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.