NAMs :
Menopause Certification Exam Study
Guide | Ncmp Review Questions &
Answers | Menopause Practitioner
Exam Prep 2025/2026
This Document Contains:
• Nams
• Ncmp Review Questions
• Correct Answers
• 100%
• Score A+
,Climacteric phase - CORRECT ANS The period of endrocrinologic, somatic, and transitory
psychologic changes that occur around the time of menopause.
Early menopause - CORRECT ANS LMP before age 45
Late menopause - CORRECT ANS LMP after age 54
Primary ovarian insufficiency - CORRECT ANS Menopause that occurs before age 40
Early menopause transition (stage -2) - CORRECT ANS Persistent difference of 7 days or
more in the length of consecutive cycles.
Late menopause transition (stage -1) - CORRECT ANS 60 or more consecutive days of
amenorrhea
Luteal out of phase event (LOOP) - CORRECT ANS Explains why some perimenopausal
women have elevated estrogen level sometimes...In the early menopause transition, elevated
FSH levels are adequate to recruit a second follicle which results in a follicular phase-like rise in
estradiol secretion superimposed on the mid-to-late luteal phase of the ongoing ovulatory
cycle.
Obese women and estradiol levels during menopause - CORRECT ANS Obese women are
more likely to have anovulatory cycles with high estradiol levels. They are also more likely to
have lower premenopause yet higher postmenopause estradiol levels compared with women of
normal weight. (why they are at higher risk of endometrial cancer)
Chinese and Japanese women - CORRECT ANS These ethnic groups have lower estradiol
levels then white, black and hispanic women.
, stage +2 - CORRECT ANS late menopause stage: 5-8 years after FMP. Somatic aging
predominates. Increased genitourinary symptoms.
Stages +1a, +1b, +1c - CORRECT ANS early post menopause: 2 years after FMP. FSH rises,
estradiol decreases. VMS predominate.
Elevated FSH, LH - CORRECT ANS Endocrine labs after menopause
AMH, inhibin B - CORRECT ANS These hormones work during reproductive years to not
deplete follicle pool too quickly.
Phases during menopause transition and PMS symptoms - CORRECT ANS Menstrual cycle
shortenes, follicular phase compresses, women spend more time in luteal phase.. meaning
more premenstrual symptoms and more frequent menstrual periods.
How to respond if a patient requests FSH lab? - CORRECT ANS many pitfalls, variable
depending on the day of the cycle you draw the lab, normal or low FSH is not helpful.
The potentially superior marker of menopause, a lab. - CORRECT ANS AMH
DHEA (dehydroepiandrosterone) - CORRECT ANS Adrenal androgens: precursor
hromones produced by the adrenal gland that are enzymatically converted to active androgens
or estrogens in peripheral tissues.
Location of estrogen receptors - CORRECT ANS Vagina, vulva, urethra, trigone of the
bladder
Menopause Certification Exam Study
Guide | Ncmp Review Questions &
Answers | Menopause Practitioner
Exam Prep 2025/2026
This Document Contains:
• Nams
• Ncmp Review Questions
• Correct Answers
• 100%
• Score A+
,Climacteric phase - CORRECT ANS The period of endrocrinologic, somatic, and transitory
psychologic changes that occur around the time of menopause.
Early menopause - CORRECT ANS LMP before age 45
Late menopause - CORRECT ANS LMP after age 54
Primary ovarian insufficiency - CORRECT ANS Menopause that occurs before age 40
Early menopause transition (stage -2) - CORRECT ANS Persistent difference of 7 days or
more in the length of consecutive cycles.
Late menopause transition (stage -1) - CORRECT ANS 60 or more consecutive days of
amenorrhea
Luteal out of phase event (LOOP) - CORRECT ANS Explains why some perimenopausal
women have elevated estrogen level sometimes...In the early menopause transition, elevated
FSH levels are adequate to recruit a second follicle which results in a follicular phase-like rise in
estradiol secretion superimposed on the mid-to-late luteal phase of the ongoing ovulatory
cycle.
Obese women and estradiol levels during menopause - CORRECT ANS Obese women are
more likely to have anovulatory cycles with high estradiol levels. They are also more likely to
have lower premenopause yet higher postmenopause estradiol levels compared with women of
normal weight. (why they are at higher risk of endometrial cancer)
Chinese and Japanese women - CORRECT ANS These ethnic groups have lower estradiol
levels then white, black and hispanic women.
, stage +2 - CORRECT ANS late menopause stage: 5-8 years after FMP. Somatic aging
predominates. Increased genitourinary symptoms.
Stages +1a, +1b, +1c - CORRECT ANS early post menopause: 2 years after FMP. FSH rises,
estradiol decreases. VMS predominate.
Elevated FSH, LH - CORRECT ANS Endocrine labs after menopause
AMH, inhibin B - CORRECT ANS These hormones work during reproductive years to not
deplete follicle pool too quickly.
Phases during menopause transition and PMS symptoms - CORRECT ANS Menstrual cycle
shortenes, follicular phase compresses, women spend more time in luteal phase.. meaning
more premenstrual symptoms and more frequent menstrual periods.
How to respond if a patient requests FSH lab? - CORRECT ANS many pitfalls, variable
depending on the day of the cycle you draw the lab, normal or low FSH is not helpful.
The potentially superior marker of menopause, a lab. - CORRECT ANS AMH
DHEA (dehydroepiandrosterone) - CORRECT ANS Adrenal androgens: precursor
hromones produced by the adrenal gland that are enzymatically converted to active androgens
or estrogens in peripheral tissues.
Location of estrogen receptors - CORRECT ANS Vagina, vulva, urethra, trigone of the
bladder
