: Menopause is the period in women’s life when menstruation ceases for atleast 12 months. Perimenopause refers to the time during which body makes the natural transition to menopause. M Majority women attain menopause without having adequate knowledge and approaches to cope with the menopausal changes. So, they face many physical and psychological disorders during their menopause. So knowledge and awareness regarding it is very necessary.: To study knowledge, attitude and perception of perimenopausal and menopausal changes in middle age women of 40-45years of urban population.: It was a cross-sectional study in urban population (community set-up).: 100 female participants between the age group 40-45 years having regular or irregular menstrual cycle were asked to fill a self-made questionnaire which was face validated. : Descriptive analysis.: 99% women have heard about the term perimenopause and menopause of which 96% women have knowledge about it. 46% were aware about the physical symptoms, 84% about the emotional/psychological symptoms, 78% about the hormonal deficiency related symptoms and 92% about the bone and muscle related problems. 41% of women had knowledge about Hormonal Replacement Therapy. 51% of the women have knowledge about the exercise which helps cope with perimenopause and menopause symptoms.: More efforts are needed for creating awareness about symptoms, complication and risk factors associated with perimenopause and menopause and importance of exercise as the first line of treatment option to cure the symptoms.