Introduction: Menopausal women show some changes physically and psychologically. Decreased plasma estradiol, decreased sleep quality and cognitive function are some of the main problems in women with menopause. The pur- pose of this study was to determine the effect of aerobic exercises in the Menopausal woman. Methods: This study was conducted using a quasi-experimental with control group pre-post test design. The aerobic exercise is done with a frequency of 2x90 minutes per week for 12 weeks. The subjects consisted of 24 women mean aged 53.12 years old. The inclusion criteria of this study were women who menopause, did not have severe disease, had good hearing and vision, and did not exercise at least 3 months before the study. Subjects were divided into two groups, namely the aerobic exercises group (n = 12) and the control group (n = 12). ELISA method with an HPLC tool used to measure estradiol plasma, the Global Pittsburgh Sleep Quality Index scores used to measure the quality of sleep, The Montreal Cognitive Assessment (MoCA) used to measure cognitive function. Wilcoxon test and paired t-test used to find out differences before and after the intervention. Results: The findings suggest that aerobic exercises can improve sleep quality (0.040) and cognitive function (0.002) in Menopausal women compare to the control group. Conclusion: Fu- ture studies should be carried out with a larger number of respondents and a longer period for a significant increase in plasma estradiol.