Elderly women who experience vaginal bleeding after intercourse should first clarify whether it is hemorrhage, which is a medical term referring to the phenomenon of massive bleeding caused by rupture of arteries or damage to internal organs, and is mostly seen in the case of women who have suffered severe impacts to their internal organs or who have miscarried during pregnancy. Usually, hemorrhage is rare in elderly women, and in most cases, the amount of bleeding is relatively small, mostly considered as pathological factors and physiological factors, the patient may be too nervous and mistaken for hemorrhage: 1. Pathological factors: the patient herself exists gynecological diseases, such as geriatric vaginitis, cervicitis and cervical erosion, cervical cancer, etc., coitus or strenuous exercise can induce vaginal bleeding. However, this kind of bleeding occurs almost every time after sexual intercourse, and it is persistent, and the amount of bleeding will gradually increase from a small amount and flow uninterruptedly. It is recommended that patients go to the hospital for gynecological examinations such as blood test, urine test, ultrasound, secretion test, etc., so that symptomatic treatment can be carried out only after clarifying the disease, and coitus should be avoided during the period of treatment, and coitus can be appropriate after the disease has been cured or the symptoms have stabilized; 2. Physiological Factors: After menopause, with the increase of age, the ovary function of women will gradually decline, and the secretion of sex hormone and oestrogen will decrease, and the vagina will become shrinking, dry and fragile. The vagina will gradually become atrophied, dry and fragile. If the action during intercourse is too violent or rough, the strong stimulation will damage the mucous membrane of the inner wall of the vagina or the cervix of the uterus, making the blood vessels rupture and bleed. The amount of bleeding will be aggravated to a certain extent because the elasticity of the vagina of elderly women becomes worse, the vaginal exudate is less, and the hemostatic and self-healing function becomes worse. The patient needs to wash the vicinity of the vagina with water or saline, and then apply local or oral anti-inflammatory drugs and hemostatic drugs for treatment, while the patient is advised to suspend coitus to prevent the damage from worsening. In addition, when having intercourse in the future, lubricants can be used appropriately to assist in reducing the possibility of bleeding.