During the twentieth century, the overall life expectancy of the human population saw a rapid increase worldwide. In 2015–2020, women’s life expectancy at birth exceeded that of men by 4.8 years. Living longer means that woman’s risk of chronic conditions (such as heart disease, cancer, stroke, and Alzheimer’s disease) also increases. However, why do women live longer? The evolutionary theory of aging examines the relationships between lifetime reproduction, age at menopause, and longevity while accounting for various lifestyle factors. Menopause represents a third of their lifetime, and women are more susceptible to age-related health problems. The most commonly reported menopausal symptoms include hormone withdrawal symptoms (hot flushes, night sweats, sleep disorders) as well as cardiovascular diseases (CVDs) and urogynecological symptoms and complaints. While education for women could improve modifiable lifestyle factors, the best and tailored management can help prevent functional declines and promote healthy aging and longevity.