Clinical Research Directory

Inclusion Criteria: * Women will be eligible to participate if they: * Are aged 45-60 years. * Have experienced natural menopause, defined as amenorrhea for at least 12 consecutive months without another physiological, pathological, or treatment-related cause. * Report recurrent and bothersome hot flashes during the preceding two weeks. * Are residing in Mansoura City during the study period. * Have access to a telephone, either personally or through an authorized household member, for scheduled follow-up. * Are willing to receive the nurse-led menopause self-management box and adhere to the planned intervention and follow-up schedule. * Are willing to participate voluntarily and provide informed consent. Exclusion Criteria: * • Have experienced surgical or treatment-induced menopause, including menopause resulting from bilateral oophorectomy, chemotherapy, or radiotherapy. * Are currently receiving menopausal hormone therapy or prescribed nonhormonal medication specifically for vasomotor symptoms. * Have initiated, discontinued, or changed any treatment likely to affect vasomotor symptoms during the previous three months. * Have uncontrolled medical conditions that may cause symptoms similar to hot flashes, such as uncontrolled thyroid disorders. * Have severe cognitive, psychiatric, hearing, communication, or physical impairment that would prevent comprehension of the intervention or completion of study assessments. * Are currently participating in another structured menopause education or symptom-management program.