Background: A number of factors can predict the frequency and severity of menopausal symptoms, including age, menopausal state, chronic diseases, and the sociodemographic features of a given population, such as income, education, and race. The present study was conducted to assess increased menopausal symptoms using menopause rating scale. Materials & Methods: 150 women age ranged 45- 50 years were classified as premenopausal (women having regular menses); perimenopausal (irregularities >7 days from their normal cycle) and postmenopausal (no more menses in the last 12 months). The menopause rating scale (MRS) was used to assess menopausal symptoms. Results: There were 32 premenopausal, 70 perimenopausal and 48 postmenopausal women. The difference was significant (P< 0.05). Among premenopausal, perimenopausal, and postmenopausal, the mean somatic score was 2.9, 5.3, and 5.4 respectively. The mean psychological score was 2.8, 4.7, and 3.8. The mean urogenital score was 0.8, 1.3 and 1.2 respectively. The mean total score was 6.5, 11.3, and 10.4 among premenopausal, perimenopausal, and postmenopausal respectively. The difference was significant (P< 0.05). Conclusion: Women exhibited a higher rate and severity of menopausal somatic and psychological symptoms. menopause rating scale found to be popular and useful tool for assessing women's health-related quality of life during the menopausal transition.