Grade | Description |
0 | Menstruation is not painful and daily activity is unaffected. |
1 (Mild) | Menstruation is painful but seldom inhibits normal activity; analgesics are seldom required; mild pain. |
2 (Moderate) | Daily activity is affected; analgesics required and give sufficient relief so that absence from school is unusual; moderate pain. |
3 (Severe) | Activity clearly inhibited; poor effect of analgesics; vegetative symptoms (headache, fatigue, vomiting, and diarrhea); severe pain. |