NAMS MENOPAUSE CERTIFICATION EXAM REAL ACTUAL EXAM TEST STUDY GUIDE ACCURATE
EXPERT VERIFIED FOR GUARANTEED PASS 2026
Climacteric phase -ANSWER-The period of endrocrinologic, somatic, and transitory
psychologic changes that occur around the time of menopause.
Early menopause -ANSWER-LMP before age 45
Late menopause -ANSWER-LMP after age 54
Primary ovarian insufficiency -ANSWER-Menopause that occurs before age 40
Early menopause transition (stage -2) -ANSWER-Persistent difference of 7 days or more in
the length of consecutive cycles.
Late menopause transition (stage -1) -ANSWER-60 or more consecutive days of amenorrhea
Luteal out of phase event (LOOP) -ANSWER-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 -ANSWER-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 -ANSWER-These ethnic groups have lower estradiol levels
then white, black and hispanic women.
, stage +2 -ANSWER-late menopause stage: 5-8 years after FMP. Somatic aging predominates.
Increased genitourinary symptoms.
Stages +1a, +1b, +1c -ANSWER-early post menopause: 2 years after FMP. FSH rises, estradiol
decreases. VMS predominate.
Elevated FSH, LH -ANSWER-Endocrine labs after menopause
AMH, inhibin B -ANSWER-These hormones work during reproductive years to not deplete
follicle pool too quickly.
Phases during menopause transition and PMS symptoms -ANSWER-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? -ANSWER-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. -ANSWER-AMH
DHEA (dehydroepiandrosterone) -ANSWER-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 -ANSWER-Vagina, vulva, urethra, trigone of the bladder
Effects of estrogen on tissue -ANSWER-maintain blood flow, the collagen, and HA within the
epithelial surfaces. Supports microbiome and protects tissue from pathogens.
Vaginal changes with menopause -ANSWER-Thinning, loss of elasticity, loss or absence or
rugae.
EXPERT VERIFIED FOR GUARANTEED PASS 2026
Climacteric phase -ANSWER-The period of endrocrinologic, somatic, and transitory
psychologic changes that occur around the time of menopause.
Early menopause -ANSWER-LMP before age 45
Late menopause -ANSWER-LMP after age 54
Primary ovarian insufficiency -ANSWER-Menopause that occurs before age 40
Early menopause transition (stage -2) -ANSWER-Persistent difference of 7 days or more in
the length of consecutive cycles.
Late menopause transition (stage -1) -ANSWER-60 or more consecutive days of amenorrhea
Luteal out of phase event (LOOP) -ANSWER-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 -ANSWER-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 -ANSWER-These ethnic groups have lower estradiol levels
then white, black and hispanic women.
, stage +2 -ANSWER-late menopause stage: 5-8 years after FMP. Somatic aging predominates.
Increased genitourinary symptoms.
Stages +1a, +1b, +1c -ANSWER-early post menopause: 2 years after FMP. FSH rises, estradiol
decreases. VMS predominate.
Elevated FSH, LH -ANSWER-Endocrine labs after menopause
AMH, inhibin B -ANSWER-These hormones work during reproductive years to not deplete
follicle pool too quickly.
Phases during menopause transition and PMS symptoms -ANSWER-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? -ANSWER-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. -ANSWER-AMH
DHEA (dehydroepiandrosterone) -ANSWER-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 -ANSWER-Vagina, vulva, urethra, trigone of the bladder
Effects of estrogen on tissue -ANSWER-maintain blood flow, the collagen, and HA within the
epithelial surfaces. Supports microbiome and protects tissue from pathogens.
Vaginal changes with menopause -ANSWER-Thinning, loss of elasticity, loss or absence or
rugae.
