There are many reasons for vague pain in the abdomen after menopause. It may be caused by having senile vaginitis, which can cause pelvic inflammatory disease due to untimely treatment of vaginitis, which can easily lead to infection in the pelvic cavity. Pelvic inflammatory disease can cause pain in the small abdomen and also cause symptoms of back pain, which can also lead to increased leucorrhea and odor in the vulva. In case of ovarian cysts, abdominal pain can be caused when the cyst is twisted. This can also occur if there are fibroids, which can also cause bleeding in the vagina. Excluding gynecological diseases there are also urinary tract infections, kidney stones and urinary stones, as well as appendicitis and gastroenteritis, which can also occur. Post-menopausal abdominal pain requires ultrasound examination, routine leucorrhea examination, and also kidney ultrasound and routine urine examination. Only after identifying the cause can we provide reasonable treatment under the guidance of a doctor, pay attention to vulva hygiene, change underwear regularly, and preferably drink more water.