This is due to the fact that when a woman reaches menopause, the ovaries begin to fail and the follicles begin to run out, and the remaining follicles become less responsive to the pituitary gonadotropins, so there is no ovulation, which leads to heavy menstrual flow. In menopausal women, a diagnostic curettage can be performed, which not only stops the bleeding, but also allows the scrapings to be tested for pathology to clearly diagnose what kind of lesion is in the endometrium. If the amount is not too large, high doses of progestin can be used to stop the bleeding.