HEALTH · MENOPAUSE SYMPTOM SCORE CALCULATOR (GREENE CLIMACTERIC SCALE)
Menopause Symptom Score Calculator (Greene Climacteric Scale)
Score your menopause symptoms using the validated 21-item Greene Climacteric Scale (GCS), with subscale breakdowns for anxiety, depression, somatic, vasomotor, and sexual symptoms.
About This Calculator
The Greene Climacteric Scale (GCS) is a validated 21-item questionnaire widely used in clinical research to quantify the severity of menopausal symptoms. It covers five domains: anxiety, depressed mood, somatic symptoms, vasomotor symptoms, and sexual dysfunction. Each item is rated 0–3 ("not at all" to "extremely"), giving a total score of 0–63.
How It Works
Rate how much each of the 21 symptoms has bothered you in the past week on a scale of 0 (not at all) to 3 (extremely). The calculator sums all scores to produce a GCS total and computes subscale scores for each of the five symptom domains. Severity is classified as Minimal (0–8), Mild (9–16), Moderate (17–28), or Severe (29–63).
The Formula
Total = Σ(item₁ … item₂₁) Anxiety = Σ(item₁ … item₆) Depression = Σ(item₇ … item₁₁) Somatic = Σ(item₁₂ … item₁₈) Vasomotor = Σ(item₁₉ + item₂₀) Sexual = item₂₁
- itemₙ
- rating for item n (0 = not at all, 1 = a little, 2 = quite a bit, 3 = extremely)
- Total
- overall GCS score (0–63)
Frequently Asked Questions
- What is the Greene Climacteric Scale?
- The GCS is a standardized questionnaire developed by John Greene in 1998, widely adopted in menopausal research to measure symptom severity. It is used as a primary or secondary outcome measure in hormone therapy trials. The scale has been validated in multiple languages and populations.
- How do I interpret my score?
- Scores of 0–8 indicate minimal symptoms, 9–16 mild, 17–28 moderate, and 29 or above severe. However, the scale is most useful when tracked over time — comparing before and after a treatment, for example — rather than as a single absolute threshold.
- Is this a diagnostic tool?
- No. The GCS measures symptom burden; it does not diagnose menopause, perimenopause, or any medical condition. Diagnosis requires clinical assessment, and treatment decisions should be made with a qualified healthcare provider.
- What do the subscales mean?
- The five subscales capture different aspects of menopausal experience. The vasomotor subscale (hot flushes and night sweats) is strongly associated with estrogen decline. The anxiety and depression subscales measure psychological burden. The somatic subscale covers physical sensations like palpitations and headaches. The sexual subscale addresses decreased libido.