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Abnormal uterine bleeding in menopause; Uterine bleeding; Menopause; Vaginal atrophy; Vaginal mucosa; Microtrauma; Vaginitis; Endometrial polyp; Cervical polyp; Endometrial cancer; Cervical cancer; Ovarian cancer; Tubal cancer; Transvaginal ultrasound; Hormone-sensitive tumor; Obesity; Hypertension; Abnormal uterine bleeding in menopause is a loss of blood, whether light, modest or abundant, that the woman reports after 12 months of the absence of the menstrual cycle. A mistaken opinion has led us to think in the past that once the female genital system no longer has a function it can no longer get sick. Even in menopause there are factors that can cause abnormal uterine bleeding. A gynecological visit consisting of a physical examination and a transvaginal ultrasound are important to reduce the risk of uterine bleeding.