Vaginal bleeding in the elderly is mostly considered to be caused by endometrial hyperplasia, vaginal inflammation, cervical lesions, gynecological tumors, etc. It is recommended to go to the hospital for examination to clarify the cause and then deal with it. 1. Endometrial hyperplasia: if the elderly occasionally have a small amount of vaginal bleeding without other uncomfortable symptoms and no obvious abnormalities in the examination, it is mostly considered to be exfoliative bleeding after endometrial hyperplasia. 2, vaginal inflammation: such as senile vaginitis, trichomonas vaginitis, mycotic vaginitis, when the inflammation is serious, it will cause the blood vessels on the surface of vaginal mucosa to rupture and bleed less, so we need to improve the examination of vaginal secretions and carry out local treatment for pathogens, such as senile vaginitis with estriol cream, trichomonas vaginitis with metronidazole pessary, mycotic vaginitis with miconazole pessary, etc.; 3. Cervical lesions: such as cervical polyps, precancerous cervical lesions, cervical cancer, etc. can cause vaginal bleeding in the elderly, which need to be improved with cervical TCT and HPV testing. In the early stage, surgery can be performed, and in the late stage, radiotherapy or chemotherapy is needed. Elderly people should pay attention to vaginal bleeding, take more rest, avoid strenuous exercise, do not use excessive force when relieving bowel movements, and seek medical attention when abnormalities are detected.