Premenstrual and Menstrual Symptoms Rating Scales

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Top Contributors - Khloud Shreif and Aminat Abolade  

Introduction[edit | edit source]

WaLIDD score[edit | edit source]

WaLIDD is the abbreviation for Working ability, Location, Intensity, Days of Pain, Dysmenorrhea. It was designed to help with the diagnosis of dysmenorrhea, predict the result of activity limitation, and predict the medical leave.

It is easy to apply, smaller delay time in application, and doesn't require a specialist to do[1].

Evidence: for predicting medical leave in university students it showed:

Good LR + 14.2 (95% CI, 13.5–14.9), LR − 0.00 (95% CI, undefined)[2], and high sensitivity[3].

Working ability location Intensity

(Wong-Baker)

Days of pain
0:None 0: None 0: Doesn't hurt 0:0
1: Almost never 1: 1 site 1: Hurts little bit 1: 1-2
2: Almost always 2: 2-3 sites 2: Hurts a little more- even more 2: 2-3
3: Always 3:sites 3: Hurts a whole a lot- worst 3: 3->
1-4 mild dymenorrhea

5-7 moderate dysmenorrhea

7-12 sever dysmenorrhea[4]

Menstrual Distress Questionnaire (MDQ)[edit | edit source]

It is 46-item self-reporting questionnaire used in assessment, follow up and treatment of premenstrual and menstrual symptoms. It detect the type and severity and type of symptoms of different changes even it is physical, , behavioral, mood changes, and arousal symptom during the different phases of the menstrual cycle.

There is more than one form for this questionnaire:

  • Form C (Cycle) that enables a woman to report her symptoms during the three phases of her recent menstrual cycle as following; (4 days before menstrual flow, during menstrual flow, and the remainder of the cycle)
  • Form T (Today) that used to help a woman to describe her experiences on a specific day.

Evidence: This questionnaire is used by researchers and clinicians to help with detecting the effect of a therapeutic interventions, however, can not define premenstrual syndrome accuretly[5].

The 47 items divided into sub-scales: pain, water retention, negative affect, autonomic reaction, concentration, behavior change, and arousal, where she rank her symptoms from 1 ("no experience of the symptom") to 6 ("acute or partially disabling symptoms"). and it is done for the most recent cycle.


Pain Concentration Behavioral changes
1- Muscle stiffness

2- Headache

3- Cramps

4- Backache

5- Fatigue

6- General aches and pains

1- Insomnia

2-Forgetfulness

3- Confusion

4- Lowered judgment

5- Difficulty concentrating

6- Distractible

7- Accidents

8- Lowered motor coordination

1- Lowered school or work performance

2- Take naps; stay in bed

3- Stay at home

4- Avoid social activities

5- Decreased efficiency

Premenstrual Syndrome Scale (PMSS).[edit | edit source]

It was first developed in 2006, to measure the severity of PMS symptoms, and consists of 44 items and nine subscales (depressive mood, anxiety, fatigue, irritability, depressive thoughts, pain, appetite changes, sleep changes, and swelling).It's scored co;;ected from counting the score of the nine subscales.


Premenstrual Symptoms Screening Tool (PSST)[edit | edit source]

References[edit | edit source]

  1. Teherán AA, Piñeros LG, Pulido F, Guatibonza MC. WalIDD score, a new tool to diagnose dysmenorrhea and predict medical leave in university students. International journal of women's health. 2018;10:35
  2. Teherán AA, Piñeros LG, Pulido F, Guatibonza MC. WalIDD score, a new tool to diagnose dysmenorrhea and predict medical leave in university students. International journal of women's health. 2018;10:35.
  3. Rashidi Fakari F, Simbar M, Tahmasebi G, Ebadi A, Rashidi Fakari F, Nasiri M, Ghazanfarpour M. Efficacy of working ability, location, intensity, days of pain, dysmenorrhea (WaLIDD) and Verbal Rating Scale (Pain and Drug) in Diagnosing and Predicting Severity of Dysmenorrhea among Adolescents: A Comparative Study. Journal of Obstetrics, Gynecology and Cancer Research (JOGCR). 2021 Feb 10;6(2):81-6.
  4. Teherán AA, Piñeros LG, Pulido F, Guatibonza MC. WalIDD score, a new tool to diagnose dysmenorrhea and predict medical leave in university students. International journal of women's health. 2018;10:35.
  5. Hawes E, Oei TP. The menstrual distress questionnaire: Are the critics right?. Current Psychology. 1992 Sep;11(3):264-81.