Geriatric vaginitis is an inflammation of the vagina caused by a decrease in estrogen after menopause, resulting in low local resistance of the vagina and a bacterial infection. It is different from other types of vaginitis because it is mainly caused by low estrogen. Therefore, in addition to vaginal medication to treat the inflammation, it is also necessary to replenish estrogen in the body, usually by taking oral tibolone or applying estriol ointment directly to the vagina to replenish the estrogen in the vagina and promote the resistance in the vagina. You should also consider using povidone-based suppositories or bitter ginseng gel for vaginal application to relieve the abnormal leucorrhea and vulvar itching caused by vaginitis. Since geriatric vaginitis is prone to recurrence, topical estriol ointment can be applied to the vagina at intervals after the inflammation is cured to prevent recurrence of geriatric vaginitis. It is also usually recommended to abstain from intercourse during the treatment of senile vaginitis and to eat a light diet without spicy and stimulating foods to avoid recurrence of vaginitis. Besides using western medicine for symptomatic treatment, you can also consider seeing a Chinese medicine practitioner to treat Vaginitis in the elderly through internal and external sitz baths.