Background: Menopause symptoms, in spite of being a normal physiological process can sometimes cause symptoms which can be severe and can affect everyday life. It is a cause for concern that many women are unaware of certain menopausal symptoms. Objectives: The objective of the present study is to assess the menopausal symptoms using modified Menopause Rating Scale (MRS) in perimenopausal women. Methods: It is a cross-sectional study where menopausal rating scale(MRS) questionnaire was used to assess the menopausal symptoms. Results: In the present study 52% of the patients experienced hot flushes out of which 53.8% had mild symptoms, 34.6% had moderate and 7.6% had severe and only 3.8% had very severe symptoms. 18 % experienced chest discomfort 65 % of the patients experienced sleep problems 29 % of the patients experienced depressive mood. 50 % of the patients experienced irritability out of which 24 % had mild symptoms, 56 % had moderate and 8 % had severe and only 12 % had very severe symptoms.72 % of the patients experienced physical and mental exhaustion, 26 % of the patients experienced sexual problems, 19 % of the patients bladder problems, 50 % of the patients experienced vaginal dryness, 88 % of the patients experienced irritability. Conclusion: In the present study the most common symptom reported was joint and muscular discomfort followed by depressive mood heart discomfort and physical and mental exhaustion and hot flushes. The urogenital symptoms were comparatively less. The women in perimenopausal age group make large part of the population, although there is lot of emphasis that is given for improvement of health of the women in reproductive age group, the women in perimenopausal age group need the same amount of care.