Vulvar atrophy in middle-aged and old people is considered to be related to ovarian dysfunction and low estrogen level, and estrogen preparation can be used as prescribed by the doctor to improve the situation of vulvar atrophy. For middle-aged and elderly women, due to the ovarian function has been reduced, the body estrogen level has decreased significantly, so the vulva and vaginal mucosa will gradually atrophy after the loss of estrogen protection, at this time under the guidance of the doctor to use estrogen ointment, Prostacyclin and other estrogen preparations for external use to improve the local symptoms. At the same time for middle-aged and elderly women, we should also pay attention to appropriate exercise to improve their own resistance, pay attention to maintain a regular work and rest routine, appropriate yoga, jogging and other activities to maintain a happy mood, if there are obvious hot flashes, night sweats and other menopausal symptoms, it is recommended that they go to the gynecology department of a regular hospital, follow the doctor’s instructions to supplement estrogen therapy.