Abstract: Objective To investigate healthcare service demand of perimenopausal women in Qingdao.Methods Using cluster random sampling methods,1600 women of 35-59 years old from selected cluster were investigated abouthealthcare service demand.Results The five mosthealthcare service demands were regular examination(54.56%),counseling (50.88%),prevention of osteoporosis(42.56%),prevention Alzheimer's disease(39.19%),protection the function of joints (38.25%).Only 15.56% of the women understand the knowledge about perimenopausal healthcare.The main sources were media(38.60%),colleagues and friends(35.92%),medical institutions(25.48%).4.13% of perimenopausal women had ever or current use of HT.The rate of using HT in urban district was higher than that in suburban(χ²=15.56,P<0.01).Conclusion Healthcare services of perimenopausal women were urgent,knowledge about perimenopausal healthcare was poor.Health education,and spread relevant knowledge about HT should be enhanced.