Background: Menopause, a natural biological transition marking the end of a woman’s reproductive phase, is often misunderstood and stigmatized in Indian society. Despite its universal occurrence, perception surrounding menopausal health remain limited, especially in urban Indian women approaching this life stage. Misconceptions, cultural taboos, and lack of open dialogue contribute to inadequate healthcare-seeking behavior and emotional distress during this period. Objective: This study aims to assess the perception of menopausal health among Indian women aged 35–45 years using a self-constructed and validated questionnaire. It seeks to evaluate their understanding of menopause, associated symptoms, lifestyle influences, and attitudes toward medical consultation and family support. Methodology: A cross-sectional, survey-based study was conducted over six months using a simple random sampling method. A total of 165 premenopausal women, fluent in English and aged between 35 and 45 years, participated by responding to a 16-item questionnaire distributed via Google Forms. Data were analyzed to interpret awareness levels, beliefs, and readiness for menopause-related health management. Results: The study showed positive perception of menopause as a natural, universal process, with most participants recognizing its symptoms and supporting lifestyle changes and medical consultation. However, some misconceptions remained—26% associated menopause with infertility, 25.4% were uncomfortable discussing it, and 40% felt no need for medical care after menopause. Conclusion: The study highlights that urban Indian women aged 35–45 years generally possess a sound understanding of menopause, viewing it as a natural life transition rather than a medical condition. However, the relatively lower acknowledgement regarding the need for medical treatment suggests a gap in health literacy. Improving education and open discussion can better support women during this phase.