Background: Vaginal atrophy is one of the most common menopausal symptoms that have a 
significant negative impact on women's health, sexual function and quality of life. The aim of 
this study was to investigate effect of educational intervention based on Health Belief Model on 
postmenopausal women's health behaviors and attitude regarding vaginal atrophy. Design: A 
quasi experimental, one group study design was utilized. Setting: at out-patient clinic at 
Obstetrics and Gynecological department in Helwan General Hospital. Sampling: A purposive 
sample of 123 menopausal women according to inclusion criteria. Tools: A structured 
interviewing questionnaire, assessment of women's knowledge regarding menopause and 
vaginal atrophy, the Health Belief Model, it composed of the five main HBM constructs, and 
health behaviors to vaginal atrophy and assessment of women's attitude regarding vaginal 
atrophy. Results: Minority of the postmenopausal women had good knowledge regarding 
menopause and vaginal atrophy pre intervention which increased to post intervention. However 
more than half of the studied women had positive attitude regarding vaginal atrophy pre 
intervention which increased to post intervention. On the other hand, there was an increase in 
total mean score of five constructs of health belief model toward vaginal atrophy and health 
behavior pre and post educational intervention with highly statistically significant differences 
(P≤ 0.001). Additionally, there were statistically significant correlation association between 
women's total score of knowledge and total score of attitudes. Conclusion: The educational 
intervention based on health belief model had improved postmenopausal women's knowledge, 
health behaviors and attitude regarding vaginal atrophy. Recommendation: Health belief model 
could be used as a routine model in health care sitting to permit women with comprehensive 
evidence on healthy and positive attitude about menopause and vaginal atrophy among women.