About this score
This tool uses the Menopause Rating Scale (MRS), a validated, freely available instrument developed by the Berlin Center for Epidemiology and Health Research and used widely in research and clinics. It rates 11 symptoms from 0 to 4 across three subscales — somatic (like hot flashes and sleep), psychological (like mood and anxiety), and urogenital (like vaginal dryness and bladder symptoms) — for a total out of 44.
A score is most useful over time: repeating it every few weeks or months shows whether symptoms are easing or building, which is helpful information to bring to a clinician. To understand where you are in the transition, try the menopause stage quiz, and to prepare for a visit, build a printable appointment summary. For what the symptoms mean, see our menopause guides.
Frequently asked questions
What is the Menopause Rating Scale (MRS)?
The MRS is a widely used, freely available questionnaire developed by the Berlin Center for Epidemiology and Health Research. It rates 11 menopause symptoms from 0 (none) to 4 (very severe) across three groups — somatic, psychological, and urogenital — to give a total severity score out of 44.
What is a high MRS score?
Using the published cut-offs, a total score of 0–4 is little to none, 5–8 is mild, 9–16 is moderate, and 17 or above is severe. Each subscale has its own bands too. The score is a way to measure and track symptom burden — it does not diagnose anything.
Can this score tell me if I'm in menopause?
No. It measures how much symptoms are affecting you, not whether you've reached menopause. Menopause itself is diagnosed clinically — for most women over 45, after 12 months without a period. Use this score to track symptoms and to share a number with your clinician.