The care journey

What her MenoScore means, if she shares it

Original guidance written for MenoHealth by its editorial team. · 7 min read · Oct 2026

Medically reviewed by Karla F. Loken, DO, FACOOG on October 13, 2026

If she has shared her MenoScore with you, you are looking at a snapshot of what she has reported, not a grade. What the number is built on, what you actually see, and how to agree the way you talk about it.

In brief

What this helps with. Reading a shared MenoScore as the snapshot it is, and agreeing with her & how to talk about it.
One thing to do. Ask once whether she wants you to mention what she shares, and follow her answer.
One thing to ask. "Do you want me to say anything when your score changes, or would you rather bring it up yourself?"

There is a number on your screen. Last week it was different. You have no idea whether to mention it, and you are half afraid that either saying something or saying nothing will be the wrong call.

Start with what you are looking at. Most of the wrong calls come from misreading it.

Where the score comes from

In 1998 a researcher named Greene published a standard questionnaire for the menopause transition. The Greene Climacteric Scale has 21 items across four areas, psychological symptoms such as anxiety and low mood, somatic symptoms such as aches and palpitations, vasomotor symptoms, meaning hot flashes and night sweats, and sexual symptoms. Clinicians and researchers have used it since to describe how much a woman's symptoms are weighing on her.

Her MenoScore draws on that clinical framework. It is built mostly from what she logs in the app, and it also reflects how consistently she logs and which way things are trending. It is not a lab result, it does not read her hormones, and it does not know anything she has not told it. What it does is turn scattered daily entries into one number she can compare with a month ago. It is more of a measure of personal progress and highly dependent on what she puts into the app. This is not a score her doctor will be familiar with. They will know about the Greene questionnaire.

What the number means, and what it does not

A higher MenoScore means a lighter reported symptom load. A lower one means she has been reporting more, or heavier, symptoms. The score reflects what she has logged and does not diagnose her health or explain every change in how she feels.

Direction over weeks matters far more than any single day. Perimenopause is defined by fluctuation, and symptoms come and go from day to day without anyone having done anything right or wrong. A bad Tuesday is a bad Tuesday. A month that runs steadily lower than the one before is information, and it is hers to act on.

Then there is the list of things the number is not. It is not a grade, so a lower score does not mean she has failed at anything. It is not a diagnosis. It is not a measure of effort, because a woman doing everything right can still have a rough month. It is not a complete picture of her health, because it only knows what she entered, and it can move simply because she logged less often for a week. And it is not a verdict on the relationship, on you, or on how the house is being run.

Patterns are hers

For her own use, the app looks for links between what she logs and how she says she feels, such as a poor night followed by a foggy day. An association like that is a suggestion for her to test, not proof that one thing caused the other, and never an instruction. You do not see these, because they are not part of what a supporter can be shown. You will know about one only if she chooses to talk about it, and then the useful response is to ask what she wants to do with it.

What you actually see

Supporter Mode shows you only what she chose to share, category by category. That may be her current score, or a short history of it, particular symptoms she is willing to have you know about, or short updates she writes herself. It may be any combination, and it may be none of these beyond the fact that she is on this journey at all.

Whatever you see, hold it loosely. A score is a summary of what she entered on the days she entered it. A shared symptom tells you it is on her list, not how bad it was today. A short update is a few words chosen at one moment. None of it tells you what she has not shared, and none of it is the whole story.

You do not see her daily logs, her journal, her conversations with MenoAI, or any symptom or score she did not select, and you cannot log or change anything. If she sends an update, you can acknowledge it with a heart in the app. There is no reply box, so anything you want to say goes through the channels you already have.

Agree how you will talk about it

Many supporters decide on their own whether to mention the score. Some go silent, which can read as not caring. Some comment on every change, which can feel like being watched. Neither guess beats asking.

Ask whether she wants you to mention what she shares, act on agreed requests, or wait for her to bring it up. Follow her preference, and accept that it can change. It is a one-minute conversation. If she asks you to act on what you see, such as taking the early mornings when sleep is on the list, do that. If she would rather you wait, wait, and let the number change what you do without changing what you say. The article on respecting what she chooses to share covers how to agree that in more detail.

Whatever she chooses, do not ask her to explain a change. She may not know why the score moved, and she does not owe you an analysis of her own body. If she says "I've had a good run," meet it. "That's good to hear. What's been different?" is fine.

How sharing changes

She can widen, narrow or end what she shares at any time. Changing what is shared can create an in-app notice for you. Removing access does not send a notification, but you may notice that access has ended when you open the app. If that happens, it is not an accusation and needs no response. Carry on being useful in the ways that do not depend on the app.

What not to do

Do not refresh. Nothing changes because you checked.
Do not keep records. No screenshots, no notes, no spreadsheet of her weeks. She has the record. You have the invitation.
Follow what you agreed, not the graph. If she asked you to wait for her to raise it, wait, even when the number moves.
Do not forward anything. Not to her sister, her mother or her doctor. It was shared with you.
Do not turn anything she tells you into a rule. A pattern she mentions is hers to test, and hers to ignore.

The short version

A higher score means a lighter reported symptom load, built from what she logged. Everything you see was chosen for you, and it is a partial picture. Ask once how she wants you to handle it, and do what she asks.