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Background: Issues related to menopausal symptoms are very complicated in terms of experience, severity, and dynamics of the symptoms. Studies have shown that these symptoms vary among individuals depending on the menopausal stage, ethnicity, geographical location, and other factors. Menopause Rating Scale (MRS) is an effective tool to assess the severity of these symptoms. Aim: This study was done to compare the frequency and severity of menopausal symptoms during peri‑ and postmenopause using the MRS. Subjects and Methods: Ninety‑two perimenopausal women and 95 postmenopausal women who attended Gynecology out patient department ( OPD) for treatment of menopausal complaints were assessed using the MRS questionnaire before starting therapy. Informed consent and ethics committee clearance was obtained prior to the study. Response was recorded and statistical analysis was done using Statistical Package for Social Sciences (SPSS) software version 17.0 (SPSS Inc, Chicago, IL, USA). Result: The mean total MRS score was comparable in both the groups. The mean psychological score was significantly higher in perimenopausal group in comparison to postmenopausal group (P

Malignant melanoma presenting initially with disseminated disease is common. However, bilateral breast masses as the initial symptom of malignant melanoma are rare. One such case is detailed here, together with a review of literature.