2025 - NAMS Menopause Certification
Exam Study Set
secondary causes of osteoporosis
Which 3 common drugs?
Hyperthyroidism, hyperparathyroidism, hypercalciuria, certain drugs (eg: tamoxifen, steroids,
PPIs), calcium/vitamin D deficiency, RA, celiac disease, malabsorptive diseases such as Crohn
disease, and ulcerative colitis
Median age of menopause in US women
52.54 y
POI
Intermittent ovarian function & insufficient estrogen levels occurring at age <40 y
which STRAW stage?
menarche / early reproductive
-5
which STRAW stage?
peak reproductive
-4
which STRAW stage?
late reproductive
-3
which STRAW stage?
,perimenopause
-2 to -1 & +1a
which STRAW stage?
FMP &
12 months after final menstrual period
FMP = 0
12 months after = +1a
which STRAW stage?
VMS most likely
+1a (most likely)
-1 (likely)
aka perimenopause/menopause transition
which STRAW stage?
early post menopause
+1a to +1c
which STRAW stage?
late postmenopause
+2
which STRAW stage?
amenorrhea >60 days
-1
aka late menopause transition
AD
which STRAW stage?
, variable cycle lengths of >7 days differences
-2
aka early menopause transition
difference between menopause transition vs perimenopause per STRAW criteria?
menopause transition: -2 and -1, prior to FMP
perimenopause: -2 to +1a, includes 12 mo of amenorrhea following FMP
which STRAW stage?
initial drop in AMH/AFC/inhibin, cycles still regular, FSH normal
-3b
aka late reproductive
which STRAW stage?
cycles shorter, first increase in FSH
-3a
aka late reproductive
levels spike with ovulation, marker of ovarian reserve
inhibin B
Produced by granulosa cells of activated follicles, most reflective of true ovarian reserve;
provides the best single prediction of time to menopause
AMH
what day of cycle to draw FSH to predict ovarian response/reserve?
day 3
normal day 3 FSH?
FSH value for menopause?
Exam Study Set
secondary causes of osteoporosis
Which 3 common drugs?
Hyperthyroidism, hyperparathyroidism, hypercalciuria, certain drugs (eg: tamoxifen, steroids,
PPIs), calcium/vitamin D deficiency, RA, celiac disease, malabsorptive diseases such as Crohn
disease, and ulcerative colitis
Median age of menopause in US women
52.54 y
POI
Intermittent ovarian function & insufficient estrogen levels occurring at age <40 y
which STRAW stage?
menarche / early reproductive
-5
which STRAW stage?
peak reproductive
-4
which STRAW stage?
late reproductive
-3
which STRAW stage?
,perimenopause
-2 to -1 & +1a
which STRAW stage?
FMP &
12 months after final menstrual period
FMP = 0
12 months after = +1a
which STRAW stage?
VMS most likely
+1a (most likely)
-1 (likely)
aka perimenopause/menopause transition
which STRAW stage?
early post menopause
+1a to +1c
which STRAW stage?
late postmenopause
+2
which STRAW stage?
amenorrhea >60 days
-1
aka late menopause transition
AD
which STRAW stage?
, variable cycle lengths of >7 days differences
-2
aka early menopause transition
difference between menopause transition vs perimenopause per STRAW criteria?
menopause transition: -2 and -1, prior to FMP
perimenopause: -2 to +1a, includes 12 mo of amenorrhea following FMP
which STRAW stage?
initial drop in AMH/AFC/inhibin, cycles still regular, FSH normal
-3b
aka late reproductive
which STRAW stage?
cycles shorter, first increase in FSH
-3a
aka late reproductive
levels spike with ovulation, marker of ovarian reserve
inhibin B
Produced by granulosa cells of activated follicles, most reflective of true ovarian reserve;
provides the best single prediction of time to menopause
AMH
what day of cycle to draw FSH to predict ovarian response/reserve?
day 3
normal day 3 FSH?
FSH value for menopause?
