If you have been clinically menopausal for more than a year and you have vaginal bleeding, this is not menstruation, this is abnormal bleeding. It is always recommended to have a gynecological examination in the clinic. It may be caused by the following reasons: the first one is the decline of estrogen after menopause, which can easily lead to senile vaginal inflammation. Senile vaginal inflammation will have a lot of bleeding spots in the vaginal mucosa, so it will lead to vaginal bleeding, so anti-inflammatory treatment should be actively given. The second one is caused by cervical cancer. Gynecological examination is done to find out whether there is any local abnormality in the cervix, and screening for cervical cancer is recommended. Based on the results, we will decide whether treatment is needed. The third one is caused by endometrial cancer. When abnormal thickening of the endometrium is detected by ultrasound, it is recommended that diagnostic scraping should be done and pathological tests should be sent to rule out the possibility of endometrial cancer.