Atrophic vaginitis is usually not painful in the lower abdomen. Atrophic vaginitis, that is, senile vaginitis, belongs to the postmenopausal elderly women appearing vaginitis. Clinically, patients often show an increase in vaginal secretions, yellowish color, accompanied by a local burning sensation in the vagina; some patients have localized pain in the vagina, or pain during sex; occasionally, localized itching of the vulva, localized odor and other symptoms. Therefore, patients usually do not experience pain in the lower abdomen. The disease is mainly due to ovarian hypogonadism, reduced estrogen level, vaginal mucosa atrophy and thinning, reduced glycogen content in the vaginal epithelium, increased PH value in the vagina, and reduced local resistance, which facilitates the invasion and reproduction of germs and inflammation caused by the disease. Therefore, patients should pay attention to vulvar hygiene, avoid malnutrition, avoid vitamin B deficiency. When symptoms occur, it is recommended to consult a doctor as soon as possible and follow the doctor’s instructions to standardize the treatment.