The Greene Scale

The Greene Scale is one of the most validated and widely used tools for holistic assessment of menopausal symptoms, alongside other scales like the Menopause Rating Scale and Kupperman Index (Foth et al., 2021; Araujo et al., 2022).
It shows strong correlation with other menopause symptom questionnaires, supporting its reliability and utility in diverse settings (Araujo et al., 2022).

Feature Description Citations

  • Number of Items 21 symptoms (Van Gend et al., 2001; Foth et al., 2021; Battistutta et al., 2005; Pereira et al., 2009; Thakur et al., 2019)
  • Subscales Psychological, somatic, vasomotor, sexual (Van Gend et al., 2001; Foth et al., 2021; Battistutta et al., 2005; Pereira et al., 2009; Thakur et al., 2019)
  • Scoring System 0 (not at all) to 3 (extremely) (Van Gend et al., 2001; Pereira et al., 2009; Thakur et al., 2019)
  • Use Cases Symptom assessment, treatment monitoring, research comparisons (Keye, 2025; Van Gend et al., 2001; Foth et al., 2021; Battistutta et al., 2005; Pereira et al., 2009; Thakur et al., 2019; Oosterhof et al., 2012; Palma et al., 2021)
  • Validation Validated in multiple languages and populations (Foth et al., 2021; Battistutta et al., 2005; Pereira et al., 2009; Thakur et al., 2019)

References

  • Keye, C. (2025). The Effect of an advanced nurse practitioner led menopause clinic on quality of life and menopausal symptoms. Women's Health, 21. https://doi.org/10.1177/17455057251324573
  • Van Gend, S., Barentsen, R., Van De Weijer, P., & Foekema, H. (2001). Climacteric symptoms in a representative Dutch population sample as measured with the Greene Climacteric Scale.. Maturitas, 38 2, 123-8. https://doi.org/10.1016/S0378-5122(00)00212-7
  • Foth, D., Honermann, L., Stute, P., Zangger, M., & Sourouni, M. (2021). Assessment of the climacteric syndrome: a narrative review. Archives of Gynecology and Obstetrics, 304, 855 - 862. https://doi.org/10.1007/s00404-021-06139-y
  • Battistutta, D., O'neill, S., Travers, C., King, R., & Khoo, S. (2005). Greene Climacteric Scale: norms in an Australian population in relation to age and menopausal status. Climacteric, 8, 56 - 62. https://doi.org/10.1080/13697130400013443
  • Pereira, B., Kapur, P., & Sinha, B. (2009). Measuring climacteric symptoms and age at natural menopause in an Indian population using the Greene Climacteric Scale. Menopause, 16, 378-384. https://doi.org/10.1097/gme.0b013e31818a2be9
  • Thakur, M., Sinha, A., & Kaur, M. (2019). Assessment of menopausal symptoms in different transition phases using the Greene Climacteric Scale among rural women of North India. Annals of Human Biology, 46, 46 - 55. https://doi.org/10.1080/03014460.2019.1587508
  • Araujo, A., Souza, L., & Lima, A. (2022). Correlation among four questionnaires that evaluate menopausal symptoms. Menopause, 29, 700 - 706. https://doi.org/10.1097/GME.0000000000001965
  • Oosterhof, H., Geukes, M., Nauta, M., & Van Aalst, M. (2012). The impact of menopausal symptoms on work ability. Menopause: The Journal of The North American Menopause Society, 19, 278–282. https://doi.org/10.1097/gme.0b013e31822ddc97
  • Palma, F., Xholli, A., Cagnacci, A., Fontanesi, F., Facchinetti, F., & Neri, I. (2021). Treatment of menopausal symptoms: concomitant modification of cortisol. Menopause, 29, 23 - 27. https://doi.org/10.1097/GME.0000000000001875