Background: There are many clinical symptoms associated with increasing estrogen insufficiency brought on by the menopausal transition. The present study was conducted to assess increased menopausal symptoms using menopause rating scale. Materials & Methods: 120 women age ranged 45- 50 years who were premenopausal (had regular periods) (Group I), perimenopausal (having irregularities more than seven days from their usual cycle) (Group II), and postmenopausal (having no more periods in the previous 12 months) (Group III) were included in the study. The 11 items that made up the Menopause Rating Scale (MRS) were broken down into three subscales: somatic (items 1–3 and 11), which assessed menopausal symptoms, such as hot flashes, heart discomfort, difficulty sleeping, and problems with muscles and joints; psychological (items 4–7, respectively), which assessed depressed mood, irritability, anxiety, and physical and mental exhaustion; and urogenital (items 8–10, respectively). The sum of all the graded items in each subscale determined the overall score for a specific person. The sum of the results on each subscale was the total MRS score. Results: There were 25 premenopausal, 72 perimenopausal and 23 postmenopausal women. The difference was significant (P< 0.05). Among group I, group II and group III, the mean somatic score was 2.7, 5.1, and 5.3 respectively. The mean psychological score was 2.9, 4.5, and 3.9. The mean urogenital score was 0.7, 1.2 and 1.4 respectively. The mean total score was 6.3, 10.8, and 10.6 respectively. The difference was significant (P< 0.05). Conclusion: Menopausal physical and mental symptoms were more common and more severe in women. A popular and practical method for evaluating women's health-related quality of life throughout the menopausal transition is the menopause rating scale.