Usually, after menopause, estrogen decreases and bleeding usually does not occur anymore. However, if bleeding occurs after menopause, you should be alert because it may be an early sign of cancer. After endometrial cancer occurs, because the uterus is connected to the vagina, so as long as there is a little tumor, bleeding will be the first symptom, usually the amount is not too much, just a little drop, but at this time, don’t ignore it and go to the hospital for examination. What should I do if I have postmenopausal bleeding? When a doctor encounters postmenopausal bleeding, a vaginal examination will be done to find out if the bleeding is coming from the cervix or the vagina. Other causes of postmenopausal bleeding include cervical cancer, cervical polyps or vaginitis, which can be detected by opening the vagina with a speculum. If no bleeding is found in the cervix or vagina, the doctor will usually need to do an ultrasound to see what is going on inside the uterine cavity. If the ultrasound reveals abnormal signals in the uterine cavity or if the thickness of the endometrium exceeds 5 mm, the next step may be to perform a hysteroscopy, in which the doctor takes a mirror in and reaches inside the uterine cavity under anesthesia to see if there are any abnormalities in the uterus. If any abnormalities are found under hysteroscopy, a biopsy is usually needed to obtain pathology to find out if there is a tumor. Of course, in addition to endometrial cancer, endometrial polyps are also a common cause of endometrial thickening and bleeding after menopause, and hysteroscopic surgery can be performed to remove the polyps at the same time as the examination. If endometrial cancer is diagnosed, it is further treated by surgery. Although it is cancer, because endometrial cancer is usually found at a relatively early stage when these symptoms are detected, it can be cured through surgery, and the survival rate is usually over 90% in 5 years. Therefore, if postmenopausal bleeding occurs, the most important thing is to consult a doctor in time, do not think that the bleeding is not much and delay the disease, once the tumor spreads beyond the uterus, the treatment will not be so good. Remember: postmenopausal bleeding is a sign of a tumor!