Bleeding again after several years of menopause is considered to be related to endocrine disorders, senile vaginitis, endometrial malignant cancer, cervical cancer, blood system diseases, etc. The main manifestations are small amount of vaginal bleeding or heavy bleeding after menopause, bloody secretion, pain in the lower abdomen, odor of secretion, etc., which need to be actively sought for medical treatment. 1. Geriatric vaginitis: After menopause, due to the low resistance of vagina and vagina, it is easy to induce all kinds of vaginal infections, resulting in congestion of vaginal mucosa and cervix, and small amount of vaginal bleeding, accompanied by vulvar itching, increase in secretion and odor, etc., which need to go to the hospital for the routine examination of leukorrhoea, and comply with the doctor’s instructions for vaginal douche and medication treatment. 2. Endocrine disorders: After menopause, a small amount of estrogen in the body stimulates the uterine lining, which may lead to endometrial hyperplasia, and endometrial detachment manifested as vaginal bleeding, which belongs to the normal physiological process and does not need treatment. 3. Endometrial malignant tumor: It is mostly seen in endometrial cancer and other endometrial lesions causing vaginal bleeding, accompanied by lower abdominal pain and foul-smelling secretion, which can be diagnosed by endometrial biopsy or diagnostic scraping, and can be treated by surgery after diagnosis. 4. Cervical cancer: cervical cancer is mostly seen in vaginal bleeding accompanied by lower abdominal pain and foul-smelling secretion, etc. It can be diagnosed through cervical biopsy and mainly treated by surgery, which may include total hysterectomy, postoperative radiotherapy, and regular rechecking. 5. Blood system diseases: for example, suffering from aplastic anemia can also lead to vaginal bleeding again after several years of menopause. If you are bleeding again after several years of menopause, you need to actively go to the hospital for medical treatment, after clarifying the cause of the disease, and then follow the doctor’s instructions for treatment.