The measurement properties of the menorrhagia multi-attribute quality-of-life scale: a psychometric analysis

BJOG. 2011 Nov;118(12):1528-31. doi: 10.1111/j.1471-0528.2011.03057.x. Epub 2011 Jul 27.


Menorrhagia, or heavy menstrual bleeding (HMB), is a common gynaecological condition. As the aim of treatment is to improve women's wellbeing and quality of life (QoL), it is necessary to have effective ways to measure this. This study investigated the reliability and validity of the menorrhagia multi-attribute scale (MMAS), a menorrhagia-specific QoL instrument. Participants (n = 431) completed the MMAS and a battery of other tests as part of the baseline assessment of the ECLIPSE (Effectiveness and Cost-effectiveness of Levonorgestrel-containing Intrauterine system in Primary care against Standard trEatment for menorrhagia) trial. Analyses of their responses suggest that the MMAS has good measurement properties and is therefore an appropriate condition-specific instrument to measure the outcome of treatment for HMB.

Publication types

  • Research Support, Non-U.S. Gov't
  • Validation Study

MeSH terms

  • Adult
  • Contraceptive Agents, Female / therapeutic use
  • Female
  • Humans
  • Levonorgestrel / therapeutic use
  • Menorrhagia* / drug therapy
  • Menorrhagia* / psychology
  • Middle Aged
  • Psychometrics*
  • Quality of Life*
  • Reproducibility of Results
  • Surveys and Questionnaires*
  • Treatment Outcome


  • Contraceptive Agents, Female
  • Levonorgestrel