Background: Due to changes in epidemiology and demography, life expectancy among middle-aged women has increased. However, this has led to a greater incidence of menopausal symptom-related health issues, which negatively impact the quality of life (QOL) in elderly women.

Aim: The study aimed to assess how menopausal symptoms affect the quality of life (QOL) in middle-aged women living in rural areas.

Methods: A community-based cross-sectional study was conducted involving 500 women aged 40 to 60 years. Data on menstrual history and demographic details were collected using a validated questionnaire. The severity of menopausal symptoms and QOL was evaluated using the standardized Menopausal Rating Scale (MRS) and the World Health Organization Quality of Life (WHOQOL) assessment.

Results: The mean age and standard deviation of menopause was 44.42 ±4.1 years. Around 96% of the postmenopausal women had joint and muscular discomfort, followed by 84% with sleep problems, 64% dryness of vagina during menopause. Majority of subjects reported mild-to-moderate symptoms. The most common symptom of menopause like hot flushes, joint pain, and sleeplessness were reported. The quality of life among the participants was negative 245 (49%) and moderate 255 (51%) respectively. To find the association of QOL on menopausal symptoms Chi-square test was performed. There was significant [p-value = 0.036 which is less than 0.05] association found between severity of menopausal symptoms and QOL among the selected menopausal women.