Awareness regarding pre-menopausal symptoms and their management among pre menopausal women will helps in early recognition of symptoms during pre-menopausal age, in reduction of discomfort and fears and will enable to seek appropriate medical care if necessary. This study was designed to assess the knowledge regarding pre menopausal symptoms and their management. The research design selected for this study was descriptive in nature. The target population for this study was women in pre-menopausal age group (40-45yrs) and the method of sampling was simple random sampling technique among selected houses. The sample size was 100. A semi-structured questionnaire was used to assess the knowledge and the study sample revealed that 02% of women had adequate knowledge, 80% had moderate knowledge and remaining 18% of women had inadequate knowledge regarding pre-menopausal symptoms and their management.