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NAMS Menopause EXAM Questions And Correct Answers (Verified Answers) 2026

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NAMS Menopause EXAM Questions And Correct Answers (Verified Answers) 2026

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NAMS Menopause Certification
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NAMS Menopause Certification

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NAMS Menopause EXAM Questions And Correct
Answers (Verified Answers) 2026

Age range/Average age for menopause - CORRECT ANSWER -Menopause begins at a wide
range of 40-58 years, Average age is 52



Menopause is confirmed when.. - CORRECT ANSWER -12 months of amenorrhea in women w/
a uterus



Premature menopause occurs when? National average %? - CORRECT ANSWER -Occurs
before age 40; 1% in the U.S



Induced Menopause is defined as... - CORRECT ANSWER -Cessation of menstruation that
follows either surgical removal of both ovaries or iatrogenic ablation of ovarian function.



Follicular loss begins when? Women are born with how many? And loss is mostly as a result of
what? - CORRECT ANSWER -Follicular begins in utero; Women are born w/ 1-2 million
follicles. Most loss results from atresia versus ovulation.



STRAW +10 Staging system for reproductive aging is divided into how many stages and phases?
- CORRECT ANSWER -Divided into 7 stages total; 5 precede and 2 follow the final menstrual
period. Phases: 1) Reproductive stage, 2) Menopause transition & 3) Postmenopause



Reproductive phase includes how many stages and what are they? - CORRECT ANSWER -3
stages: Early, Peak & Late



Normal menstrual cycle involves how many phases? What Are they? - CORRECT ANSWER -3
phases: 1) Follicular (proliferative), 2) Periovulatory, 3) Luteal (secretory) phase

, What happens during the Follicular phase? - CORRECT ANSWER -First day of menses marks
the onset of the menstrual cycle.

Estrogen & Progesterone are low signaling the Hypothalamus & Pituitary to increase FSH.

FSH initiates follicular maturation, the follicle increases estrogen production which stimulates
new endometrial growth.

The endometrium thickens 3-fold.



What happens during the Periovulatory phase? - CORRECT ANSWER -The increased estrogen
from the follicle causing a sharp increase in lutenizing hormone (LH) which leads to ovulation
(release of the ovum).
Pituitary LH also stimulates the residual follicle and transforms in into the corpus luteum.



What happens during the Luteal phase? - CORRECT ANSWER -The corpus luteum secretes
estrogen and progesterone.

The progesterone supports and enriches the thick endometrium in preparation for embryo
implantation.

If fertilization does not occur, the corpus luteum regresses, estrogen and progesterone levels fall
and menses begins.



What are the 5 androgens? - CORRECT ANSWER -1) Testosterone

2) Dihydrotesterone (DHT)
3) Androstenedione

4) DHEA

5) Dehydroepiandrosterone sulfate (DHEAS)



What is the Antimullerian hormone (AMH) and what is it used for? - CORRECT ANSWER -
Produced by the ovarian follicles

Identified as a marker of ovarian reserve

Primarily used in women seeking fertility assessment
Begin around 4.1, Gradual continual age-related decline dropping to 0 by age 50.

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