Elderly vaginitis is mainly characterized by increased vaginal discharge, itching and burning sensation in the vulva, and thin, yellowish vaginal discharge. In severe cases, purulent leukorrhea may occur, and on examination, congestion of the vaginal mucosa, small tumors and superficial ulcers may be seen, and the ulcerated surface may adhere to the other side, leading to stenosis or even atresia in severe cases, and poor drainage of inflammatory secretions, leading to pus accumulation in the vagina or pus accumulation in the uterine cavity. Bleeding leucorrhea should be distinguished from uterine malignancies such as endometrial and cervical cancer, segmental curettage or cervical biopsy is necessary, for granulation tissue and ulceration of the vaginal wall, it should be distinguished from vaginal cancer, local biopsy is feasible, if the infection is severe, accompanied by pain during sexual intercourse, there may also be odor, therefore senile vaginitis can be treated with estrogen, administered orally or vaginally, or with anti-inflammatory medication .