If there is no blood in the urine after menopause but there is blood on the wiping paper, it may be caused by senile vaginitis, endometriosis, cervical lesions and so on. 1. Geriatric vaginitis: After menopause, due to the decline in estrogen and resistance, geriatric vaginitis is likely to occur, and the mucous membrane is more fragile, and sometimes there is no blood in urine after menopause, but there is blood on the wiped paper phenomenon. 2. Endometrial lesions: Postmenopausal women suffering from endometrial polyps, endometrial cancer and other endometrial lesions will lead to abnormal bleeding from the uterus, which will lead to blood on paper but no blood in urine after menopause. 3. Cervical lesions: When you suffer from cervicitis, cervical cancer and other cervical lesions after menopause, the cervical mucosa will be stimulated by inflammation and tumors, which will lead to a small amount of bleeding from the vagina, and there will be no blood in urination but blood on the wiped paper after menopause. If you have no blood in your urine but there is blood on the paper after menopause, you need to go to the hospital as soon as possible for examination to clarify the cause of the disease before treatment.