Menopause Symptom Score (MRS)
Validated screening, not diagnosis. The MRS is the most-used clinical instrument for tracking menopausal symptoms. Stays on this device.
For each symptom, pick the severity you've experienced recently. The MRS is designed for repeated use — bringing a few scores over months to a clinician shows the trend, which matters more than any single snapshot.
1
Hot flashes, sweating (episodes of sweating)
Somato-vegetative
2
Heart discomfort (unusual awareness of heartbeat, skipping, racing, tightness)
Somato-vegetative
3
Sleep problems (difficulty falling asleep, sleeping through, waking early)
Somato-vegetative
4
Joint and muscular discomfort (pain in the joints, rheumatoid complaints)
Somato-vegetative
5
Depressive mood (feeling down, sad, on the verge of tears, lack of drive, mood swings)
Psychological
6
Irritability (feeling nervous, inner tension, feeling aggressive)
Psychological
7
Anxiety (inner restlessness, feeling panicky)
Psychological
8
Physical and mental exhaustion (general decrease in performance, impaired memory, decrease in concentration, forgetfulness)
Psychological
9
Sexual problems (change in sexual desire, in sexual activity and satisfaction)
Urogenital
10
Bladder problems (difficulty in urinating, increased need to urinate, bladder incontinence)
Urogenital
11
Dryness of vagina (sensation of dryness or burning in the vagina, difficulty with sexual intercourse)
Urogenital
About the MRS. Heinemann et al. 1999/2003. 11 items, 3 subscales (somato-vegetative, psychological, urogenital), total 0–44. Validated across cultures and used worldwide in research and clinical settings. The subscales matter clinically because different mechanisms drive them — for example, urogenital symptoms respond well to local estrogen alone, while vasomotor symptoms (hot flashes) often need systemic treatment. Tracking by subscale lets you and your provider see WHERE the burden lies, not just how severe.
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About Menopause Symptom Score (MRS)
Validated 11-symptom Menopause Rating Scale. 3 subscales scored separately (somato-vegetative, psychological, urogenital).
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