NAMs Menopause Certification Exam Questions And Answers | Latest Update

NAMs Menopause Certification Exam Questions And Answers | Latest Update 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.