Otolithiasis, also known as benign paroxysmal positional vertigo lithiasis, has a male-to-female ratio of 1: (1.5~2.0), with a high incidence in females mainly due to their high mood swings, endocrine disorders and other factors. 1. Emotional fluctuations: women are easily affected by negative events in their lives, and large emotional fluctuations can easily lead to low immunity, which may induce otolithiasis. 2. Endocrine disorders: Otolithiasis usually develops above the age of 40, and the incidence increases with age. As women over 40 years old are in menopause, endocrine disorders will also increase the incidence of otolithiasis. It is recommended that patients with otolithiasis should consult a doctor in time to identify the cause and standardize the treatment under the guidance of the doctor.