diff --git a/resources/ios/NativeUISimpleRenderers.swift b/resources/ios/NativeUISimpleRenderers.swift
index d3cfeae..4731636 100644
--- a/resources/ios/NativeUISimpleRenderers.swift
+++ b/resources/ios/NativeUISimpleRenderers.swift
@@ -23,6 +23,13 @@ struct NativeUIPressableRenderer: View {
                 NativeUIColumnRenderer(node: node, children: content)
                     .contentShape(Rectangle())
             }
+            // Core skips its accessibility modifier for `:menu` pressables
+            // (the Menu owns the tap), so the label and hint go on the Menu
+            // here. Without them an icon-only menu reads as "pop up button".
+            .modifier(PressableMenuAccessibility(
+                label: node.props.getString("a11y_label"),
+                hint: node.props.getString("a11y_hint")
+            ))
         } else if node.props.getBool("has_context_menu") {
             // `:context-menu` attached — the same items, opened by a long
             // press. The tap stays core's `@press`. SwiftUI's context menu
@@ -41,6 +48,25 @@ struct NativeUIPressableRenderer: View {
     }
 }
 
+/// Gives a `:menu` pressable's Menu its `a11y-label` and `a11y-hint`.
+private struct PressableMenuAccessibility: ViewModifier {
+    let label: String
+    let hint: String
+
+    func body(content: Content) -> some View {
+        switch (label.isEmpty, hint.isEmpty) {
+        case (true, true):
+            content
+        case (false, true):
+            content.accessibilityLabel(Text(label))
+        case (true, false):
+            content.accessibilityHint(Text(hint))
+        case (false, false):
+            content.accessibilityLabel(Text(label)).accessibilityHint(Text(hint))
+        }
+    }
+}
+
 /// Render one menu item as either a Button or a Divider, mirroring the
 /// `TopBarActionView` dropdown pattern from `NativeRootStackRenderer`.
 @ViewBuilder
diff --git a/tests/IosPressableMenuItemsTest.php b/tests/IosPressableMenuItemsTest.php
index c56b19a..fc74293 100644
--- a/tests/IosPressableMenuItemsTest.php
+++ b/tests/IosPressableMenuItemsTest.php
@@ -19,3 +19,19 @@
         ->toContain('childNodes: children')
         ->toContain('ForEach(children) { child in');
 });
+
+it('gives a menu pressable its accessibility label and hint on iOS', function () {
+    $source = file_get_contents(dirname(__DIR__).'/resources/ios/NativeUISimpleRenderers.swift');
+    $start = strpos($source, 'struct NativeUIPressableRenderer');
+    $pressable = substr($source, $start, strpos($source, 'private struct PressableMenuAccessibility') - $start);
+    $modifier = substr($source, strpos($source, 'private struct PressableMenuAccessibility'), strpos($source, 'private func pressableMenuItem') - strpos($source, 'private struct PressableMenuAccessibility'));
+
+    expect($pressable)
+        ->toContain('.modifier(PressableMenuAccessibility(')
+        ->toContain('label: node.props.getString("a11y_label")')
+        ->toContain('hint: node.props.getString("a11y_hint")')
+        ->and($modifier)
+        ->toContain('case (true, true):')
+        ->toContain('content.accessibilityLabel(Text(label))')
+        ->toContain('content.accessibilityHint(Text(hint))');
+});