If you are 56 years old and have basically been menopausal for a few years, and you suddenly experience vaginal bleeding again, this is an abnormality and is not menstruation. By menstruation, we mean regular menstruation in women of childbearing age. If vaginal bleeding occurs in this case, it is always recommended to exclude the possibility of cervical cancer as well as endometrial cancer. Also in clinical practice, due to aging, the decline of ovarian function and thinning of the vaginal mucosa can lead to senile vaginitis, which can also cause vaginal bleeding. Therefore, a gynecological examination should be done to find out if there is senile vaginitis, and a routine white belt test should be done to find the pathogenic bacteria, and treatment should be given according to the results. Screening for cervical cancer and ultrasound is also recommended to find out if there is any abnormality in the endometrium. If the endometrium is abnormal, diagnostic scraping should be done, and pathology should be sent for laboratory tests.