A study was conducted to assess the nutritional status and document the climacteric symptoms of perimenopausal women (n=30). A number of collagen changes, bone problems, physiological and psychological symptoms were reported by the perimenopausal women due to the lack of estrogen. The intake of green leafy vegetables, fruits and nuts and oilseeds was less. Among the nutrients, iron, zinc, B vitamins and ascorbic acid intake were less compared to RDA and the fat intake was higher than RDA. The mean isoflavone intake was about 52 mg. Although the energy intake was normal majority of women belonged to high body mass index (BMI) and high WHR category. When the women were classified based on desirable lipid profile, most of the women belonged to risk category for total cholesterol and low density lipoprotein cholesterol (LDL-C) levels. Lesser number of women belonged to risk category of triglyceride (TG) and high density lipoprotein cholesterol (HDL-C) levels. The women need counseling and education to eat foods rich in ntioxidants, calcium, protein and isoflavones and to bring about changes in life style and to include exercise in daily activity.