It is not pseudo-menopausal to have menstruation after a whole year of menopause, it may be normal menstruation, or it may be related to pathological factors, such as endometrial cancer. 1. Normal menstruation: If menstruation occurs again after menopause, it is due to the thickening of the endometrium caused by the stimulation of estrogen in the body, which can be regarded as a normal menstruation. 2. Pathological factors: if the menstrual bleeding is long, heavy, incessant, accompanied by abdominal pain and other abnormalities, it is necessary to be alert to the occurrence of endometrial abnormalities, such as endometrial cancer, and it is necessary to cause high alertness and go to the hospital for ultrasound examination or diagnostic scraping. The age of menopause is the most common age for endometrial lesions. If menstruation occurs again after a full year of menopause, even though menstruation is the same as before, it is recommended to go to the hospital for ultrasound examination after menstruation has been cleared to rule out endometrial abnormality, and if necessary, to do a good screening for cervical cancer, and to follow the doctor’s instructions to deal with the treatment.