Objective To understand women′s experiences and health management needs during the menopausal transition, and to provide a reference for developing personalized health management strategies. Methods A purposive sampling method was used to select 17 women in the menopausal transition who attended the obstetrics and gynecology outpatient clinic, then semi-structured interviews were conducted among them using the phenomenological research method. The data were analyzed utilizing the Colaizzi seven-step analysis method. Result A total of four themes were identified:physical and mental distress, coping strategies, perceived health risks and medical seeking experience, and health management needs. Conclusion Although women in menopausal transition experience some physical and psychological distress, they are able to accept the physical and psychological changes and symptoms rationally, and they hope to receive support from healthcare professionals, families and the society. Medical staff should work together with hospitals, communities and families to provide support and assistance to women in the menopausal transition, so as to promote their health management and guarantee their physical and mental health.