MENU

Menstrual Health Literacy Scale

The Menstrual Health Literacy Scale is a 22 item self-reported measure of one's ability to to understand, apply, and communicate accurate information about menstruation. It contains four sub-scales: Menstrual Health Skills and Behaviors, Identifying Abnormal Health Symptoms, Beliefs About Menstrual Health and Communicating about Menstrual Health.

Categories

Geographies Tested: Ireland,United Kingdom,United States of America

Populations Included: Female, Male, Other

Age Range: Adults

Items:

Menstrual Health Skills and Behaviours
1. I am able to differentiate between accurate and inaccurate information about menstrual health
2. I know how to access accurate information about my period
3. If someone asked me questions about the menstrual cycle, I am confident that I could answer them accurately
4. I am confident that I know how to best manage my period pain
5. I often get confused when trying to access information about my period*
6. I know what questions to ask the doctor about my period
7. I make sure that I get information about my period from a reliable source
8. I know which painkillers are most effective for period pain
9. I know how much to take when using painkillers to effectively manage period pain
10. I understand how my period is affected by external factors such as smoking, diet, exercise, stress, weight and pregnancy history

Identifying Abnormal Symptoms
11. I would speak to a doctor if my periods became a lot heavier or lighter than I’m used to
12. I would speak to a doctor if my periods became much longer or shorter than I’m used to
13. I would speak to a doctor if my periods became much more frequent or much more irregular than I’m used to
14. I would speak to a doctor if I began to experience new period symptoms that I found difficult to manage
15. I would speak to a doctor if my periods became much more painful than I’m used to

Beliefs About Menstrual Health.
16. Menstrual health is not related to my overall quality of life*
17. Beyond pregnancy, there is no reason why I would be concerned if my periods changed all of a sudden (i.e. length, symptoms, frequency)*
18. I don’t think that period symptoms can impact academic or professional performance*

Communicating About Menstrual Health
19. I am comfortable talking about menstruation
20. I often discuss various aspects of the menstrual cycle with my friends
21. I am uncomfortable discussing menstruation publicly*
22. I am uncomfortable discussing menstruation privately with other people who menstruate*

*Items are reverse-scored.

Response Options:
Strongly Disagree -1
Disagree - 2
Somewhat Disagree - 3
Neither Agree nor Disagree - 4
Somewhat Agree - 5
Agree - 6
Strongly Agree - 7

Scoring Procedures

Scores are summed, with higher scores on the MHLS-22 indicating greater levels of menstrual health literacy.

Original Citation

Gallivan, S., Kelleher, S., & Foley, S. (2026). Measuring menstrual health literacy: Development and validation of the Menstrual Health Literacy Scale. Journal of Health Psychology, 0(0), 1-17. https://doi.org/https://doi.org/10.1177/13591053261423318


Psychometric Score

Ease of Use Score

Scoring breakdown

Formative Research

Qualitative Research

Existing Literature/Theoretical Framework

Field Expert Input

Cognitive Interviews / Pilot Testing

Reliability

Internal

Test-retest

Interrater

Validity

Content

Face

Criterion (gold-standard)

Construct

KEY

Ease of Use

Readability

Scoring Clarity

Length

Join the EMERGE Community

to get the latest updates on new measures and guidance for survey researchers