Our study limitations are that our primary outcome is a subjective assessment of vaginal discharge and vaginal erosion. Our population is an older, postmenopausal population and therefore may be more susceptible to vaginal erosion. Patient compliance to use of the vaginal cream 2 times weekly is also another limitation as this is a patient directed cannot be controlled, however we will try to reduce this limitation by requiring that patients bring their used syringes back to the office.