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

First of all, it must be clear that there is currently no unified official scoring standard for "menstrual health" in clinical practice. The 65 points you get are most likely scored by third-party health platforms and menstrual management APPs based on self-set dimensions. You cannot directly use "normal/abnormal" to judge across the board.

I used to help my best friend to sort out the evaluation rules of three or four popular menstrual apps. Most of them weighted the regularity of the cycle, the amount of menstruation, the degree of dysmenorrhea, and the symptoms associated with menstruation. If a 60-point passing scoring system is used, a 65-point score basically belongs to the state of "continuous minor problems but not to a pathological level." For example, the little girl next to my desk got a score of 63 last month. Her condition is that her cycle is basically about 30 days. She has acne on her chin a week before each visit, and her waist is very heavy. She has mild menstrual cramps on the first day, which can be relieved by holding a hot water bottle. Last week, the hormone test and gynecological B-ultrasound at the unit were completely fine. The doctor said that it is just sitting for a long time and always ordering iced milk tea. All she needs to do is adjust her living habits, and it is not a problem at all.

But don’t think that you can relax after passing the passing mark. If the evaluation form you use also includes abnormal bleeding, dyspareunia and other symptoms related to organic diseases into the scoring items, then you should pay more attention to 65 points. A while ago, I came across a netizen's share in the women's health community. The assessment she used included the options of "irregular bleeding after menstruation" and "slight bleeding after intercourse". She calculated the score to be exactly 64. She didn't take it seriously at first. Later, she wanted to buy a safe test and went for a gynecological examination. A small endometrial polyp was found. Fortunately, it was discovered early and was treated with minor outpatient surgery, so she didn't suffer anything.

To put it bluntly, this kind of folk menstrual health score is essentially a "small health reminder light", not a medical certificate. There is no need to be anxious when you see a low score, nor should you not take it seriously when you just pass the passing line. You can check the deducted items yourself. If the deducted items are all minor problems such as "easy to be irritable before menstruation", "slight backache", "occasionally delayed for 2 or 3 days", the normal period is stable within the normal range of 21-35 days, and the menstrual flow can be 5 wet each time. After 20 pieces of daily sanitary napkins, there are no severe pains or abnormal bleeding. Even if the score is just over 60, it is basically healthy. I usually stay up less late at night and drink less iced coffee and iced milk tea before and after menstruation. I will gradually improve my condition.

But if your points are mainly deducted on items such as "it hurts so much that you need to take 2 painkillers before you can get out of bed" "your period is so heavy that you have to change one for night use every hour but still leaks" "your cycle fluctuates by ten days and a half", then regardless of the score, you'd better take the time to go to the gynecology department for a basic examination to rule out problems such as polycystic cysts, adenomyosis, and endometriosis. Don't hold on to it and delay things. After all, no matter how complete this third-party score is, it is not as reliable as the test results from a regular hospital.