Menopause symptoms: a severity rating scale
This tool scores the MRS (Menopause Rating Scale) — the international questionnaire used in research and in the clinic to measure how severe menopausal symptoms are. Eleven items fall into three domains, and what matters is not only the total but which domain pulls hardest.
How to rate your symptoms
The scale is only scored complete: a missing item changes both the total and the band. Rate the recent weeks, not your worst single day.
Three bars show which domain is heaviest relative to its own ceiling. Domains cannot be compared by raw points, because their maximums differ.
The first saved measurement becomes the baseline. Later ones are compared with it against the 5-point threshold.
Score, breakdown and questions for the doctor fit on one page, which can be saved as a PDF or printed.
Rate eleven items and follow how they change over time
Mark how much each item has bothered you recently. There are eleven questions — the complete MRS, with nothing left out.
A sheet for the appointment
Everything you entered across these tools, gathered into one page in the order it gets asked at an appointment: age and surgery, stage, cycle intervals, the trend of your score, flushes as numbers, and lab results. Sections with no data are not printed.
Hot flash diary
A doctor almost always asks how many flushes a day you get and how many of them are at night. Nobody can answer that from memory, so log them as they happen — one tap per flush.
Mark what the day held. After a couple of weeks the tool shows what your flushes coincided with most.
Method: what exactly is computed
Every rule with its own source, so the tool can be checked against the guideline line by line instead of taken on trust.
| Rule | Source |
|---|---|
| The MRS: 11 items, each scored 0 to 4, total 0 to 44. | MRS: Heinemann K. et al., Health Qual Life Outcomes 2004;2:45, 2:67 |
| Domains: somatic — items 1, 2, 3, 11; psychological — 4, 5, 6, 7; urogenital — 8, 9, 10. | MRS: Heinemann K. et al., Health Qual Life Outcomes 2004;2:45, 2:67 |
| Each domain is judged against its own ceiling: 16, 16 and 12 points — which is why shares are compared, not raw sums. | MRS: Heinemann K. et al., Health Qual Life Outcomes 2004;2:45, 2:67 |
| A treatment response is a drop of 5 points or more in the total. | MRS: Heinemann K. et al., Health Qual Life Outcomes 2004;2:45, 2:67 |
Checked against the primary sources on 2026-09-09. If a threshold changes, so does this date — a separate test keeps them together.
