Abstract
Background/Objective: Menopause marks a significant life transition for women, signaling the end of reproductive ability and triggering various physiological and psychological changes. During this phase, women may experience a range of physical and emotional challenges that can affect their quality of life. This study aims to assess the relationship between women's mental health and their menopausal quality of life. Methods: A descriptive correlational study was conducted among 350 women aged 45-60 years who had either experienced menopausal symptoms or undergone menopause. Using convenience sampling, participants were recruited from academic institutions in Riyadh, Saudi Arabia. Data were collected using validated tools, including the Menopause Rating Scale (MRS) and the Depression Anxiety Stress Scales (DASS-21). Descriptive and inferential statistical analyses assessed symptom severity and its association with mental health and quality of life. Results: Findings indicated that 27.8% of participants experienced moderate to severe menopausal symptoms. Urogenital symptoms were the most common, reported by 59% of women. Significant correlations were observed between menopausal symptoms and high levels of depression (63%), anxiety (60%), and stress (58%), all of which significantly impacted quality of life. Conclusions: Menopausal symptoms have a profound impact on both physical and mental health, significantly affecting quality of life. Depression, in particular, was found to be the most influential factor. These findings highlight the need for integrated healthcare approaches that address both physical and psychological aspects of menopause.