Whether menopausal menorrhagia (excessive or spotting menstrual flow) requires curettage usually depends on the condition. Menorrhagia can usually be treated with medication, but if recurrent menorrhagia occurs, curettage may be required. Metrorrhagia is a menstrual disorder in which the menstrual cycle, menstrual period, and menstrual flow are severely disrupted by the unseasonal torrential flow of menstrual blood or dribbling. When leakage occurs, the main treatment is to stop bleeding, you can take Panax ginseng under the guidance of the doctor, or Xiyangshen decoction for internal use. If the medication does not relieve the symptoms and repeated leakage occurs, surgical curettage may be necessary. When leakage occurs, it is recommended to consult a doctor in time and follow the doctor’s instruction to avoid delaying the condition.