Blatt-Kupperman Menopausal Index (Modified)
Info
Sweating hot flushes None less than 3 times/day 3-9 times/day 10 or more times/day
Paresthesia None Relationship with climate Feel tingling, burning, pricking, or numbness frequently Lose sense of warm and pain
Insomnia None Once in a while Frequent need sleeping pill Affects life and work
Nervousness None Once in a while Frequent Frequent, cannot control
Melancholia None Once in a while Frequent, can self-control Losing faith in life
Vertigo None Once in a while Frequent Affects daily life
Fatigue None Once in a while Feel difficult when climbing the 4th floor Affects daily life
Arthralgia, myalgia None Once in a while Frequent, not affecting function Affects function
Headache None Once in a while Frequent Requires treatment
Heart palpitation None Once in a while Frequent, not affecting daily life Requires treatment
Formication None Once in a while Frequent Requires treatment
Sexual complaints Normal Reduced libido Sexual problems Loss of libido
Urinary tract infection None Once in a while More than 3 times per year, not requiring medication More than 3 times per year, needing medication
R e s u l t s
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Total Score
 
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Info
Blatt-Kupperman Menopausal Index (Modified)

The Kupperman Index (KI) is a tool developed in the 1950s that, while widely criticized, continues to be used but often in a modified format. The modified KI consists of 13 items (see table below). In addition to the same 11 menopausal symptoms: vosomotor / hot flushes, paresthesia (burning or prickling sensations), insomnia, nervousness, melancholia (deep sadness or depression), vertigo, weakness, arthralgia (joint stiffness or pain) or myalgia (muscle aches or pain), headache, [heart] palpitations, and formication (sensation of insects crawling on your skin), included in the original KI, the modified version adds urogenital symptoms, including urinary infection and sexual complaints. The original 11 items included categorized as psychological symptoms.

A scale ranging from 0 to 3 points is used to describe the severity of the complaints. The weighting factors were the same as those used in the original KI, and provide two points for both urogenital symptoms

Symptoms Weighting factor Severity scale Score
0 1 2 3
Vasomotor/hot flushes 4 None less than 3 times/day 3-9 times/day 10 or more times/day
Paraesthesia 2 None Relationship with climate Feel tingling, burning, pricking, or numbness frequently Lose sense of warm and pain
Insomnia 2 None Once in a while Frequent need sleeping pill Affects life and work
Nervousness 2 None Once in a while Frequent Frequent, cannot control
Melancholia 1 None Once in a while Frequent, can self-control Losing faith in life
Vertigo 1 None Once in a while Frequent Affects daily life
Weakness (fatigue) 1 None Once in a while Feel difficult when climbing the 4th floor Affects daily life
Arthralgia and myalgia 1 None Once in a while Frequent, not affecting function Affects function
Headaches 1 None Once in a while Frequent Requires treatment
Palpitations 1 None Once in a while Frequent, not affecting daily life Requires treatment
Formication 1 None Once in a while Frequent Requires treatment
Sexual complaints 2 Normal Reduced libido Sexual problems Loss of libido
Urinary tract infection 2 None Once in a while More than 3 times per year, not requiring medication More than 3 times per year, needing medication

Score:

  • Raw score is calculated with severity score of each symptom.
  • Weighted score is calculated as Raw score x weighting factor.
  • The total score is sum of Weighted score, ranges from 0 to 63. Scores ranging from 0–6 (no complaint), 7–15 (mild), 16–30 (moderate), and above 30 (severe).

Reference:

  • Blatt, M.H., Wiesbader, H., Kupperman, H.S. Vitamin E and climacteric syndrome; failure of effective control as measured by menopausal index. AMA Arch. Intern. Med. 1953; 91(6): 792-799
  • Alder, E. The Blatt-Kupperman menopausal index: a critique. Maturitas. 1998; 29: 19-24
  • Cao, Z.Y. Chinese Obstetrics and Gynecology. Beijing, People's Republic of China: People's Medical Publishing House; 2005.
  • Tao M., Shao H., Li C., Teng Y.. Correlation between the modified Kupperman Index and the Menopause Rating Scale in Chinese women. Patient Prefer Adherence. 2013; 7: 223-229.