Even though menopause is a natural phenomenon, it causes symptoms varies from vasomotor symptoms to sleep disturbance, mood disorders, stress, anxiety and Depression. In the time of the menopausal transition, many women may experience a variety of symptoms. Many a time woman is unaware of these symptoms and they do not seek treatment for the same. Objective: (1) To assess menopausal-related symptoms among middle-aged women, and (2) to assess the severity of common menopausal symptoms. Materials and Methods: The cross-sectional study was conducted among 426 middle-aged women residing in Thondamanatham panchayath, Cuddalore District, Tamilnadu. Greene Climatic symptoms scales used to assess the menopausal symptoms. Results: Menopausal symptoms of 426 females between 40 and 55 years were assessed using Modified Greene Climatic Symptoms scale. Overall findings suggest that among all study subjects, joint and muscular discomfort was highest as compared to other symptoms followed by hot flushes difficulty in sleeping, feeling tired or lacking in energy, sweating at night, Irritability and headache. Regarding overall climatic symptoms, 186 (43.6 %) of them had experienced mild climatic symptoms, 157 (36.8 %) of them had moderate climatic symptoms, 83 (19.4 %) of them had experienced severe climatic symptoms and none of them perceived no climatic symptoms. Conclusion: Availability of treatment modalities for various menopause-related symptoms requires women’s attention to improve their quality of life.