Menopause Rating Scale (MRS)
The Menopause Rating Scale is a validated 11-item questionnaire that measures how severely menopause symptoms affect you. OvaHarmony pairs it with STRAW+10 staging, so your score is interpreted against where you actually are in the menopause transition — not a one-size-fits-all threshold.
Three symptom domains
Somatic: hot flushes, sweating, heart discomfort, sleep problems, joint and muscle aches. Psychological: low mood, irritability, anxiety, exhaustion. Urogenital: sexual problems, bladder issues, vaginal dryness. Each is rated 0–4 for severity.
Why staging changes the reading
The same MRS score means different things in late reproductive stage, early transition and late postmenopause. STRAW+10 uses bleeding patterns and cycle variability to stage you, so symptom interpretation and treatment discussion match your actual physiology.
What the MRS measures
The Menopause Rating Scale is a validated 11-item questionnaire across three domains — somatic, psychological and urogenital — each rated 0 to 4 for severity. It measures how much symptoms affect you, not just whether they exist.
Why staging matters
OvaHarmony pairs the MRS with STRAW+10 staging, so the score is read against where you are in the menopause transition. The same score means different things at different stages — a one-size threshold misleads.
Common questions
How often should I retake the MRS?
Every few weeks during transition, and before appointments. The trend is the information — a single score is just a snapshot.
Does a high score mean I need HRT?
Not necessarily. It quantifies burden so you and a clinician can weigh options — HRT, lifestyle, or both.