Dysmenorrhea severity: Verbal multidimensional scoring system

Grade	Working ability	Systemic symptoms	Analgesics
Grade 0: Menstruation is not painful and daily activity is unaffected	Unaffected	None	None required
Grade 1: Menstruation is painful but seldom inhibits normal activity; analgesics are seldom required; mild pain	Rarely affected	None	Rarely required
Grade 2: Daily activity is affected; analgesics required and give sufficient relief so that absence from school is unusual; moderate pain	Moderately affected	Few	Required
Grade 3: Activity clearly inhibited; poor effect of analgesics; vegetative symptoms (headache, fatigue, vomiting, and diarrhea); severe pain	Clearly inhibited	Apparent	Poor effect

Adapted from Andersch B, Milsom I. An epidemiologic study of young women with dysmenorrhea. Am J Obstet Gynecol 1982; 144:655.

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