In the clinic, the nurse brought in a grandmother in her 70s. The hospital gives priority to patients older than 70 years old, so the grandmother was seen after the previous patient. The first thing the grandmother said was, “Why do I have so much blood when I don’t have my period? When any gynecologist hears such a description, his heart will thump with the possibility of cervical cancer and endometrial cancer, and the subsequent gynecological examination unfortunately confirmed the diagnosis of cervical cancer – the patient’s entire cervix lost its normal shape in cauliflower-like changes, and part of the vagina had been invaded. I wanted to say, “Grandma, you should have regular gynecological exams even if you are menopausal,” but it was too late to say anything about it, which only made her more upset. About 50% of cervical cancers in the United States occur in women who have never had cervical cytology screening, and another 10% occur in women who have not had cervical cytology screening in the past 5 years. In other words, if you have regular cervical cancer screenings, you are not afraid. With annual cervical cytology screening, i.e. traditional Pap smear to modern liquid-based cytology (TCT, LCT), most cervical cancers can be detected and treated early, especially with the advent of human papillomavirus (HPV) testing, the combination of the two has further improved the sensitivity of cervical cancer screening. The fear is the misconception that after menopause, women will not get sick and do not need regular checkups in gynecology. Most malignancies increase in incidence with age. After menopause, the estrogen level decreases, but the organs of breast, ovary, fallopian tube, uterus, vagina and vulva are still there, and the possibility of malignant changes in these organs increases as in other organs of the body. Therefore, the habit of seeing a gynecologist regularly should not be lost. In fact, gynecological checkups are really not complicated, an annual cervical cytology exam (HPV check if available) plus gynecological ultrasound and breast ultrasound, if the doctor says regular checkups are good, this means it’s all good for now, see you next year.