Prevalencia de síntomas menopáusicos y su relación con factores sociodemográficos entre mujeres mayores de 45 años en Mosul, Irak Abstract Context: Menopause in an unavoidable event in wom-ingly). On the other hand, 94.7% of postmenopausal en lives. Women during menopause experienced several women were complaining from physical and mental ex-symptoms of variable severity which affect their quality haustion. Likewise, vaginal dryness was significantly more of life. Aim of the study: The aim of this study is to study frequent among postmenopausal women. According to the distribution of menopausal symptoms among middle MRS somatic and psychological symptoms were more age women in Mosul City and their associated factors. severe among perimenopausal women while urogenital Subjects and Methods: The aim of the present study was symptoms were more severe among postmenopausal achieved by using cross sectional descriptive study design. women. Menopausal symptoms were significantly more The frequency of menopausal symptoms was assessed severe among illiterate women, working, widowed, paros, from 342 women attending two primary health centres in non-practicing exercise and previously smoker women. Mosul City, in Northern Iraq. Direct interview were used for Conclusion and recommendations: Menopausal symp-data collection by using predesigned questionnaire form toms were severe among perimenopausal and postmeno-and Menopausal Ratting Scale (MRS) during a period of pausal women in Mosul City which was adversely affected 2 months. Results: Mean age of participants was 53.95 ± their quality of life. Counseling health and social welfare 6.46. The most prevalent somatic menopausal symptoms services for postmenopausal women were required to be among middle aged women in Mosul City were Joint and established. In addition, women empowerment, and en-muscular disorder (93.0%) which was more among peri-couragement to adopt a healthy life style were essential. menopausal fallowed by postmenopausal women. Also, Keywords: menopausal, perimenopausal, postmenopau-hot flushes was more common among perimenopousal sal women, somatic symptoms, psychological, urogenital fallowed by postmenopausal (88.9%, 77.3% correspond-symptoms and menopausal rating scale. Contexto: La menopausia en un acontecimiento inelud-ible en la vida de la mujer. Las mujeres durante la meno-pausia experimentaron varios síntomas de gravedad variable que afectan su calidad de vida. Objetivo del estudio: El objetivo de este estudio es estudiar la distribución de los síntomas de la menopausia entre las mujeres de me-diana edad en la ciudad de Mosul y sus factores asocia-dos. Sujetos y métodos: El objetivo del presente estudio se logró mediante el uso de un diseño de estudio descriptivo transversal. La frecuencia de los síntomas de la menopau-sia se evaluó en 342 mujeres que asistían a dos centros de salud primarios en la ciudad de Mosul, en el norte de Irak. La entrevista directa se utilizó para la recopilación de datos mediante el uso de un formulario de cuestionario prediseñado y la Escala de Ratting Menopáusico (MRS) durante un período de 2 meses. Resultados: La edad me-1 Resumen 2 dia de los participantes fue 53,95 ± 6,46. Los síntomas de la menopausia somática más prevalentes entre las mu-jeres de mediana edad en la ciudad de Mosul fueron los trastornos musculares y de las articulaciones (93,0%), que fueron más frecuentes entre las mujeres posmenopáusicas en período perimenopáusico. Además, los sofocos fueron más comunes entre perimenopáusicas en barbecho y pos-menopáusicas (88,9%, 77,3% correspondientemente). Por otro lado, el 94,7% de las mujeres posmenopáusicas se quejaban de agotamiento físico y mental. Asimismo, la sequedad vaginal fue significativamente más frecuente entre las mujeres posmenopáusicas. Según MRS, los sín-tomas somáticos y psicológicos eran más graves entre las mujeres perimenopáusicas, mientras que los sínto-mas urogenitales eran más graves entre las mujeres pos-menopáusicas. Los síntomas de la menopausia fueron sig-nificativamente más severos entre las mujeres analfabetas, trabajadoras, viudas, paros, no practicantes de ejercicio y mujeres previamente fumadoras. Conclusión y recomen-daciones: Los síntomas de la menopausia fueron graves entre las mujeres perimenopáusicas y posmenopáusicas en la ciudad de Mosul, lo que afectó negativamente su calidad de vida. Era necesario establecer servicios de ase-soramiento en materia de salud y bienestar social para mujeres posmenopáusicas. Además, el empoderamiento de la mujer y el estímulo para adoptar un estilo de vida saludable eran fundamentales. Palabras Clave: mujeres menopáusicas, perimenopáu-sicas, posmenopáusicas, síntomas somáticos, síntomas psicológicos, urogenitales y escala de calificación de la menopausia. enopause is a normal physiological process; according to World Health Organization (WHO) definition 'is the permanent cessation of menstruation as a result of the loss of ovarian activity' 1. Accordingly, women became menopause when her menstrual cycle was permanently stopped for 12 successive months or more due to cessation of ovarian hormone production 2. Menopausal women complained from numerous symptoms during this period due to hormonal level fluctuations, some of these symptoms were severe enough to affect the quality of life and the wellbeing of middle aged women 3,4. These symptoms may be in the form of hot flushes, sleep and mood disturbance, lack of sexual desire, dryness of vagina and locomotors complaints 4. Multiple geographic, socioeconomic , cultural, environmental factors and the biological variations linked to the changed ovarian hormonal status or deficiency affect the occurrence and severity of meno-pausal symptoms 5,6. In fact menopausal symptoms were a common problem as an unavoidable part of every wom-an's life; about three quarters of women suffer from some problems during menopause 7. It was found that majority of women spend about one third of their life complaining from menopausal symptoms by various degree 8,9. Women are suffering without proper counseling and management due to lack of health programs that deal with such health problem 10. Yet, various degrees of suffering and distress can be alleviated by suitable recognition, counselling and treatment 9. The aim of the present study is to identify the prevalence of menopausal symptoms that experience by middle aged women in Mosul City with their associated socio-demographic factors. t the beginning of the study scientific and ethical approval from College of Medicine/ University of Mosul, and Directorate of Nineveh Health was obtained. The aim of the current study was accomplished by implementing a cross-sectional descriptive study design. The target study population was any women aged 45 and above. While, any women on hormonal replacement therapy or undergo medical or surgical induction of menopause were excluded from the study population. The data was collected from women how visiting two primary health care centres in Mosul City during study period. Convenient random sample of 342 women were approached over a period of two months from 3 Sept 2020 to-3 November 2020. Data was collected by direct face to face interview by using a predesigned questionnaire form after explanation of the study objectives and obtaining verbal consent. The form consists of two parts; the first part was concerned with the socio-demographic features, physical exercise practicing , body mass index estimation and menstrual history of the participants. The second part was confined to identify the frequency and severity of menopausal symptoms by using menopausal rating scale (MRS) 11,12. MRS was a standardized form designed to estimate the severity of menopausal symptoms and categorized them into: so-matic symptoms include (hot flushes, heart discomfort, sleep disturbance, joint and muscular disorder) psychological symptoms (depressive mood, irritability, anxiety, physical and mental exhaustion) and urogenital symptoms (sexual problems, bladder problems, vaginal dryness). Menopausal symptoms in this scale was assessed by scoring each symptom according to the severity from score 0 (none) to score 4 (very sever). The total MRS scores were calculated by summation of scores in three components of somatic, psychological and urogenital symptoms. According to MRS if the total mean scores (0-4) reflect little or no symptoms, (4-8) mild, and (9-16) moderate while above 16 is sever.