Extended Pessary Interval for Care (EPIC Study)

Inclusion Criteria: * Females with POP who have opted for conservative management with a pessary * Able to read and write English * First time pessary users * Successful fitting with a covered ring or Gellhorn pessary, as determined at the usual early follow-up visit 2-4 weeks after initial fitting (successful defined as: no expulsion on movement, squatting or valsalva, no urinary retention, no discomfort, and still retained pessary after 2 weeks) * Patients agree to use vaginal estrogen (either tablet or cream twice weekly) during the study period; patients may not use a vaginal estrogen ring since this requires changing every 3 months, and will interfere with the study follow-up schedule Exclusion criteria: * Current presence of vaginal bleeding, vaginal abrasions or ulcers, or vaginal infection * Significant cognitive impairment * Pessary used for indication other than POP (ie. urinary incontinence) * Use of a pessary that is not a covered ring or Gellhorn (i.e exclude cube, donut, etc.) * Contraindications to vaginal estrogen * Unsuccessful pessary fitting (successful defined as: no expulsion on movement, squatting or valsalva, no urinary retention, no discomfort, and still retained pessary after 2 weeks)