Too much endometrial proliferation in the elderly can lead to heavy bleeding causing anemia, and may develop into endometrial cancer or endometrial polyps. After menopause, the endometrial lining is very thin due to the absence of estrogen. If the endometrial lining is very thick, it is necessary to do hysteroscopy or diagnostic curettage to take out the thick endometrial lining and do pathological tests to know what causes the endometrial lining to thicken. If the cause is simple endometrial hyperplasia, you can take progesterone medication to inhibit endometrial hyperplasia. If it is complicated endometrial hyperplasia or endometrial cancer, surgery is needed.