Menopause is also known as perimenopausal syndrome, perimenopausal syndrome women have urinary occult blood may be normal phenomenon such as menstrual disorders, strenuous activities before the examination, etc., but it may also be abnormal phenomenon such as cystitis, urinary stones and so on. 1. Normal phenomenon: (1) Menstrual disorders: women with perimenopausal syndrome will have menstrual changes, resulting in women’s menstruation becoming less frequent and shorter in duration, or shorter intervals, increased menstrual flow, etc., leading to the mixing of menstrual blood and the appearance of occult blood in the urine when women do urinalysis. (2) Strenuous activities before the examination: If women usually have less exercise and have strenuous activities before the examination, it can also cause occult blood in urine. 2. Abnormal phenomenon: (1) cystitis: mostly due to pathogen infection of the bladder mucosa, the patient can be irritated by inflammation of the bladder mucosa occurs urinary occult blood symptoms, and can be accompanied by frequent urination, painful urination, lower abdominal discomfort, etc., and the patient can have fever, chills and other systemic symptoms. (2) urinary stones: can also cause urinary occult blood, and will be accompanied by lumbar pain, abdominal pain, nausea, vomiting, urinary tract irritation symptoms such as urinary frequency, urinary urgency, urinary pain and so on. In addition, there are many other reasons that can cause menopausal women to have occult blood in the urine, and it is recommended to consult a doctor in time to rule out non-disease factors and receive treatment as soon as possible.