MRS Calculator (Menopause Rating Scale)

Menopause Rating Scale (MRS) Calculator

Self-assessment tool to rate 11 symptoms from 0 (none) to 4 (very severe), then calculate total + subscale scores.

Rate symptoms (0–4)

For each item, select the severity that best matches how you feel currently.

1) Hot flushes, sweating (episodes of sweating)

2) Heart discomfort (awareness of heartbeat, racing, tightness)

3) Sleep problems (falling asleep, staying asleep, waking early)

4) Depressive mood (feeling down/sad, mood swings, low drive)

5) Irritability (nervousness, inner tension, aggression)

6) Anxiety (inner restlessness, feeling panicky)

7) Physical & mental exhaustion (performance, memory, concentration)

8) Sexual problems (desire, activity, satisfaction)

9) Bladder problems (frequency, difficulty urinating, incontinence)

10) Vaginal dryness (dryness/burning, discomfort with intercourse)

11) Joint & muscular discomfort (pain in joints, rheumatic complaints)

Menopause Rating Scale (MRS): what it is and how it’s used

The Menopause Rating Scale (MRS) is a validated, self-completed questionnaire designed to measure the severity of age-/menopause-related symptoms and how much they affect a woman’s health-related quality of life. It’s widely used in both clinical practice (to structure symptom reviews and monitor change) and research (to compare symptom burden across groups and over time). Springer

What the scale contains

The MRS includes 11 symptoms, each rated by the woman from 0 to 4:

0 = no complaints
1 = mild
2 = moderate
3 = severe
4 = very severe Springer+1

The 11 items are: hot flushes/sweating, heart discomfort, sleep problems, depressive mood, irritability, anxiety, physical & mental exhaustion, sexual problems, bladder problems, vaginal dryness, and joint/muscle discomfort. Hormone Balance

Subscales (domains)

Scores can be summarized into three domains (subscales), plus a total score:

Somatic/vegetative (4 items): hot flushes, heart discomfort, sleep problems, joint/muscle discomfort (items 1–3 & 11)
Psychological (4 items): depressive mood, irritability, anxiety, exhaustion (items 4–7)
Urogenital (3 items): sexual problems, bladder problems, vaginal dryness (items 8–10) Erken Menopoz+1

The total MRS score is the sum of all items (range 0–44). Springer

Interpreting the total score (common categories)

A commonly used interpretation for the total score is:

0–4: no/little complaints
5–8: mild complaints
9–15: moderate complaints
16–44: severe complaints

Author

Dr. Costa
Specialty Doctor, NHS, UK