Vaginal bleeding after menopause is not necessarily cancer. Because the following conditions can also cause vaginal bleeding after menopause: 1. Age-related vaginitis. As the resistance of the vagina decreases after menopause, it can be infected with bacteria, which will lead to age-related vaginitis. Age-related vaginitis often causes congestion of the vaginal mucosa and bleeding spots, which can lead to bleeding. Therefore, you should go to the hospital for examination and routine tests of the leukorrhea, and then treat the symptoms.2. Polyps on the cervix may also cause bleeding after menopause, and should be given surgical treatment, so that the bleeding will not recur in the future. However, the vaginal bleeding after menopause must be taken seriously, first of all, we need to do cervical cancer screening, to exclude localized cervical lesions, or even cancer. In addition, ultrasound examination is needed to check the thickness of the endometrium. If the thickness of the endometrium is more than 0.5 centimeters, diagnostic curettage is recommended to exclude the possibility of endometrial cancer.