Painful coitus in the elderly may be related to vaginal dryness, geriatric vaginitis, pelvic inflammatory disease and other causes, which can be treated by conservative or surgical treatments that need to be carried out on the cause. 1. For vaginal dryness, hormone or hormone replacement therapy can be used as prescribed by the doctor, and vaginal lubricants can also help to improve the symptoms of dryness. 2. For those caused by senile vaginitis, you can follow the doctor’s instructions to use topical vaginal estrogen ointment or oral estrogen, ospemifene and other estrogen receptor modulators. 3. For pelvic inflammatory disease caused by, can follow the doctor’s instructions oral of ofloxacin and other antibiotics, ibuprofen and other non-steroidal anti-inflammatory drugs; conservative treatment is ineffective, the feasibility of laparoscopic surgery. It is recommended that elderly people with pain in coitus go to the hospital in time, clarify the cause of the disease, and standardize the treatment under the guidance of the doctor.