal gel (Palomacareâ) is used as a treatment for the ulcer applied every 12 hours for 3 weeks.  After 3 weeks of using Palomacareâ, the lesion was cured (the ulcer and erosion disappeared) and then stopped the bleeding. The pessary was placed again inside the patient´s vagina without any incidence. Using Palomacareâ for 3 weeks showed promising wound healing. reepithelization result for the lesion caused by using a pessary.