Poor menstruation at age 60 may be caused by lesions in the endometrium, most commonly endometrial polyps, submucosal fibroids, precancerous endometrial lesions, or endometrial cancer. In women who have reached the age of 60 and still have vaginal bleeding, it is important to identify the cause and treat it as soon as possible. Patients should have an ultrasound examination and a cervical examination or pre-cancerous screening of the cervix. If there are cervical polyps, they can also cause vaginal bleeding. Treatment should be based on the results of the examination. It is best to have a hysteroscopy, where the uterine cavity can be observed and a biopsy taken for pathology if there is an abnormality.