Heavy bleeding during menopause is abnormal uterine bleeding, and ultrasound should be performed to find out the condition of the uterine lining. If the endometrium has uneven echogenicity or thickening, diagnostic scraping should be carried out, and the scraped out tissue should be sent to pathology for clear diagnosis. Diagnostic scraping can not only play an effective role in stopping bleeding, but also make a clear diagnosis, so if abnormal uterine bleeding occurs after the menopause, it is necessary to carry out diagnostic scraping in a timely manner. After the operation, anti-inflammatory and hemostatic drugs will be given orally, and we will wait for the pathology results to guide the next step of treatment. In the perimenopausal period due to endocrine disorders, women may have abnormal uterine bleeding or endometrial thickening and other symptoms, need to be alert to endometrial malignant lesions, so abnormal uterine bleeding or ultrasound suggests that the endometrium is abnormal echogenicity, we should actively carry out further examination, a clear diagnosis and effective treatment.