Background Menopause is a biologic transition in life, yet it is much stigmatized among under served communities, with misconceptions, social isolation, and medical disregard hindering appropriate care to women. Women are exposed to considerable psychological distress on the basis of false beliefs in aging, infertility, and supernatural forces. Objectives This research seeks to investigate the social, cultural, and psychological issues of menopausal women in under served communities, drawing on original research interviews with ten perimenopausal women. The article attempts to identify prevalent myths, emotional challenges, and marital issues around menopause and offer suggestions for education programs, healthcare interventions, and social reforms. Methods Ten perimenopausal women were interviewed in a qualitative study, examining their symptoms, fears, beliefs, and social experiences. Analysis of responses was carried out to determine shared patterns of stigma, marital discord, psychological impact, and health care accessibility problems. Results Out of the interviewees: Two were reluctant to acknowledge their menopause for fear of being regarded as old and undesirable. Three complained of extreme mood swings, sleep disturbances, aggression, and depression, having a devastating effect on family life. One wept, too fearful to inform her husband of painful sex and low libido, lest she be abandoned or remarried. One was ridiculed and blamed with black magic, for night sweats and hot flashes were mistakenly attributed to supernatural conditions. One thought that having several children had made her lose bladder control, speaking in great shame. Most acknowledged feeling ugly, barren, and lacking self-esteem, reporting that they had lost the self-worth they possessed during menstruation. Conclusion The research findings highlight a serious gap in menopause education, healthcare accessibility, and psychological support in under served communities. Urgent action is needed to dispel myths, provide proper medical guidance, and implement counseling programs. This paper recommends menopause awareness campaigns, community-based counseling clinics, and policy-driven healthcare reforms to support women in navigating this life stage with dignity.