Potassium permanganate is not recommended for geriatric vaginitis. With age, the ovarian function of elderly women decreases, estrogen level decreases, vaginal mucosa atrophies and thins, and resistance decreases. Pathogenic bacteria invade thus leading to the occurrence of senile vaginitis. Although potassium permanganate has a certain bactericidal effect, but the irritation is large, it is not recommended to use potassium permanganate sitz bath treatment. Avoid sitz baths as much as possible for age-related vaginitis. There is no need to over-clean the vagina so as not to affect the internal environment. As the pathogenic bacteria are mainly anaerobic, antibiotics can be used for treatment, commonly used are metronidazole, clindamycin and so on. In addition, exogenous estrogen can be supplemented appropriately, such as estradiol valerate and hexenoestrol. Elderly women with vaginitis, it is recommended that timely consultation and treatment, specific medication is recommended to follow the doctor’s instructions, do not abuse the drug.