Larger proportions of women are now entering menopausal transition than before, and spending approximately one third of their lives in post menopausal state. Onset of menopause was shown to be related to a constellation of symptomatology and chronic conditions affecting age-span, and quality of life. Various symptoms appear at this stage as a result of hormonal, biosocial, or cultural factors. These menopausal symptoms are mainly of vasomotor, somatic, genital, or psychological in origin. Highest frequencies of menopausal symptoms were shown in the peri-menopause and early post menopausal phase.1 In the absence of optimal medical management, menopausal symptoms are becoming more problematic for physicians and women themselves. This paper describes the menopausal symptoms reported by underprivileged urban middle aged women in their peri and early post menopausal years.