Women with bleeding down there first need to draw blood to check the blood HCG value, the blood HCG value does not rise to rule out abnormal uterine bleeding caused by pregnancy, need to do further gynecological examination, gynecological ultrasound and drug or surgical treatment, etc., as follows: 1, endometrial polyps or submucosal fibroids, need further hysteroscopic surgery, postoperative pathology sent for laboratory tests, according to the postoperative pathology to determine the next treatment 2, endometrial inflammation, can be treated with oral cephalosporin antibiotics combined with metronidazole antibiotics, and diagnostic scraping surgery is also feasible; 3, vaginal inflammation, need to test vaginal secretions, according to the examination to determine which type of vaginitis, and choose the right drug treatment; 4, cervical lesions, need to further check TCT, HPV cervical cancer screening, according to the examination situation to decide the treatment plan.