Ms. Wang had been menopausal for more than a year, but in recent months, she started to bleed like she was menstruating again. She always thought it would be fine once it was clean, thinking that she wouldn’t get gynecological diseases after menopause, so she didn’t care. She was shocked to find out that it was endometrial cancer! After menopause, many women have the same misconception as Ms. Wang, thinking that gynecological diseases are something that happened when they were young, so they don’t need or are embarrassed to see a gynecologist after menopause. In fact, when vaginal bleeding occurs after menopause, you must go to the hospital in time to rule out gynecological malignancies first. For example, endometrial cancer generally manifests as postmenopausal vaginal bleeding, often accompanied by high-risk factors such as obesity, hypertension, diabetes, infertility or infertility; cervical cancer generally has contact bleeding, which mostly occurs after sex or gynecological examination, and these two diseases are more common. Less common possible malignant diseases include ovarian cancer, fallopian tube cancer, etc. These malignant diseases may be accompanied by symptoms such as low fever, fatigue, abdominal pain, bloating, anemia and weight loss. There are also some more common benign diseases that can cause bleeding, mainly age-related vaginitis, endometritis, cervical polyps, endometrial polyps, and IUDs that are not removed after menopause. Therefore, postmenopausal women should pay attention to the fact that postmenopausal bleeding is never a return to the old age, and they must go to the hospital for timely diagnosis and treatment. The diagnosis should be clear and then treatment or surgery should be given accordingly. Do not take it lightly and do not feel embarrassed to see a gynecologist, so as not to delay the disease.