Diagnosis and therapeutic measures are immediately taken for abnormal postmenopausal vaginal bleeding, because its causes range from atrophic endometrium to malignancy. In this paper, abnormal bleeding is reported due to leech infection. The patient is a 69-year-old woman who has reached menopause for 12 years and has visited a physician because of vaginal bleeding. The patient had no history of abnormal bleeding or medication. The patient first refused to get hospitalized and continue medical care, but she finally accepted to take diagnostic and therapeutic procedures after a few times of visit and increased bleeding. During general anesthesia and upon opening vagina, a large hemorrhagic and moving mass was observed at the upper posterior vaginal wall which was removed with surgical forceps. Surprisingly, this mass was a leech. Bleeding at the leech’s junction was stopped after half an hour using sterile gas and the patient was discharged on the next day.
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