54 year old menopausal for a year nipple pain and again menstruation is not normal. The 54-year-old menopausal year nipple pain and menstruation may be the body suffers from senile vaginitis, cervical polyps or cervical pre-cancerous lesions and other factors caused by vaginal bleeding. Of course, we can’t rule out endometrial polyps, endocrine disorders or uterine submucosal fibroids and other factors that cause abnormal uterine bleeding. When this phenomenon occurs, it is necessary to go to the hospital for cervical cancer screening to find out whether there are polyps or cervical lesions at the cervix, as well as routine examination of leukorrhea to find out whether there is any inflammation in the vagina, and even gynecological ultrasound, hormone six tests, etc., to exclude the uterus from organic pathology or endocrine disorders. Through standardized examination, we can identify the causes of nipple pain and menstruation after one year of menopause, and deal with the causes of the disease.