Small amount of vaginal bleeding in elderly women can be seen in vaginitis, endometrial cancer, uterine fibroids and other diseases, the patient should consult a doctor in time to clarify the cause of the disease and then treat it. 1. Vaginitis: inflammatory disease of vagina due to bacterial, fungal and trichomonas infections, which can be divided into bacterial vaginosis, mycotic vaginitis and trichomonas vaginitis, and the patients will have symptoms such as vaginal bleeding, abnormal secretion and peculiar smell, etc. The patients can use ketoconazole and metronidazole and other medicines under the guidance of doctors for treatment. 2. Endometrial cancer: a group of epithelial malignant tumors in the endometrium which occurs in perimenopausal women, patients will have abnormal vaginal bleeding, pain and enlargement of the uterus in the lower abdomen, once the diagnosis is confirmed, patients should actively prepare for the surgery and radiotherapy. 3. Uterine fibroids: benign tumors formed by proliferation of smooth muscle tissue in the uterus, more common in women aged 30-50 years old, patients may have abnormal vaginal bleeding and lower abdominal distension, usually no symptoms without treatment, when it affects the patient’s normal pregnancy can be removed.