Fig. 2. Mean ± standard deviation of the menopausal symptoms derived from the Menopause Rating Scale among the control, musculoskeletal pain (MSP), insomnia (INS), and INS + MSP groups. Data analyzed through analysis of variance. ^*P < 0.05 compared to control; ^†P < 0.05 compared to MSP. The Menopause Rating Scale score is classified as 0 to 4: asymptomatic or scarce menopausal symptoms, 5 to 8: mild symptoms, 9 to 15: moderate symptoms, and 16 to 44: severe menopausal symptoms.