There are several reasons for persistent vaginal bleeding: first, pregnancy needs to be ruled out. Firstly, if the vaginal bleeding is caused by an ectopic pregnancy, surgical treatment or conservative treatment should be performed depending on the amount of bleeding and the patient’s symptoms. Secondly, if the vaginal bleeding is caused by preeclampsia due to intrauterine pregnancy, the decision to perform abortion surgery or conservative treatment will be based on the amount of bleeding. Secondly, vaginal bleeding caused by ovarian decline and endocrine disorders in perimenopausal women. First of all, if the bleeding is heavy, it is recommended to perform a diagnostic scraping procedure to stop the bleeding and to clarify the cause. Secondly, if the bleeding is low, symptomatic treatment such as hemostasis should be given.