 This study found that women living with HIV have more severe menopause symptoms than women without HIV. Additionally, several other factors such as unemployment, alcohol consumption, and food insecurity were also associated with more severe menopause symptoms. This suggests that there may be an unmet health need for these women, particularly those living with HIV. This article was authored by Tafadswa Madanhaya, Samuel Hawley, Ethel Dowyer, and others.