“…About five million Iranian women were in menopause in 2021 (3). However, menopause is affected by genetic factors, obesity, alcoholism, ethnicity, diet, vitamin D and calcium intake, prolonged menstrual periods, and the use of oral contraceptives (4). Therefore, 50-75% of women experience pre-menopausal or menopausal symptoms, including hot flashes and night sweats (vasomotor symptoms), insomnia, musculoskeletal pain, and urogenital disorders, such as incontinence, vaginal dryness, painful intercourse, anxiety, fatigue, and depression (5)(6)(7).…”