Postmenopausal bleeding refers to abnormal vaginal bleeding in women more than 1 year after physiological menopause. It is a clinical symptom that cannot be ignored and is also a sign of tumors in the reproductive system of some older women. Common causes: 1. Inflammation of genital organs such as vaginitis, cervicitis, endometritis, etc. 2. Benign tumors of reproductive organs such as endometrial polyps or cervical polyps, submucosal fibroids, endometrial hyperplasia, intrauterine device, etc. Wang Xibo, Department of Gynecology, Weifang People’s Hospital 3. Malignant tumors of reproductive organs such as endometrial cancer, cervical cancer, ovarian malignant tumors, etc. Treatment points: Older women should not let down their guard for vaginal bleeding after menopause. It is important to find out the cause of the problem, and to do early examination, early detection and early treatment. If you are older, have been menopausal for a long time, and have symptoms such as heavy and prolonged bleeding, you should pay more attention to it, as it may be caused by malignant lesions. For menopausal women, such as menstrual disorders irregular bleeding, can not be uniformly regarded as menopausal menstrual disorders, which also have the possibility of stubborn internal and external genital inflammation or latent malignant tumors, such as the recent systemic treatment is ineffective, should be a comprehensive and detailed examination, and timely get the appropriate treatment. 1.Conventional gynecological examination 2.Cervical cancer prevention examination 3.Hysteroscopy combined with ultrasound examination and segmental scraping: It is the first choice of auxiliary examination for postmenopausal bleeding patients. For abnormal uterine bleeding caused by lesions in the uterine cavity, such as submucosal fibroids and endometrial polyps, surgical treatment can be performed under hysteroscopy, which is effective, less traumatic and quicker in postoperative recovery.