srjcmsSRJCMSSRJCMS2788-885110.47310/srjcms.2025.v05i01.011The Talk That’s Missing: Evaluating Awareness and Attitudes Toward Menopause and Hormonal Changes in Middle-Aged Women in KangraBackground: Menopause, a natural transition in a woman’s life, is often overlooked and misunderstood-especially in rural India. Many women face it without adequate knowledge or support, increasing vulnerability to unmanaged symptoms and long-term health risks. This study explores awareness and perceptions of menopause among middle-aged women in Kangra district, Himachal Pradesh. Materials and Methods: A cross-sectional online survey was conducted between January and March 2025 among 400 women aged 40–60. A structured bilingual questionnaire assessed demographic data, menopause-related knowledge, attitudes and health-seeking behavior. Responses were scored and categorized into Very Good, Good, Fair, or Poor knowledge levels. Data were analyzed using SPSS v26.0. Results: While 71.1% of participants showed Good or Very Good knowledge, 29.1% had Fair or Poor understanding-mostly among rural and less-educated women. High awareness was noted for common symptoms like hot flashes (84.0%) and mood swings (72.8%), but fewer recognized osteoporosis risk (60.3%) or hormone replacement therapy (59.3%). Conclusion: Basic awareness of menopause is improving, but gaps remain in understanding long-term risks and treatment options. Targeted health education and community-based interventions are essential to support informed and empowered menopause management in rural areas.