Free perimenopause check
Am I in perimenopause? The free 2-minute perimenopause quiz.
Free. No email. About 2 minutes. Scored entirely in your browser. Your score is shown next to the average for your age band.
This is a free perimenopause quiz you can take online right now, with no email and no account. It takes about 2 minutes. Nineteen scored symptom questions, plus your age band and cycle pattern. Your answers are scored entirely in your browser. You get a score out of 100, a likely stage, an age-band comparison, and a printable doctor summary.
What this quiz is
This is a screening tool, not a diagnosis, and only a clinician who examines you can diagnose perimenopause. The check is for adults 18 and over.
Some people call it a perimenopause quiz and some call it a perimenopause test. It is the same free check. Nothing here involves a blood draw or a urine strip. It is a symptom and cycle questionnaire, and what it screens for is whether the pattern you are living with is consistent with perimenopause, in language a clinician will recognize.
What it asks you
The check scores 19 perimenopause symptoms: hot flashes, night sweats, anxiety or inner tension, irritability or rage, losing interest in things you used to love, low mood, brain fog, trouble sleeping, exhaustion rest doesn't fix, joint or muscle aches, heart palpitations, headaches or migraines, nausea or bloating, heavier or longer periods, weight change, bladder changes, skin or hair changes, lower sex drive, and vaginal dryness. Each one is rated not at all, mild, moderate or severe, over the last few months.
What you get at the end
- A score out of 100Nineteen symptom items, weighted across four domains, come out as one number.
- Four domain scoresHeat, mind, body and intimacy, scored separately, so you can see which domain is driving the total.
- A likely stageRead from your cycle pattern, your age band and your score, using criteria informed by STRAW+10.
- An age-band comparisonThe reference figure for your age band, printed beside your own number.
- A printable doctor summaryAll 19 symptoms with the rating recorded for each, your cycle pattern, your four domain scores, and a short script for what to raise at the appointment. It prints, and you can save it as a PDF.
- A share cardAn image carrying your score and your stage, and none of your answers.
How your score compares
Your score is shown next to the average for your age band. Those age-band averages are seeded from published population norms for menopausal symptom scores, rescaled to this 0 to 100 composite. They are a starting point drawn from published research, not a tally of what other people scored on this check. No number on your result is produced by anyone else's answers, because there is nowhere for anyone else's answers to go.
If you are on birth control, or your cycle is masked
It works if you are on hormonal birth control, or if your cycle is masked by an IUD, an ablation or a hysterectomy. Withdrawal bleeds on the pill are not cycle signals, so the check will not stage you on them: your cycle is marked as masked rather than guessed at, and the result says so. Your symptoms are still scored across all four domains, and your score is still shown against your age band.
Is there a test for perimenopause?
A single hormone test cannot settle this. Levels move through the transition, so one blood or urine reading describes one day rather than a pattern. STRAW+10, the reference system for staging the menopausal transition, treats menstrual cycle change as its principal criterion and hormone levels as supporting evidence. That is why what you can do at home is score the symptom pattern and stage the cycle pattern, which is what this quiz does. Blood work still has a job, mostly ruling other causes in or out, and that call belongs to your clinician. There is a fuller answer on what each perimenopause test actually measures, and the three situations where testing does earn its place. If your periods stopped before 40, that is different. It needs an in-person work-up, and blood work is part of it.
What the result will not say
No result here says diagnosed. The strongest thing the check will say is that your pattern is consistent with a stage, and its labels run from not suggestive, through possible early perimenopause, early perimenopause and late perimenopause, to postmenopause, with separate labels for a cycle that cannot be staged and for a pattern that should go straight to a clinician. Consistent with is not the same as diagnosed with.
If something needs a clinician first
If you are under 40, not using hormonal birth control, and report no period for 12 or more months, the result itself says that needs a proper in-person work-up: blood work, an exam, a real differential. Before any care option is shown, the check also asks a short set of safety questions: a history of breast or endometrial cancer, blood clots, unusual bleeding, active liver disease, or the possibility that you are pregnant. Pregnancy is on that list because pregnancy and perimenopause can look alike from the outside, and a questionnaire cannot tell them apart. Answer yes to any of them and the care path stops there. You get a clinician finder and your doctor summary, and nothing is sold to you on that path.
Where your answers go
There is no server for your answers to go to. Scoring runs on your own device, and your answers never leave it. The one thing this site sends anywhere is an anonymous count of visits and taps, to our own domain, with no cookies: which page, which button, never which answer. Watch your browser's network tab while you answer and you can confirm that nothing leaving carries your answers. While you work through the questions your answers sit in your tab's session storage, so a reload does not lose your place, and they clear when you close the tab.
Free, no email, nothing to unlock
How this stays free
The check is free and stays free. Care options appear after your result, and if you choose a provider through one of those links, we may earn a commission. It never changes your price, and it cannot change your score, which is computed on your device before any of that exists.
The instrument behind the score
The instrument is a 19-item symptom scale across four domains, vasomotor, psychological, physical and sexual, structured after the Menopause Rating Scale. The four domain percentages are weighted into one composite out of 100: vasomotor 0.30, psychological 0.25, physical 0.25, sexual 0.20. Your cycle pattern is staged using criteria informed by STRAW+10, the reference system for staging the menopausal transition. The Menopause Rating Scale itself is 11 items across three domains and is the copyright of ZEG Berlin, so this check is structured after it rather than being it, and it is not a validated instrument in its own right. The scale, its severity bands and its published reference values are set out on the Menopause Rating Scale page on this site, which cites Heinemann K, Ruebig A, Potthoff P, Schneider HPG, Strelow F, Heinemann LAJ and Thai DM, The Menopause Rating Scale (MRS) scale: a methodological review, Health and Quality of Life Outcomes 2004;2:45.
Common questions
Is this perimenopause quiz free?
Yes. The perimenopause quiz is free, with no paywall, no upgrade and no unlock on your own result. Nineteen scored symptom questions, about 2 minutes, and the whole result on screen when you finish: a score out of 100, a likely stage, an age-band comparison and a printable doctor summary.
Do I have to give my email address?
No. There is no email field on this page. No signup, no account, and nothing that identifies you is asked for. Your result appears on screen the moment you answer the last question.
How long does it take?
About 2 minutes. The 19 symptom questions are tap to answer on a four-point scale, not at all, mild, moderate or severe, and there is nothing to type. Your age band, your cycle pattern and a few short questions sit around them.
How many questions is it?
19 scored symptom questions, plus your age band and your cycle pattern. A few unscored questions travel with them: whether you use hormonal birth control, which parts of your life the symptoms have touched, and two yes or no questions about past appointments. Only the 19 symptom items feed the score out of 100. Your cycle pattern, your age band and that score together set the stage.
Where are my answers scored?
In your browser, on your own device. There is no server to receive them. The site keeps an anonymous count of visits and taps on our own domain, never your answers and never a cookie, which you can check in your browser's network tab. While you work through the questions your answers sit in your tab's session storage, and they clear when you close the tab.
What do I get at the end?
A score out of 100, a score for each of the four domains, a likely stage, your score next to the average for your age band, and a doctor summary listing all 19 symptoms with the rating recorded for each, your cycle pattern, your domain scores and a short script for the appointment. The summary is printable, and you can save it as a PDF.
Can I take it if I am on hormonal birth control?
Yes. Withdrawal bleeds on the pill are not cycle signals, so the check will not stage you on them: your cycle is marked as masked. Your symptoms are still scored across the four domains and still shown against the average for your age band. The same holds if an IUD, an ablation or a hysterectomy is why you cannot read your own pattern.
Am I in perimenopause?
No questionnaire can answer that on its own, and this one does not claim to. What it does is score your symptom pattern, stage your cycle pattern, and tell you whether the two together are consistent with perimenopause. If they are, you leave with a summary written for the appointment where that gets settled.
Is there a test for perimenopause?
Not a single test that settles it. Hormone levels move through the transition, so one blood or urine reading describes one day rather than a pattern. STRAW+10, the reference system for staging the menopausal transition, treats menstrual cycle change as its principal criterion and hormone levels as supporting evidence. Blood work is still useful for ruling other causes in or out, and that call belongs to your clinician.
How do you test for perimenopause at home?
What you can do at home is score the symptom pattern and stage the cycle pattern, which is what this free perimenopause quiz does in about 2 minutes. At-home FSH kits read one moment in a cycle that changes week to week, so a single result cannot confirm perimenopause or rule it out. If your periods stopped before 40, that is different: it needs an in-person work-up, and blood work is part of it.
What is the difference between perimenopause and menopause?
Menopause is one point in time: 12 months with no period. Perimenopause is the transition leading up to it, when cycles change and symptoms start. This quiz asks where your cycle pattern sits along that transition. If you are 40 or older, not on hormonal birth control, and have had no period for 12 or more months, the check reads that as postmenopause rather than perimenopause.
What happens if my answers raise a safety flag?
If you are under 40, not using hormonal birth control, and report no period for 12 or more months, the result itself says that needs a proper in-person work-up: blood work, an exam, a real differential. Before any care option is shown, the check also asks about a history of breast or endometrial cancer, blood clots, unusual bleeding, active liver disease, or the possibility that you are pregnant. Answer yes to any of those and the care path stops there: you get a clinician finder and your doctor summary, and nothing is sold to you on that path.
Is this a diagnosis?
No. It's a screening: your pattern, scored and staged, in language a clinician will recognize. Only a clinician who examines you can diagnose anything. The check exists to make that conversation faster and harder to dismiss.
Two minutes gets you a number and a page you can hand across a desk.
Start the checkScreening, not diagnosis. 18+. Free forever.
More on the instrument: the Menopause Rating Scale explained, with its severity bands and published reference values.