If menopause has two years has not come to menstruation, in this case the uterus has already appeared atrophy, if suddenly appeared vaginal bleeding, not menstruation but abnormal bleeding, must cause a high degree of attention, it is recommended to go to the hospital as soon as possible to check, to exclude the possibility of geriatric vaginitis, when the hormone level declines after menopause, often make the local resistance of the vagina decreases, and caused by the geriatric vaginitis This can lead to bleeding of the mucous membrane. To rule out the possibility of cervical cancer, it is recommended to do cervical cancer screening or colposcopy if necessary. It is also necessary to exclude the possibility of endometrial cancer, through ultrasound examination to find out whether the endometrium is abnormally thickened, if it is thickened or there is an abnormal echogenic mass, do diagnostic scraping in time, mainly clinically to confirm the diagnosis, and then treat it as soon as possible.