Premarin cream & pessary use

I have had no surgery or procedures yet. I finally have a pessary that fits, hasn't fallen out, but looks like a baby pacifier (which is a sex problem, I'm trying to work out). I can hardly feel anything, I almost feel normal. Except, now I have stress incontinence. I am going to use this for as long as I can. I'm using a vaginal cream twice a week trimo-san. I was using premarin cream twice a week, but I started to feel my heart beating and stopped using it until I can find out what's going on. I've had an ekg, blood test and treadmill test all come out normal, so I guess that problem is ok. My question is, does anyone know how necessary the use of estrogen cream is when wearing a pessary. What are the advantages of the estrogen cream. My vaginal wall already collapsed along with my bladder and cervix. Any input would be appreciated.

Hi hopsey, that is the same pessary I ended up with although it didn't cause me stress incontinence. That probably means that when everything is put back, you will have stress incontinence so they may have to do a TVT or TOT. I couldn't have sex with mine in either and it took 4 days of being in for me to notice a difference - so I only used it for 3 weeks. I went ahead and scheduled surgery as the pessary let me know that surgery will help. I wish you the best. I still used my estrogen creme as I get extremely dry without it. Hugs.