Is it normal to have a menstrual health score of 65?

First of all, let’s pour some cold water on it – there is currently no unified clinical “menstrual health” scoring standard. Most of the 65 points you get are self-measurement scales made by health platforms and menstrual period apps, which cannot be directly equated with “sickness/absence of illness”.

I stayed up late for two months working on a project two years ago, and got a score of 64 on a commonly used menstrual period APP. At that time, I saw that a score of 70 was considered a passing score. I was so panicked that I called up a gynecologist. I checked six hormones and an abdominal ultrasound, but nothing was wrong. The doctor said it was endocrine fluctuations caused by a temporary disorder in work and rest, and they didn’t even prescribe medicine. He told me to stay up less late and drink less ice milk tea.

Of course, this does not mean that this score is completely useless. The scoring logic of the scales of different institutions is different. If the scale you use is 60 points, it is considered a passing score, and a score of 65 points is actually a "sub-health state" that has just passed the line. Most of the points are caused by minor problems: such as taking half a painkiller for occasional dysmenorrhea, occasionally delaying menstruation for three or four days, and feeling a little backache and fatigue on the first day. These are basically caused by daily living habits and are not pathological.

I have talked about this with a gynecologist at the outpatient clinic before, and her point of view is more direct: this kind of self-assessment has limited reference value. Many people measured in their early 60s, but they were under great pressure to catch up with the exam or meet KPI last month. A single menstrual period was delayed by a week, which lowered the overall score. It was not abnormal at all.

In fact, this kind of self-assessment score is similar to the body fat percentage and visceral fat level measured by the Internet celebrity body fat scale. It can only give a rough reference. To judge whether there is really a problem with menstruation, you still have to look at the hard clinical indicators: the cycle is in the range of 21-35 days. Within 3-7 days each time, the menstrual volume is 20 to 60ml (about the amount of 2 to 3 daily sanitary napkins). There is no dysmenorrhea that is so painful that I cannot go to work or school normally, and there is no non-menstrual bleeding. Even if the score is low, it is not a problem.

However, if you get a score of 65 but are already feeling obvious discomfort: for example, it hurts so much that ibuprofen doesn’t help, your period lasts for 10 days and it’s still not clean, and your period is so heavy that you need to change a sanitary napkin every hour, then regardless of the score, it’s more serious to go to the hospital for a check-up as soon as possible. Don’t hold on with the mentality of “it’s okay just after passing the passing line”. I later adjusted my schedule for a month, going to bed before 11 o'clock every day, and not drinking iced drinks for a week before my period. When I took the test again, my score was over 80. I didn't have much pain during my next period. I really don't need to worry too much about this score.~