The aim of this study was to evaluate the effects of Fenugreek vaginal cream on tretmeant vaginal atrophy in postmenopausal women. This study is randomized, double-blind. study is carry out at East Ahwaz number one health center. Inclusion criteria: Age between 45 to 65, Amenorrhea at less 12 month or have hormone test with FSH level more than 40 unit, Presenting symptom of vaginal atrophy, Have Sexual activity and single partner، Exclusion criteria: Vaginal infection, Genital Abnormalities, The use of Sex Hormones within the 8 weeks preceding study,smoke and alcohol user، Genital Bleeding of unknown Cause, Use of Phytoestrogens such as Soy, Red clover, Fenugreek, Vitex within the last one Month, They are divided into two groups receiving Fenugreek vaginal cream 5% (n=30 ) and placebo (n=30) for 8 weeks. The symptoms of vaginal atrophy evaluation by a self-assessed 4-point scale of composite score was determined ( none, mild, moderate and severe). Vaginal pH and maturation value measured before and after interventions and compared in both groups.