Table 1 The verbal multidimensional scoring system (VMS)
Grade | Working ability | Systemic symptoms | Analgesia |
|---|---|---|---|
Grade 0: Menstruation is not painful and daily activity is unaffected | Unaffected | None | Not required |
Grade 1: Menstruation is painful but seldom inhibits the woman’s normal activity. Analgesics are seldom required. Mild pain | Rarely affected | None | Rarely required |
Grade 2: Daily activity affected. Analgesics required and give relief so that absence from work or school is unusual. Moderate pain | Moderately affected | Few | Required |
Grade 3: Activity clearly inhibited. Poor effect of analgesics. Vegetative symptoms, e.g. headache, tiredness, nausea, vomiting, and diarrhea. Severe pain | Clearly inhibited | Apparent | Poor effect |