Greene Menopause Scale

Completing the Greene Menopause Scale

The questionnaire asks about a range of symptoms you may have experienced recently, including emotional, physical, and temperature-related changes. For each statement, you are asked to indicate how much the symptom has bothered you, from not at all through to extremely.

There are no right or wrong answers. The scale is most useful when responses reflect your own experience, rather than how you think menopause is expected to feel.

The Greene Menopause Scale is designed to capture the broad ways menopause and perimenopause can affect people. Some questions focus on psychological symptoms, such as changes in mood, anxiety, irritability, or difficulties with concentration and sleep. Others relate to physical symptoms, including fatigue, muscle or joint discomfort, headaches, or sensations such as dizziness or tingling.

The scale also includes vasomotor symptoms, which are the temperature-related changes commonly associated with menopause, such as hot flushes and night sweats. Some versions of the questionnaire include questions about sexual symptoms, for example changes in interest in sex, recognising that these can also be part of the menopausal experience for some people.

Your score reflects the overall burden of symptoms you have reported. A higher score suggests that symptoms are having a greater impact on daily life, while a lower score suggests symptoms are milder or less disruptive.

There is no single score that confirms menopause, rules it out, or automatically indicates that treatment is needed. Results are best interpreted alongside other factors, including your age, menstrual history, general health, and how manageable you find your symptoms in everyday life.

Many people use the scale as a starting point for reflection or as a way to support conversations with a GP or menopause specialist.

In healthcare settings, the Greene Menopause Scale is often used to help structure discussions about symptoms and to monitor how those symptoms change over time. It can be particularly useful for tracking patterns, for example before and after lifestyle changes or treatment, but it is not intended to be used in isolation to make clinical decisions.

Because menopausal symptoms can overlap with those of other conditions, scores should always be considered in context.

You may wish to speak to a healthcare professional if menopausal or perimenopausal symptoms are affecting your sleep, work, relationships, or overall quality of life. It can also be helpful to seek advice if symptoms start earlier than expected, change suddenly, or if you are unsure whether they are related to menopause at all.

A GP can help assess symptoms, rule out other possible causes, and talk through support options, which may include lifestyle changes, symptom-specific treatments, or hormone replacement therapy (HRT), depending on individual circumstances.

The Greene Menopause Scale does not diagnose menopause. Menopause is usually diagnosed clinically, based on symptoms and menstrual history, rather than on questionnaire scores alone. Many people find the scale useful during perimenopause, when periods may still be occurring but symptoms are already present.

Other health conditions, such as anxiety, depression, or thyroid disorders, can influence how someone scores on the scale, as symptoms may overlap. For this reason, the questionnaire should be seen as one part of a wider picture rather than a definitive answer.

Some people choose to repeat the scale every few months to see whether symptoms are changing over time, particularly if they are trying new ways to manage symptoms.