Menopausal bleeding requires gynecological examination, gynecological ultrasound, cervical cytology, HPV, coagulation tests, and if necessary, cervical biopsy and diagnostic curettage. Postmenopausal bleeding can be caused by a variety of reasons. The site of bleeding can be initially determined by gynecological examination. Organic lesions of the cervix, such as cervical polyps and exophytic cervical cancer. With the use of gynecological ultrasound, lesions in the cervical cavity can be seen, and further examination is carried out according to the site of the lesion. Cervical cytology and HPV testing can screen for cervical cancer, and if an abnormality is present, further colposcopy and cervical biopsy can be performed to clarify the diagnosis. If there is an abnormality in the uterine cavity, further diagnostic scraping is needed to determine the presence of endometrial cancer. Postmenopausal bleeding should also be checked for coagulation function to rule out clotting abnormalities. Women with postmenopausal bleeding need to seek timely medical examination to clarify the cause of the disease and target treatment.