Published: 2020-09-25

Menopause rating scale: a simple tool for assessment of climacteric symptoms

Ramya N. R., Radhika Gadgi


Background: Menopause is a physiological event, a unique stage of a female reproductive system and transition in life that occurs in all women who reach midlife. The clinical consequence of menopause is due to estrogen deficiency. Some of menopausal symptoms experienced by these women can be severe enough to affect their normal lifestyle. Unfortunately, majority of these women are not aware of the changes brought about by menopause. Objective of the study was to assess the prevalence of different menopausal symptoms and their severity according to menopause rating scale and their impact on quality of life.

Methods: A cross sectional study was conducted by the department of obstetrics and gynaecology, Yenopaya Medical College, Mangalore between June 2020 to August 2020. A total of 210 women who are between the age of 40 and 65 years who had their last menstrual period of at least 1 year ago and were included in the study.

Results: In the study majority of subjects were in the age group 46 to 50 years (42.9%). In the study there was significant association between general health and hot flushes, heart discomfort, depressive mood, irritability, physical and mental exhaustion, bladder problems and joint and muscular pain. There was no significant association between general health and sleep problem, anxiety, sexual problems and dryness of vagina.

Conclusion: The menopausal rating scale can be used an effective tool while examining the patients for menopausal symptoms. Regular screening of such women can make a huge difference, and their quality of life can be improved.


Menstruation, Scale, Hot flusher, Women, Reproductive age

Full Text:



Changa MH, Wangb SJ, Wanga PH, Fuhd JL. Attitudes towards Menopause among Middle-Aged Women: A Community Survey in an Island of Taiwan. Maturitas. 2005;52(3-4):348-55.

Wang SJ, Lue SR, Juang KD, Chiu LM. The Kinmen women-health investigation (kiwi): a menopausal study of and population aged 40-54. Maturitas. 2001;39:117-20.

Khatoon F, Sinha P, Shahid S, Gupta U. Assessment of menopausal symptoms using modified menopause rating scale (MRS) in women of Northern India. Int J Reprod Contracept Obst Gynecol. 2018;7(3):947-51.

Rahman S, Salehin F, Iqbal A. Menopausal symptoms assessment among middle age women in Kushtia, Bangladesh. BMC Res Notes. 2011;4(1).

Dhillon HK, Singh HJ, Rashidah S, Abdul Manaf H, Nik Mohd Zaki NM. Prevalence of menopausal symptoms in women in Kelantan, Malaysia. Maturitas 2006;54(3):213-21.

Unni J. Third consensus meeting of Indian Menopause Society (2008): A summary. J Midlife Health. 2010;1(1):43-7.

Garratt A, Schmidt L, MacKintosh A, Fitzpatrick R. Quality of life measurement: bibliographic study of patient-assessed health outcome measures. Bri Med J. 2002;324:1417-21.

WHO 2001. The WHO international classification of function (ICF). Press Release WHO/48, Geneva, 15 November.

World Health Organisation (WHO). Scientific Group on Research on the Menopause. Geneva: WHO. 1990:866.

Lee Y, Kim H. Relationship between menopausal symptoms, depression, and exercise in middle aged women. Int J Nurs Studies. 2008;45:1816-22.

Kakkar V, Kaur D, Chopra K, Kaur A, Kaur IP. Assessment of the variation in menopausal symptoms with age, education and working/non-working status in North-Indian sub population using menopause rating scale (MRS). Maturitas. 2007;57:306-14.

Del Prado M, Fuenzalida A, Jara D, Figueroa R, Flores D, Blumel JE. Assessment of quality of life using the Menopause Rating Scale in women aged 40 to 59 years Rev Med Chil. 2008;136:1511-7.

Joseph N, Nagaraj K, Saralaya V, Nelliyanil M, Rao PJ. Assessment of menopausal symptoms among women attending various outreach clinics in South Canara District of India. J Mid-life Health. 2014;5(2):84-90.

Cheng MH, Wang SJ, Wang PH, Fuh JL. Attitudes towards menopause among middle aged women: a community survey in an island of Taiwan. Maturitas. 2005;52:348-55.

Hafiz I, Liu J, Eden J. A quantitative analysis of the menopause experience of Indian women living in Sydney. Aust N Z J Obstet Gynaecol. 2007;47:329-34.

Yanikkerem E, Koltan SO, Tamay AG, Dikayak S. Relationship between women’s attitude towards menopause and quality of life. Climacteric. 2012;15:552-62.