Intermittent bleeding during perimenopause may be a normal manifestation of perimenopause, and at the same time, it is necessary to be alert to whether it is a manifestation of endometrial polyps, cervical cancer and other diseases. It is recommended to consult a doctor for a clear diagnosis and treatment under the doctor’s guidance. When a woman enters perimenopause, the function of the ovaries declines, the follicles are close to exhaustion, and the secretion of estrogen decreases sharply, leading to irregular ovulation. This is mainly manifested by menstrual disorders, i.e. bleeding intervals vary in length and bleeding volume. This is a normal manifestation of perimenopause. In addition, intermittent bleeding may also be a manifestation of disease, and it is necessary to rule out the presence of uterine polyps, endometrial cancer, cervical cancer and other diseases. Ultrasound, endometrial biopsy, cervical cytology and other related tests are needed to clarify the condition. Perimenopausal bleeding is always intermittent, it is recommended to consult a doctor in time for standardized diagnosis and treatment.