Vaginal tightness in middle-aged and elderly people may be related to the decline of ovarian function, gynecological inflammation, autoimmune deficiency and other reasons. 1. ovarian function decline: women with age, after menopause ovarian function will gradually decline, this time will lead to the lack of estrogen in the body, resulting in the vaginal wall atrophy, the vaginal gland secretion reduction, vaginal dryness, pain, tightness of the symptoms. 2. Gynecological inflammation: vaginal tightness may also be caused by gynecological inflammatory lesions, mostly mycobacterial vaginal inflammation or bacterial vaginosis, which can lead to vulvar itching and reduced vaginal secretions, accompanied by vaginal congestion and swelling, and may also cause severe vaginal bleeding. 3. In addition, the middle-aged and elderly vaginal tightness may also be related to their own immune deficiency, decreased resistance, vaginal flora imbalance and other factors. It is recommended that middle-aged and elderly patients with symptoms of vaginal tightness go to the hospital in a timely manner, and follow the doctor’s instructions to carry out follow-up targeted treatment after identifying the cause.