2.5.2. Menopausal Symptoms
Before treatment, the participants’ menopausal symptoms were evaluated by the Menopausal Health-Related Quality of Life (MHR-QOL) Questionnaire, which was developed and validated at Tokyo Medical and Dental University Hospital and is a modification of the Women’s Health Questionnaire. The MHR-QOL contains 38 items scored on a four-point or binary scale covering four major domains of a women’s health during menopause: physical health, mental health, life satisfaction, and social involvement [