I had a prolapse uterus and eventually was an unable to enjoy outdoor or just daily activities. I constantly felt like I needed to urinate and had physical discomfort. My estrogen cream brought my life back to normal for many years. When it was time to wear a pessary, my vaginal walls had good integrity which has allowed using a pessary to be totally comfortable and unnoticeable in my daily life. I believe that the estrogen cream has prevented me from having difficult and possibly unuseful surgery.