This study explored the attitudes and knowledge of rural women aged 45-50 regarding menopause and its management, focusing on how healthcare access and social support impact these perspectives. Using purposive sampling and structured questionnaires, data were collected from participants to assess their understanding and experiences with menopause. Results indicated that 58.41% of the women had a positive attitude towards menopause, while 41.62% held a negative view. Nearly half of the participants (47.75%) possessed adequate knowledge about menopause, with 52.25% lacking sufficient understanding. Healthcare access was available to 84.57% of the participants, suggesting that most women had access to medical resources, though only 22.73% felt they had a strong support network for discussing menopause-related issues. These findings highlight a need for more robust educational resources and social support structures to improve knowledge and foster positive attitudes toward menopause management among rural women.