After menopause, estrogen levels decline. This may allow postmenopausal vaginal pH to increase to the range of 5.0-7.5. At these higher pH levels, lactobacillus survival is hindered, and vaginal colonization by other bacterial species predisposes women to symptomatic vaginitis (5). Discontinuation of pessary use is often due to discomfort, expulsion, urinary retention bothersome vaginal discharge and vaginal erosion (6). Common complications with pessary use are erosions (8.9%), or vaginal infections (2.5%) (7). Some studies have shown an erosion rate as high as 21% (6). Patients often complain of vaginal discharge with pessary use that is malodorous and bothersome. Local estrogen can help to restore the vaginal pH and help reduce vaginal discharge. The moisturizing properties of vaginal lubricants and creams may help reduce vaginal erosion in pessary users. We would like to compare Estrace ® to a placebo. The placebo will be the hormone replacement therapy (HRT) base cream in Estrace ® without the estradiol.