A quiz is not a doctor.
We built this check to take your symptoms seriously. Taking them seriously includes being precise about what a questionnaire can and cannot do. This page is that precision, in full.
Effective August 23, 2026.
Screening, not diagnosis
Every result on this site is a screening result. The strongest thing the check will ever say is that your pattern is consistent with a stage of the menopause transition. Consistent with is not diagnosed with. Perimenopause shares symptoms with thyroid conditions, anxiety and depression, iron deficiency, and other things a questionnaire cannot see. Only a clinician who examines you, and who can order the right tests, can diagnose anything.
Not medical advice
Nothing on this site, no score, stage, summary, script, or sentence, is medical advice, and using the site does not create a clinician-patient relationship. Never disregard professional medical advice, or delay seeking it, because of something you read or scored here. Decisions about treatment, including hormone therapy, are prescription decisions that belong to you and a licensed clinician.
When to skip the quiz entirely
If you think you may be having a medical emergency, call 911 or your local emergency number now. And some symptoms deserve a clinician promptly, whatever any score says: very heavy bleeding, bleeding between periods or after sex, any bleeding after 12 or more months without a period, chest pain, or periods stopping before 40. The check asks about several of these, and when they come up it routes you to in-person care with nothing sold to you on that path. It does that because it is the right medicine, and the same advice holds even if the check never gets the chance to give it.
A result can be wrong in both directions
A high score does not mean you are in perimenopause, and a low score does not mean you are not. Screening tools trade certainty for speed by design. If your body is telling you something is wrong, that signal outranks this quiz, and it deserves an appointment even if your number here is small.
What the instrument is, exactly
The check scores 16 symptom items across four domains and stages your cycle pattern using criteria informed by STRAW+10. The instrument is structured after the Menopause Rating Scale, a validated scale whose copyright belongs to ZEG Berlin, but it is not the MRS and it is not a validated clinical instrument in its own right. The age-band comparison is seeded from published population norms, rescaled to this composite; it is a reference point drawn from research, not a tally of other users. Full detail, including the published severity bands and the citation, is on the Menopause Rating Scale page.
About the care options
Providers shown after your result are independent companies with their own clinicians, and any evaluation, prescription, or treatment is theirs. Hormone therapy is FDA-approved for menopause; its use in perimenopause is off-label, at a provider's discretion. Compounded hormone products are prepared by licensed pharmacies from FDA-approved ingredients, but compounded products themselves are not FDA-approved. Those same lines appear on the provider cards inside the check, next to the links they describe. We may earn a commission on some links, which is spelled out on the disclosures page and never changes your price or your score.
Keeping this page honest
The medical statements on this site were last reviewed on August 23, 2026, against the sources named on the Menopause Rating Scale page. If you find something out of date or plainly wrong, tell us at wave@perigirlies.com and we will fix it.