Clinically, there are many reasons that cause menstruation to be unclean all the time during menopause, which may be caused by endocrine disorder, or may be caused by disease factors such as endometrial polyps and endometrial cancer, it is recommended to go to the hospital for relevant examination and treatment according to the examination results. 1.Examinations 1.Ultrasound examination: It can check the condition of endometrium, such as whether the endometrium is normal, whether the endometrium is thickened or thinned, and whether there are abnormal conditions in the uterine cavity, such as fluid, polyps, adenomas, etc.; 2.Vaginal swab: To understand the cleanliness, acidity and alkalinity of the vagina, and whether there are pathogenic bacteria infections, etc.; 3.TCT examination: That is, cervical cytology examination, which can be used for screening and diagnosis of early cervical cancer. and diagnosis, mainly checking the cell volume, inflammatory cells, etc.; 4. Pathological biopsy: if there are proliferative lesions such as uterine polyps, pathological biopsy can be taken to clarify the benignity and malignancy of the polyps, and treatment can be carried out according to the results. Second, the treatment method 1, drugs: can be taken under the guidance of doctors progestin drugs for treatment, such as norethindrone. Progestin drugs can elevate the level of progesterone in the body, so that the endometrium temporarily stop stripping, can be used for the treatment of menopause is always unclean menstruation, sometimes there may be a rebound after stopping the drug; 2, surgery, radiotherapy: If it is clear after examination is due to more serious adenomyosis, endometrial cancer or precancerous lesions and other diseases, caused by the menstruation is always unclean, then you need to go through surgery, such as endometrial Removal of the uterus, total hysterectomy and bilateral adnexal resection. After surgery, radiotherapy and chemotherapy are required as prescribed by the doctor to slow down the progress of the disease. If the menstrual period is always unclean during menopause, patients need to actively seek medical advice and treatment, maintain good habits in daily life, pay attention to regular living, avoid overwork, maintain a happy mood, and also follow medical advice to intake folic acid, B vitamins, etc., to help prevent anemia and other diseases.