Surgical menopause results in abrupt reduction of ovarian hormones and is linked with heightened risk of cardiovascular diseases as well as, musculoskeletal, neurocognitive, psychiatric and urogenital changes, including sexual dysfunction.

To explore the knowledge, attitude and practices (KAP) of surgically menopause women towards menopause and hormonal replacement therapy (HRT).

A descriptive cross-sectional study conducted from May 2024 to April 2025 among 92 surgically menopause women. Respondents answered a validated questionnaire regarding their KAP on menopause and HRT.

Majority of the respondents were 41-45 (40.2%) and 46-50 (42.4%) years old at the time of surgery. The most common symptoms were hot flashes/night sweats (60.9%) and vaginal dryness (55.45%) with onset occurring more than 12 months after surgery. Participants demonstrated a neutral understanding of both knowledge on menopause and HRT (mean score 3.03, 2.96). A notable finding was their limited awareness of HRT’s effectiveness in treating hot flashes (mean score 2.76), contrasting with a stronger belief in its cosmetic benefits, (mean score 3.15). Attitudes toward menopause and HRT were also neutral. The primary factor influencing HRT use was physician’s recommendations. While approximately half of the women discussed the surgical induction of menopause and the need for HRT, only 47.8% were prescribed HRT.

Majority of women have fair knowledge on menopause and HRT. Women are not fully familiar with the uses of HRT. The neutral responses across the KAP points the need for educational intervention for fostering a more informed and empowered patient population.