Abstract: Objective：To investigate the demand of treatment and health care of menopausal syndrome in middle-aged and old women, and the menopause-related knowledge, so as to provide the scientific guidance for the clinical health care of menopause. Methods：A stratified random cluster sampling was used to select women aged 40 to 60 years in Tianjin, to conduct a questionnaire survey. Results：A total of 2 400 eligible women were investigated in this study, and 2 018 eligible questionnaires were collected (the eligible rate, 84.08%). Of the 2 018 women interviewed, 1 212 were naturally menopausal, with an average age of (49.73±3.53) years. A survey of 1 623 cases of menopausal transition, early and late menopause showed that 9.61% (156/1 623) of women were receiving the treatment of menopausal syndrome, 69.23% (108/156) of whom received traditional Chinese medicine, and only 9.62% (15/156) received hormone therapy. 42.27% (686/1 623) women thought that menopausal syndrome needed treatment, 72.01% (494/686) of them tended to be treated with traditional Chinese medicine, but not with hormone alone. 65.06% (1 056/1 623) women received the education on menopause-related health knowledge, 61.27% (647/1 056) women got health knowledge from the media, 15.53% (164/1 056) women from medical institutions. Totally, 66.67% (1 082/1 623) women wanted to know about the health care-releted knowledge. Conclusions：Middle-aged and old women are eager to know about menopause. However, the professional guidance from medical institutions is insufficient. Compared with hormone replacement therapy, traditional Chinese medicine therapy has a higher acceptance in Chinese women.

Key words: Menopause, Health knowledge, attitudes, practice, Cognition, Needs assessment