Postmenopausal endometrial polyps that are small in size and gradually shrink generally do not require treatment, and regular follow-up is fine; if the polyp is large in size, persistent, or enlarged and increased, surgical resection can be considered. Endometrial polyps are overgrowth of endometrial mesenchyme covered with benign endometrial glands, which are associated with high estrogen levels and inflammatory factors. After menopause, estrogen levels will gradually decrease, and some endometrial polyps will shrink. If the diameter of the polyp is small, it will disappear on its own, so no treatment is needed. However, if the polyps are large in size, symptomatic or have the possibility of cancer, surgical treatment is recommended, such as hysteroscopic polypectomy or curettage. Hysterectomy may be performed if there is a higher risk of malignancy. How to treat endometrial polyps after menopause can not be generalized, need to combine their own situation to choose. It is recommended to pay attention to personal hygiene after menopause, keep the local skin clean, and eat a light diet.