Cristina Khouri Mallol - Physician specialist in Gynaecology and Obstetrics, Severo Ochoa University Hospital, ۲۸۰۰۳ Madrid, Spain

A ۷۹-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 ۲ 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 ۱۲ hours for ۳ weeks.  After ۳ 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 ۳ weeks showed promising wound healing. reepithelization result for the lesion caused by using a pessary.

Centella Asiatica, Non-hormonal, Vaginal gel