When women reach perimenopause, menstruation stops for one year before it is considered menopause, and menstruation stopping for six months is not really menopause, so it is normal for patients to have menstruation again after six months of menopause. Although ovarian function is generally declining in women during menopause, it shows a zigzag decline, which means that after a period of repair, the patient’s ovarian function may have better hormone level fluctuations again. So the patient may experience vaginal bleeding again after a period of menstrual cessation, as in the case of menstrual flow, which is normal. However, if the patient has abnormalities such as bleeding again after six months of menstrual cessation, prolonged bleeding, or excessive bleeding, treatment is needed. It needs to be judged and treated according to the patient’s hormone level and ultrasound changes, but gynecological neoplastic diseases must be excluded before treatment.