Menopause is a natural physiological process that marks the end of the reproductive period in women, characterized by significant biological and hormonal changes. During this transition, the decline in estrogen levels can lead to a variety of physical and psychological symptoms, including hot flashes, night sweats, sleep disturbances, depression, osteoporosis, increased cardiovascular risk, and weight gain. These symptoms can significantly impair quality of life. Exercise plays a crucial role in alleviating many of the adverse effects associated with menopause. Numerous studies have demonstrated that regular physical activity is effective in maintaining physical health and supporting psychological well-being. Weight-bearing exercises have been shown to improve bone mineral density, cardiovascular exercises contribute to heart health, and resistance training helps preserve muscle strength. Additionally, practices such as yoga and Pilates may reduce stress levels and improve sleep quality. This review article comprehensively examines the physiological, psychological, and metabolic effects of exercise during the menopausal period. It also discusses the positive impact of different types of exercise on health, supported by a thorough review of the current literature. The findings underscore the importance of promoting regular exercise habits among menopausal women in order to enhance their overall quality of life.