What your Greene score actually means
The Greene Climacteric Scale is one of the most widely used tools in menopause research. It measures symptom load — not stage. Two women in the same stage of perimenopause can have wildly different scores, and that's the point: the score tells you how much your body is asking for support.
The four domains
Psychological: mood, anxiety, focus, sleep — usually the first domain to flare in perimenopause.
Somatic: headaches, joint pain, dizziness — often dismissed but very common.
Vasomotor: hot flushes and night sweats — the classic markers.
Sexual: libido and arousal changes — frequently undertreated.
Score bands
- Under 8: minimal symptoms.
- 8–15: mild — track for 2–3 months.
- 16–25: moderate — lifestyle and clinician input both help.
- 26+: high — talk to a menopause-trained clinician.
Track it monthly
A single score is a snapshot. Re-take this quiz monthly to spot patterns — many symptoms cycle with hormones, and a 4-point drop or rise tells you more than the number itself.
Track symptoms, food, and energy in one place.
Lila ties symptom changes to nutrition, sleep, and training so you can see what actually moves your numbers.