Abstract Background: Menopause is an important transitional phase in women's life and needs active coping. Aim of study was to: Describe the coping patterns for menopausal women working at Zagazig University Hospitals. Subjects and methods: Research design: A descriptive study design was used. Setting: The study was conducted in the emergency departments of Zagazig University Hospitals (four hospitals). Sample: A purposive sample composed of 240 menopausal age fulltime employees at the setting. Tools of data collection: Two tools were used, Tool I: A self-administrated questionnaire composed of 3 parts. Part 1: Covering respondents demographic. Part 2: This was for the details of women's obstetrical history, menopausal characteristics' and various menopausal symptoms .Part3: Intended to assess woman’s knowledge about menopause. Tool II: Various women coping strategies to deal with menopause. Results: The duration of menopause among the study sample was less than five years in 65.0% with a mean of 3.8 ± 2.7 and 62.1% had moderate/ severe menopausal symptoms, in additions to 79.6% of the study sample had total satisfactory knowledge. The cognitive coping strategy was the most commonly used 74.2% and only 15.4% &12.1% respectively of the study sample were using the re-interpretation and catastrophizing strategies. Conclusion: A high proportion of the menopausal women suffer moderate to severe menopausal symptoms, their knowledge about menopause was high, and they mostly use the cognitive coping strategy. Recommendations: The study recommended educational programs to improve women’ knowledge and coping regarding menopause. Keywords: Menopausal Symptoms, Knowledge, Coping Patterns, working women