We will assess for atrophy, erosion, vaginal discharge and obtain a vaginal culture if clinically applicable. Questionnaires will be completed at baseline, 12 week and 6 month follow-up visits and include: Pelvic Floor Distress Inventory (PFDI), Pelvic Floor Impact Questionnaire (PFIQ). We will assess patient satisfaction for use of pessary at each follow-up using a Liekhart scale. Patients with bothersome vaginal discharge will use a VAS scale with a rating of with a 10cm linear continuum in which 0 represents very bothersome and 10 represents not at all bothersome. Vaginal erosion will be clinically described as minimal, moderate or severe.