Background: Menopause is a natural process that results in atresia of almost all oocytes in ovaries, causing an increase in follicle-stimulating hormone and luteinizing hormone levels and a decrease in estrogen levels. Menopausal symptoms impact physical, psychological, vasomotor, and sexual health-related quality of life among women. Aim and objective: The study was planned with the aim to assess the commonly reported menopausal symptoms among rural women of Central India, Rajnandgaon, Chhattisgarh, using the menopause rating scale (MRS). Materials and methods: An observational cross-sectional study was carried out in the Department of Obstetrics and Gynecology, Atal Bihari Vajpayee Memorial Medical College Rajnandgaon, Chhattisgarh, for a period of 6 months. In all, 199 patients who had attained menopause were analyzed. Menopausal symptoms were assessed using modified MRS). Quantitative data were presented as frequencies and percentages by using SPSS version 21. Results: Two hundred Questionnaires were distributed among the females who attended gynecology OPD and IPD and 199 gave consent to participate in the study; the response rate was 99.5%. The mean age at menopause was 45.35 ± 4.42 years. In all, 100% of women reported having experience of more than five menopausal symptoms. The prevalence of symptoms in urogenital—sexual was 76.88%, somatic 75.62%, and psychological 73.33%. Conclusion: Menopause-related symptoms are highly prevalent among middle-aged women in rural areas of Rajnandgaon, Chhattisgarh; this signifies the urgent need for community-based screening for such condition. Physical symptoms (joint and muscle problems) are the most commonly reported one. Healthcare providers have to be sensitized to special health needs of these rural middle-aged menopausal women.