srjcmsSRJCMSSRJCMS2788-885110.47310/srjcms.2025.v05i01.007Postmenopausal Syndrome Awareness and Management: A Cross-Sectional Study Among Women in KangraBackground: Postmenopausal Syndrome (PMS) includes a range of physical, emotional and hormonal changes affecting women after menopause, often impacting quality of life. In India, especially in rural areas, awareness and management of PMS remain inadequate due to stigma, misconceptions and limited access to care. This study assessed the level of awareness and management practices related to PMS among women in Kangra, Himachal Pradesh. Materials and Methods: A cross-sectional study was conducted among 400 postmenopausal women (aged 45+) in Kangra from October to December 2024 using a bilingual Google Forms questionnaire. The survey covered socio-demographic data, PMS knowledge and attitudes toward treatment options. Responses were scored and categorized into Very Good (≥80%), Good (60–79%), Fair (41–59%) and Poor (<40%) knowledge levels. Data were analyzed using SPSS v26. Results: Most participants were aged 46–55 (41%) and resided in rural areas (58.5%). Awareness of common symptoms like hot flashes (77%), mood swings (71%) and osteoporosis risk (73.8%) was moderate to high. While 69.5% recognized Hormone Replacement Therapy (HRT) as a treatment, only 66.8% understood its need for medical supervision. Overall, 79.8% demonstrated satisfactory knowledge, though 20.3% still had fair or poor understanding, highlighting educational gaps. Conclusion: While awareness of postmenopausal health is fairly good among women in Kangra, key knowledge gaps persist—especially regarding long-term risks and appropriate management. Culturally sensitive education and improved access to care are essential to support informed decision-making and enhance women’s health in this life stage.