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| Symptoms | Factor | Severity | Numerical Conversion |
|---|---|---|---|
| Vasomotor | 4 | + = 3 | 12 |
| Paraesthesia | 2 | M = 2 | 4 |
| Insomnia | 2 | M = 2 | 4 |
| Nervousness | 2 | S = 1 | 2 |
| Melancholia | 1 | 0 = 0 | 0 |
| Vertigo | 1 | 0 = 0 | 0 |
| Weakness (fatigue) | 1 | M = 2 | 2 |
| Arthralgia and myalgia | 1 | S = 1 | 1 |
| Headaches | 1 | + = 3 | 3 |
| Palpitation | 1 | M = 2 | 2 |
| Formication | 1 | S = 1 | 1 |
| Menopausal index | 31 | ||
| Code | |||
| 0 – none = 0 S – slight = 1 M – moderate = 2 + – marked = 3 | |||
