Sudden small amount of bleeding two years after menopause is considered to be vaginitis, cervical lesions, endometriosis and other conditions, which are more important, and it is recommended to consult a doctor in time. 1. Vaginitis: After menopause, the level of estrogen is lower, the immunity in the vagina is lower, vaginitis is easy to occur, if the local mucous membrane is broken, it may lead to local bleeding. 2. Cervical lesions: If there is cervicitis or cervical cancer, it may cause stimulation to the local tissues after sexual intercourse, resulting in bleeding. 3. Endometrial lesions: if there is endometrial malignant tumor, local tissue degeneration and necrosis may occur, resulting in bleeding. If you find abnormal vaginal bleeding after menopause, you need to go to the hospital in time, improve the examination under the guidance of the doctor, clarify the specific causes, and take appropriate methods of treatment.