Vaginal bleeding at age 60 is not menstruation. Menstruation is a physiological phenomenon, it is regular, once a month vaginal bleeding, is menstruation. 60 years old vaginal bleeding, must be alert to whether it is due to endometrial cancer, cervical cancer, recommended to do a detailed gynecological examination, to find out whether there are abnormal vaginal, cervical localization of the mass, whether there are abnormal bleeding points, but also to do the routine leukorrhea test, cervical cancer screening, mainly to exclude cervical cancer, cervical epithelial lesions, and also to do the regular test. The main purpose is to exclude cervical cancer and cervical epithelial lesions. An ultrasound is also needed to check the thickness of the endometrium. If the thickness of the endometrium is greater than 0.5cm at this age, it is abnormal and diagnostic scraping is recommended to rule out endometrial cancer.