case_images: PMC9969462_01
case_images: Macroscopical appearance of vaginal tissue during speculoscopy from case 1
  patient (A) before and (B) after treatment with the non-hormonal
  Centella asiatica, hyaluronic acid and prebiotic-based
  vaginal gel.
case_images: 10.1177_11795476231157244-fig1.jpg
case_images: PMC9969462_01_10.1177_11795476231157244-fig1.jpg
case_images: fig1-11795476231157244
case_images: Speculoscopy revealed a generalized vaginal edema, very fluid and increased grayish-whiteish vaginal discharge, and erythematous cervix (Figure 1A). After the treatment, the patient had no signs of irritation or dyspareunia together with a normalized vaginal discharge both in quantity, appearance, and odor (Figure 1B).
case_images: PMC9969462_02
case_images: Macroscopical appearance of vaginal tissue during speculoscopy from case 2
  patient (A) before and (B) after treatment with the non-hormonal
  Centella asiatica, hyaluronic acid, and prebiotic-based
  vaginal gel.
case_images: 10.1177_11795476231157244-fig2.jpg
case_images: PMC9969462_02_10.1177_11795476231157244-fig2.jpg
case_images: fig2-11795476231157244
case_images: Speculoscopy revealed vaginal mucosa and cervical erythema accompanied by whiteish foamy leukorrhea (Figure 2A). Physical examination found no vulvar erythema and a lower amount of leukorrhea (Figure 2B).
case_images: PMC9969462_03
case_images: Macroscopical appearance of vaginal tissue during speculoscopy from case 3
  patient (A) before and (B) after treatment with the non-hormonal
  Centella asiatica, hyaluronic acid, and prebiotic-based
  vaginal gel.
case_images: 10.1177_11795476231157244-fig3.jpg
case_images: PMC9969462_03_10.1177_11795476231157244-fig3.jpg
case_images: fig3-11795476231157244
case_images: Palpation was normal, there was abundant leukorrhea with a fish-like smell, and the cervix, which was painless upon mobilization, presented slight erythroplakia (Figure 3A). Physical examination showed no leukorrhea, blood remains or erythroplakia (Figure 3B).