According to several menopause societies, a score of 15 or over usually indicates estrogen deficiency that is intrusive enough to require treatment, but this is only a guide. Women are very variable in their tolerance of discomfort, often tolerating quite severe symptoms before they will even consider taking hormone therapy. Scores of 20-50 are common in symptomatic women, and with adequate treatment tailored to each person. The score will reduce to 10 or under in 3-6 months. Please repeat this questionnaire in 3 months and then at 6 months time if/when you do begin hormone therapy.