Women empowerment in different spheres of life especially menopause is among the key elements of health promotion in all communities. However there is no realistic images of empowering women in menopausal symptoms management. The present survey aimed to explain the process of women's empowerment for menopausal symptoms management. This qualitative study is part of a larger project which was conducted using Grounded Theory between 2013 and 2015. The article's main focus was to explore the underlying conditions and factors affecting the process of women's empowerment. Using a purposive and theoretical sampling method, 25 participants were interviewed 28 times. Data was collected through some in-depth, semi-structural and open ended interviews with the participant and also memoing and field notes. The interviews were conducted in Neighborhoods House affiliated to Tehran municipality and two gynecological clinics affiliated to Tehran University of Medical Sciences. Data analysis was applied through Strauss and Corbin approach (2008) using MAXQDA10 software. Threat of the feminine identity has been noted as the women's most common concern to being empowered in menopause management. The key theme emerged in the present study (threat of the feminine identity) included four main categories (consciousness about the likelihood of femininity decline, negative attitude towards herself, inadequate supportive context, latent opportunity), two subcategories and 109 first-level codes. There is a logical, coherent and integrated relationship between all these concepts and the theme of feminine identity threat. This theme is considered as an underlying social problem and a major concern for postmenopausal women in the context of this group of women's empowerment. The factors (barriers and facilitators) affecting women's empowerment in menopause management are associated with social context, intensity and origin of each society. Evaluation of Iranian women's empowerment for management of menopause outcomes revealed that it is seriously influenced by gender and cultural and social beliefs. Further identification of these affecting factors as well as gaining insight and vision will help healthcare providers to make better design of applications to facilitate the process of postmenopausal women's empowerment.