NAMS Menopause Test Questions and Answers Latest Update 2024/2025 | Graded A+.

NAMS Menopause Test Questions and Answers Latest Update 2024/2025 | Graded A+. What is the gold standard for characterizing reproductive aging? - ANSWER STRAW + 10 What is climacteric? - ANSWER Period of endocrinologic, somatic, and transitory psychologic changes that occur during menopause. Also known as perimenopause What is early menopause? - ANSWER FMP before the age of 45 What is late menopause? - ANSWER FMP occurs after age 54 According to STRAW+10, what is considered early postmenopause? - ANSWER If within 8 years of FMP According to STRAW+10, what is considered late postmenopause? - ANSWER 8+ years after FMP What is induced menopause? - ANSWER Cessation of menses that comes after either bilateral oophorectomy or iatrogenic ablation of ovarian function What is the most common cause of induced menopause? - ANSWER Bilateral oophorectomy How is menopause transition defined? - ANSWER The time before FMP where cycles become variable OR have menopause-related symptoms What cycle variability defines early menopause transition? - ANSWER 7 or more days persistent difference in cycle length from previous normal cycles What cycle variability defines late menopause transition? - NAMS Menopause Test Questions and Answers Latest Update 2024/2025 | Graded A+ ANSWER 60 or more days of amenorrhea observed at least one time What is the definition of natural menopause? - ANSWER Permanent cessation of menses due to loss of ovarian follicular activity. 12 consecutive months of amenorrhea. How is perimenopause defined? - ANSWER Onset of intermenstrual cycle irregularities (7+ days) or menopause related symptoms and extends beyond FMP to include the 12 months after menopause. What menopause stage is highly symptomatic? - ANSWER Perimenopause What is primary ovarian insufficiency? - ANSWER All menopause that occurs before the age of 40. When can endocrine markers be evaluated after pelvic surgery? - ANSWER At least 3 months after surgery When does entry to stage -5 occur? - ANSWER At menarche What cycle changes is considered landmark for stages -4 and -3b? - ANSWER Regular menstrual cycles occurring every 21 to 35 days for a number of years What is the late reproductive stage? - ANSWER -3, this is the time where fecundability declines and menstrual cycle changes may occur. Endocrine markers levels with phage -3b? - ANSWER menstrual cycles are normal, early follicular phase FSH normal. AMH, AFC, and inhibin B are low Endocrine marker levels with phase -3a? - ANSWER subtle menstural-cycle changes in flow and length with increasing frequency of shorter cycles, variable FSH and all other markers are low What day FSH is most commonly used to evaluate ovarian reserve? - ANSWER Cycle day 3 Estradiol levels should be evaluated with FSH because elevated estradiol levels can give false normal FSH Where is antimullerian hormone produced? - ANSWER Granulosa cells and preantral and small antral follicles level is evaluated with ultrasound Early menopause transition stage -2 - ANSWER persistent difference of 7 days or more in length of consecutive cycles, persistent is defined as recurrence within 10 cycles Elevated but variable early follicular-phase FSH and LOW AMH and AFC Late menopause transition stage -1 - ANSWER 60 or more consecutive days of amenorrhea. One episode is sufficient with women aged 45 or older Cycles are increased in cycle length variability, extreme fluctuations in hormone levels, and persistent anovulation Single FSH draw of 25 or higher of a random blood draw On average lasts 1-3 years In a LOOP event, when does a short cycle occur? - ANSWER When an LH surge and ovulation occurs within the first 5 days of the cycle Causes an unusually short cycle 21 days In a LOOP event, when does a long cycle occur? - ANSWER When ovulation doesn't occur and estradiol level drops