Background: Women having menstrual Menopause is a universal physiological transitional process of the reproductive phase to the nonreproductive phase of life. During this transition, women suffer somatic, psychological and urogenital morbidities those are due to a decrease in the level of oestrogen that affects their quality of life. Objective: To find out the prevalence of morbidities among perimenopausal women using Modified Menopausal Rating Scale (MRS) and their associated factors of morbidities. Methods: It is a community-based cross-sectional study conducted on selected 9 urban slums under Urban Health Training Centre area of IMS and SUM Hospital, Bhubaneswar in September to November 2018. probability sampling method was used and the sample size calculated was 220. Perception of morbidities using Modified Menopausal Rating Scale was used. Data were entered in excel spreadsheet and analysis done by using SPSS VS.20. Results: The mean age of menopausal women in the study was 49.35 __ampersandsignplusmn;5.4 years and the majority were in the age group was 51-55years (35.4%). The most common perceived symptoms were joint and muscular discomfort (92.27%), anxiety (72.72%), hot flushes and physical mental exhaustion (71%), bladder problem (67.2%), sleep problem (62.27%), heart discomfort and irritability (57%), Depression (55.9%), sexual problem (56.36%) and vaginal dryness (55%). Conclusions: Depression and physical and mental exhaustion complaints were high among perimenopausal women. The severity of morbidities was higher among postmenopausal women in somatic and urogenital subscales, Illiteracy and the high proportion of low SES made the menopausal quality of life worse in slum population.