Is the Menopause Rating Scale accurate for diagnosing sexual dysfunction among climacteric women?

Daniela Jara, Andrea Fuenzalida, Rodrigo Figueroa, Monica del Prado, Daniel Flores, Juan E. Blümel, Peter Chedraui

Research output: Contribution to journalArticlepeer-review

9 Citations (Scopus)


Background: Although several tools have been designed to assess quality of life (QoL) among middle-aged women their capacity to specifically assess sexual dysfunction (SD) remains uncertain. Moreover, if SD impairs QoL within this population, then sexual assessment becomes a key issue. Objectives: To evaluate the accuracy of the Menopause Rating Scale (MRS) in diagnosing SD among climacteric women. Methods: In this cross-sectional study 370 women aged 40-59 years filled out the MRS and the Female Sexual Functioning Index (FSFI) simultaneously. SD among surveyed women was defined as those obtaining a total FSFI score of ≤26.55. A receiver-operator curve (ROC) was used to plot and measure the diagnostic accuracy of one MRS item (item 8, assessing sexual problems) using the FSFI total score as a gold standard. Results: Mean age of surveyed women was 49.3 ± 5.8 years. A 56.5% of them were married, 44.3% were postmenopausal, 66.8% were sexually active and 57% had SD (FSFI total score ≤26.55). ROC curve determined a score ≥1 in the MRS item 8 as a cut-off value for discriminating women with SD (78% sensitivity and 62% specificity with an area below the curve of 0.70 Swett). Conclusions: The MRS was moderately accurate for diagnosing SD among climacteric women. More research is warranted in this regard.

Original languageEnglish
Pages (from-to)321-323
Number of pages3
Issue number3
Publication statusPublished - 20 Mar 2009


  • Climacteric
  • FSFI
  • Menopause
  • Middle age
  • MRS
  • Sexual dysfunction

ASJC Scopus subject areas

  • General Biochemistry,Genetics and Molecular Biology
  • Obstetrics and Gynaecology


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