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Pre-menopause is a transitional phase before menopause characterized by physiological and psychological changes, including physical changes of body shape. These changes often trigger anxiety, especially when body image is perceived negatively. This study aims to determine the relationship between body image and anxiety levels in premenopausal women in Dham Ceukok Village, Ingin Jaya, Aceh Besar, 2025. This research used a quantitative method with a cross- sectional design. The population consisted of all women aged 40–50 years in Dham Ceukok Village, totaling 35 women, chosen using a total sampling technique. The instruments used were a body image questionnaire and an anxiety level questionnaire based on the Hamilton Anxiety Rating Scale (HARS). The data were analyzed using univariate and bivariate analysis with the Chi-square test. The study was conducted from May 5 to May 10, 2025. The results showed a significant relationship between body image and anxiety among premenopausal women in Dham Ceukok Village, with a value of 0.035 (p < 0.05). The results indicate that there is a relationship between body image and anxiety in premenopausal women in Dham Ceukok Village, Ingin Jaya, Aceh Besar District. It is recommended that health workers collaborate with the village to be more active in providing counseling or educational activities to maintain physical and mental health, especially for women in the premenopausal stage.

Premenopause is a transitional phase that women experience towards menopause. This phase is a physiological condition in women who have entered the aging process, characterized by a decrease in hormonal levels of estrogen in the ovaries. Premenopause occurs when women are aged between 39–51. Anxiety is the most common psychological problem faced by women in premenopause. This pre-experimental research determined the influence of the impact of health education media booklets on premenopausal anxiety rates among a sample of 46 respondents with a one-group pretest-posttest design. The researcher conducted a design evaluation to assess anxiety levels before and after receiving health education through a media booklet on physical and psychological changes during premenopause. The results showed that the minimum age of respondents was 40 and the maximum was 48. Most respondents were high school learners, 31 respondents. The Wilcoxon test yielded a value of 0.000, indicating a significant influence of the health education media booklet on the premenopausal anxiety rate in Karangayu village, Semarang. The researcher expects mothers nearly to the premenopause period to comprehend the signs and symptoms of premenopause, relying on verifiable information, to effectively manage this period.

Menopause is a physiological process that every woman will go through. During menopause, many changes occur in a woman's body, both physical and psychological. The changes that occur during menopause tend to cause discomfort, therefore menopause is a process that is quite a burden for a woman. Fear of facing menopause should be minimized if someone has sufficient knowledge about the menopause process and the complaints that can arise during menopause as well as the efforts that can be made to overcome these complaints.

Menopause causes significant psychological symptoms in women due to the occurrence of physical and physiological changes as a result of decreased and ceased estrogen hormone production. The preliminary study results in the Sonder Primary Health Care Center area show that a significant portion of premenopausal mothers aged 45-50 years do not comprehend and lack understanding on how to cope with menopause. Additionally, there are concerns among these mothers regarding sexual issues after entering menopause.To determine the effectiveness of health education in preparing premenopausal mothers to face menopause in the working area of Puskesmas Sonder.This study employed a pre-experimental design with a one-group pretest-posttest design. The population consisted of 15 premenopausal women in the working area of Puskesmas Sonder, selected using simple random sampling. Data analysis involved univariate and bivariate analysis using Wilcoxon.Before health education, the majority of premenopausal mothers were categorized as unprepared to face menopause (53.3%). After receiving health education, a significant number of respondents were categorized as prepared to face menopause (80.0%). The effectiveness of health education in preparing premenopausal mothers to face menopause in the working area of Puskesmas Sonder was statistically significant (0.025 < 0.05).