Background: Menopausal manifestations are affected by many ethnic, environmental and demographic factors.  Objective: to describe the pattern of menopausal manifestations in a group of Egyptian women. Methods: The present study is a cross-sectional descriptive study. A sample of one hundred menopausal and premenopausal women in Tanta were selected to participate in the study.Based on review of relevant literature, structure interview was used to ask the studied women about  their socio demographic characteristics and menopausal manifestations. Results: The studied women had a mean age of (45.6 ± 3.4) years, 75 % of them were married. 20% one women were diabetics, 35 % had hypertension and 60% had coronary artery disease. Three women were subjected to hysterectomy or oophrectomy. The age of menopause was 46 years in 52.0 % of menopausal women. The most commonly reported symptom was bone aches (75 %) followed by sleep disturbance (71 %) and feeling anxious or nervous (65 %). Conclusions: the studied Egyptian women have a particular pattern that differs from other populations. Musculoskeletal manifestations and sleep disturbances are the most common manifestations in this group of Egyptian menopausal women.