Bleeding two years after menopause may be caused by inflammation of the reproductive tract, endometrial lesions, cervical lesions and other factors. 1. Inflammation of reproductive tract: after menopause, due to the decrease of estrogen in female body, the vaginal epithelium may atrophy, and the self-consciousness ability becomes poor, the immunity of the body is low, and if you don’t pay attention to the daily care, it is easy to induce vaginitis, and the lesion will lead to vaginal bleeding after the menopause. 2. Endometrial lesion: for example, endometrial cancer, the typical symptom is vaginal bleeding after menopause, with the aggravation of the lesion, the patient may also have some systemic symptoms, such as anemia, emaciation and so on. 3. Cervical lesions: for example, cervical cancer usually leads to irregular vaginal bleeding and contact bleeding, which may be accompanied by pain in the lower abdomen or waist. In addition, there are other factors that can also lead to this situation, such as blood diseases, etc. Therefore, if frequent vaginal bleeding occurs after menopause, it should be taken seriously, and it is recommended to go to the hospital in a timely manner for the appropriate examination, to clarify the cause of the disease, and then comply with the doctor’s instructions, to prevent the disease from aggravating.