Palomacare® will help to restore and maintain a healthy vagina, including if you: - have discomfort, itching or irritation in your vagina and/or cervix without any specific cause (nonspecific vaginitis and cervicitis); - are being treated or have been recently treated for a vaginal infection; - suffer vaginal dryness; - have experienced changes to your vaginal microbiota (the natural protective balance of healthy bacteria) as a result of operations, laser therapy, childbirth, use of contraceptives, radiotherapy or chemotherapy. - Palomacare® can help women of all ages including after child birth, women who are breastfeeding, and those who are peri- and post-menopausal. Learn more about vaginal health

Recommended use of the product depends on your condition: Gynaecological operation: once a day for 12 days after the surgery Gynaecological laser treatment: once a day for six days up to the treatment day and once a day for six days after the laser treatment After childbirth: three times a week for four weeks and then once a week for two weeks During treatment of vaginal infections such as candidiasis (thrush) and bacterial vaginosis (BV) by anti-fungal or antibiotic drugs: once a day during the treatment and for six days after the first menstrual period following treatment for as long as needed women with discomfort, itching or irritation in the vagina and cervix without any specific cause (nonspecific vaginitis and cervicitis): once a day for six days and then twice a week for three weeks Vaginal dryness: three times a week for one month and then twice a week for as long as needed to maintain vaginal health Inflammation and lesions (without human papilloma virus): Once a day for 12 days and then twice a week for two weeks

Please see ‘How do I use Palomacare®?’ for the recommended length of treatment based on your condition.

Palomacare® improves vaginal health in four ways: - Bioecolia provides nutrients to the healthy bacteria in the vagina (microbiota), rebalancing the natural protective environment of the vagina (the microbiota) and reducing the risk of infections - Beta-glucan has anti-inflammatory and anti-oxidant effects on vaginal tissue - Aloe vera and centella asiatica repair damaged tissue - Hyaluronic acid moisturises the vulvo-vaginal mucosa.

Ingredients: Bioecolia: promotes a healthy microbiota – the natural balance of healthy bacteria in the vagina that helps protect against infections Beta-glucan: anti-inflammatory and anti-oxidant effect (encapsulated in niosome form, a targeted drug-delivery system that concentrates the active ingredients in deeper layers of the tissue, speeding up the repair and healing process.) Aloe vera: repairs tissues Centella asiatica: repairs tissues. (Centella asiatica is a herb that is commonly used to heal skin wounds in South East Asia) Hyaluronic acid: moisturises tissue (in niosome form) Learn more about natural ingredients.

Two clinical studies have shown the positive effects of Palomacare®. Nonspecific vaginitis (inflammation) One clinical study concluded that Palomacare® has shown “a clear tendency to repair the cervico-vaginal mucosa of women with nonspecific vaginitis”. In the study, 61 women with nonspecific vaginitis were divided into the treatment group (32 women) and the control group (29 women), who received no treatment. The treatment group was given a daily dose of Palomacare® for one week and then twice a week for a total of 12 weeks. At the end of the 12-week study, the signs of vaginitis had disappeared among 66% of patients in the treatment group, compared to 41% of patients in the control group, who received no treatment. 88% of women in the treatment group (28 of 32 women) showed an improved vaginal health score (using a Likert scale), compared to 48% in the control group who received no treatment (14 of 29 women). This was an open clinical study, meaning both the researchers and the study participants know who is receiving the treatment and who is not. Palacios S et al., Estudio clinico abierto, con grupo control, para explorer la eficacia del gelPalomacare en la reparacion de la mucosa cervico-vaginal en pacientes con citologia inflamatoria. Toko-Ginecologia Pratica. 2018 vol 78(1): 3-7 Childbirth and postpartum recovery A clinical study of women who were going through their first pregnancy concluded that daily massage of the perineum using Palomacare gel “shows beneficial effects in childbirth and post partum”. The study included 40 pregnant women aged 23-45. Half (20 women) were treated daily from the 35th week of pregnancy and during labour (the treatment group). The other 20 women were not treated (the control group). At the post partum visit, the appearance and healing of the episiotomy (surgical cut) was rated as excellent in 85% of the women in the treatment group, compared to 35% of the women in the control group, who were not treated. The pain became mild among 75% of the women in the treatment group compared to 30% of the women in the control group. 95% of the women in the treatment group said they were satisfied with the improvements after they had given birth, compared to 25% of the women in the control group. This was an open clinical study, meaning both the researchers and the study participants know who is receiving the treatment and who is not. Aragon P, et al., Efectividad del masaje perineal con un gel vulvar (Palomacare) a base de fitosomas de Centella asiatica, durante la gestacion y el trabajo del parto. Toko-Ginecologia Pratica. 2019 vol 78(4): 170-174 A survey of 782 Spanish gynaecologists who have recommended the product to their patients reported that majority of the doctors have seen positive effects in their patients who have used the product. The survey was sponsored by Procare, the inventor and manufacturer of the Palomacare.

Yes, Palomacare® is safe to use in pregnancy, but talk to your doctor before you start to use the product. A clinical study showed beneficial effects of using Palomacare® from the 35th week of pregnancy. Please see under ‘Is Palomcare® proven to work?

Some women may experience irritation, itching and/or a burning sensation after using Palomacare®. This type of reaction is more common in women with a very sensitive or significantly damaged genital area or with an altered vaginal pH (for example, women who are post-menopausal, or have had a recent vaginal infection). One possible cause of irritation is the difference between the alkaline vaginal pH of peri- or post-menopausal women and the pH of the product, which is 5.5. Another possible reason is an allergy to any of the ingredients. Papilocare® contains lactic acid and so if you are allergic to it, you should not use the product. Some women find these side effects disappear as they continue to use Palomacare®. If you find the side effects are severe or persistent, stop using the product and consult your doctor.