Vaginal bleeding during menopause is recommended to go to the hospital for examination in time, and according to the results of the examination, effective treatment can be given to the symptoms. Ultrasound can be performed to understand the condition of the uterine adnexa and the endometrium, whether there is endometrial thickening and uneven echogenicity, or whether there are fibroids in the uterine cavity; gynecological examination can be performed to understand the condition of the uterine cervix, whether there are cervical erosion, cervical polyps, and cervical cancer detection should be performed; whether there is vaginal inflammation causing bleeding of the vaginal wall, can be performed for the examination of the leukorrhea routine, and according to the results of the examination, the symptomatic treatment should be given. If the uterine cavity endometrial echogenicity is not uniform, can be given hysteroscopic endometrial diagnostic scraping, scraping out the tissue sent to the pathology in order to clarify the diagnosis, to exclude the endometrial lesions. Cervical polyps should be removed by cervical polyp surgery, and routine examination of leukorrhea with senile vaginitis, according to the results of the examination, symptomatic treatment.