MRS — Menopause Rating Scale

March 2026MedicalMedically reviewed

The Menopause Rating Scale (MRS) is a standardized, clinically validated questionnaire designed to measure the severity of menopause symptoms. Developed in the 1990s, it has been used in hundreds of clinical studies worldwide and is available in over 25 languages.

How it works

The MRS consists of 11 items, each rated from 0 (no symptoms) to 4 (very severe). The 11 items cover: hot flashes/sweating, heart discomfort, sleep problems, depressive mood, irritability, anxiety, physical and mental exhaustion, sexual problems, bladder problems, vaginal dryness, and joint/muscle discomfort.

Key facts at a glance

  • Clinically validated 11-item questionnaire
  • Three subscales: somatic, psychological, urogenital
  • Scores range from 0 (no symptoms) to 44 (maximum severity)
  • Used in medical research worldwide

Three subscales

Somatic subscale (items 1-3, 11): hot flashes, heart complaints, sleep, joint pain. Maximum score: 16. Psychological subscale (items 4-7): depressed mood, irritability, anxiety, exhaustion. Maximum score: 16. Urogenital subscale (items 8-10): sexual problems, bladder issues, vaginal dryness. Maximum score: 12. Total MRS score ranges from 0 to 44.

Interpreting your score

There is no single 'good' or 'bad' score — what matters most is how your score changes over time. A clinically significant improvement is generally considered a 5+ point drop in total score. Your score helps quantify your experience in a way that is meaningful to healthcare providers.

Using MRS with your doctor

Bring your MRS trend chart to your appointments. It gives your doctor an objective, standardized measure of your symptom severity over time, making it easier to evaluate whether treatments are working and to make informed decisions about your care plan.

How Menoa helps

Menoa administers the full MRS assessment weekly, tracks your scores over time with trend charts, breaks down your subscale scores, and includes MRS data in your shareable PDF reports. The AI companion uses your MRS trends to identify patterns and correlations.

Download Menoa
Download the app