Objectives: Menopause is the permanent cessation of menstruation due to loss of ovarian follicle and hormones responsible for it. The study aim was to assess knowledge, attitude and practice towards menopause and Hormone Replacement Therapy (HRT), severity of menopausal symptoms and to analyse the different attitudes between peri and postmenopausal women.

Methods: An online-based questionnaire survey was conducted for 6 months including 501 middle-aged women above 35 years of age. The data was analysed in MS-Excel and SPPS version 20 using Menopausal Rating Scale (MRS) and statistical tests like Analysis of variance (ANOVA) and chi-square test.

Results: In this study, mean age of women was 50.4 years. The severe menopausal symptoms experienced by women were hot flushes (34.1%), muscle or joint problems (27.5%) and sleep problems (10.6%). The mean total MRS score was 13.717 ± 10.26. 77.4 % of participants had knowledge about menopause and HRT. Women in this survey had positive attitude towards menopause (67.26%) and negative attitude towards the use of HRT (64.67%). Only 5 out of 501 were using HRT.

Conclusions: These results show that women have more knowledge about the menopausal symptoms and hormone replacement therapy. But the use of hormone therapy is limited considering its risk over benefits. Statistically difference exists in the attitude between peri and post-menopausal women. Majority of women had healthy sanitary practices in their menopausal period.

Keywords: Estrogen, Hormone Replacement Therapy, Menopause, Progesterone.