There are more reasons for bleeding spots on the cervix in the elderly, and they are considered to be related to cervicitis, trichomonas vaginitis and cervical lesions. 1. Cervicitis: due to mycoplasma, gonococcus and other infections of the cervix, may cause cervical tissue congestion and edema, local vascular permeability increases, showing increased leukorrhea, abdominal pain, local tissue bleeding spots and so on. 2. Trichomonas vaginitis: this disease is due to trichomonas infection caused by vaginal infectious diseases, the patient will have a lot of yellowish-green, foamy abnormal secretions, accompanied by local burning and itching discomfort, the examination can be found in the vaginal mucous membrane or the cervical mucous membrane is congested, the formation of “strawberry-like” cervix. 3. Cervical lesions: if the cervix is combined with intraepithelial neoplasia or carcinoma, due to the obvious exposure of blood vessels in local tissues, cervical bleeding spots may be found during examination. There may be other reasons for cervical bleeding spots in the elderly, so it is recommended to go to regular hospitals in time to improve cervical cancer screening, ultrasound and other related examinations, and then take active treatment under the guidance of the doctor after the cause of the disease is clearly defined.