Menstruation is menstruation. Menstruation at the age of 58 is usually abnormal and may be caused by diseases such as endometritis or endometrial cancer. For most women, at the age of 58, menopause has already occurred. The cause of vaginal bleeding at this time may be endometritis or endometrial cancer, etc., so consult the Obstetrics and Gynecology Department of the hospital in a timely manner for examination and a clear diagnosis. If it is endometritis, we should actively fight against inflammation, and if it is endometrial cancer, we need to improve chest CT, abdominal CT and other tests to determine whether there is any metastasis and decide whether surgery is possible and whether radiotherapy is needed after surgery. In addition, 58 years old menstruation can also be seen in endometrial polyps, cervical polyps, vaginitis, etc., it is recommended to consult a doctor in a timely manner to determine the cause of the disease, and under the guidance of the doctor active treatment.