Having uterine fibroids and menstruation after menopause is abnormal and you should work with your doctor to clarify the cause as soon as possible. For patients with uterine fibroids, as the level of estrogen in the body decreases after menopause, the fibroids will gradually shrink and will not cause vaginal bleeding. However, it cannot be ruled out that some patients may have an exogenous supply of estrogen, which may cause fibroids to grow and menstruation to occur. For fibroid disease, if necessary, with the doctor can choose the surgical way to remove the treatment. For vaginal bleeding, in addition to exogenous estrogen, endometrial cancer, cervical cancer and other diseases need to be highly suspected, and need to cooperate with the doctor to improve the examination. It is recommended that patients should take into account their own situation and follow the doctor’s instructions to give the corresponding treatment, and not blindly use medication, so as to avoid adverse effects on their own health.