“…Similar to this, Harper et al, 2022 (25) , found that the majority of perimenopausal women in the United Kingdom were completely unaware that their symptoms were menopausal in an online survey of their attitudes and knowledge of the menopause, they experienced shock and confusion at the onset of symptoms, which frequently had a significant impact on their lives. On the other hand, this result agrees with Shams-Eldin, 2018 (26) , who studied knowledge, attitude and severity of menopausal symptoms among women attending primary health care centers in Cairo, Egypt, who reported that, the level ofgood knowledge about menopause was significantly low among premenopausal and postmenopausal women. .…”