Uterine atrophy in the elderly is a normal physiological phenomenon after the decline of the body and does not require special treatment. With the decline of ovarian function in the elderly, the level of estrogen in the body also decreases, the stimulation of the uterus is weakened, the uterus will atrophy physiological phenomenon, do not need to be overly concerned about, and do not need additional intervention. The uterus of the elderly mainly needs to pay attention to the thickness of the endometrium, whether there are liquid dark areas or foreign bodies in the uterine cavity. If endometrial thickening or abnormal echoes in the uterine cavity are detected by ultrasound monitoring, further intervention is needed to detect tumor-related diseases. Specific treatment plans and medication interventions should be developed under the supervision of a physician.