Meresankh means she loves life, joining meres (she loves) with ankh (life) — the famous looped cross of Egyptian art.
Several queens of the Old Kingdom bore the name; the tomb of Meresankh III still keeps its vivid painted reliefs.
Meresankh does not currently appear in the US Social Security Administration's top 1,000 girls' names, so we don't publish a US rank or birth count for it. That says nothing about the name's standing elsewhere in the world — only that it sits outside the ranked US data we rely on.
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In Pythagorean numerology the letters of Meresankh reduce to 4, The Builder. This is a traditional interpretive system, not a factual claim about the name.