The Menopause Symptom Index (MENSI)

The Menopause Symptom Index (MENSI)

The Questions should be asked, "In the last month did you experience ...?" Indicate the response by clicking the response: No / Yes / Occasionally, on a regular basis. The reply to the second part of the questions, "Is it a real problem for you?" should be indicated by clicking No / Yes.

SYMPTOMS	IN LAST MONTH, DID YOU EXPERIENCE....	IS IT A REAL PROBLEM FOR YOU?
Hot or warm flashes?	NOOCCASIONALLYYES	NO YES
Palpitations?	NOOCCASIONALLYYES	NO YES
Headaches?	NOOCCASIONALLYYES	NO YES
Sleep disturbance?	NOOCCASIONALLYYES	NO YES
Chest pressure or pain?	NOOCCASIONALLYYES	NO YES
Shortness of breath?	NOOCCASIONALLYYES	NO YES
Numbness?	NOOCCASIONALLYYES	NO YES
Weakness or fatigue?	NOOCCASIONALLYYES	NO YES
Pain in bone joints?	NOOCCASIONALLYYES	NO YES
Memory loss?	NOOCCASIONALLYYES	NO YES
Anxiety?	NOOCCASIONALLYYES	NO YES
Depression?	NOOCCASIONALLYYES	NO YES
Fear of going out of the home?	NOOCCASIONALLYYES	NO YES
Loss of urinary control?	NOOCCASIONALLYYES	NO YES
Vaginal dryness?	NOOCCASIONALLYYES	NO YES
Loss of sexual desire?	NOOCCASIONALLYYES	NO YES
Pain with intercourse?	NOOCCASIONALLYYES	NO YES
Disrupted function: Home?	NOOCCASIONALLYYES	NO YES
Disrupted function: Work?	NOOCCASIONALLYYES	NO YES
Other symptoms :

MENSI SCORE (0-38): Number of Yes Answers:

The Menopause Symptom Index can be used to asses a woman's symptoms and the degree to which they affect her quality of life (QOL). A total score of 12 or more from the first three columns indicates that clinical intervention should be strongly considered; the clinician should look at the total number of "yes" answers on the right side to gauge how treatment will affect patient's perception of her QOL.