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NAMS MENOPAUSE CERTIFICATION EXAM||
LATEST VERSION 2024-2025 FULLY COVERED
ALL QUESTIONS AND 100% CORRECT ANSWERS
ALREADY GRADED A+|| ASSURED PASS!!!
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
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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
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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.
Vagina and urethra in menopause - ANSWER: vagina narrows, urethra moves
closer to the introitus.
Stress urinary incontinence - ANSWER: Vaginal estrogen and urinary
incontinence: what type does it help with?
Treatment for FPHL - ANSWER: Minoxidil, spironolactone, finasteride, estrogen
therapy
Late reporoductive years -3b and -3a. What happens with menstrual cycles, FSH,
AMH, AFC, inhibin? - ANSWER: -3b: menstrual cycles normal, FSH normal,
AMH low, AFC low, inhibin low.
-3a: subtle menstrual changes, variable FSH, AMH low, AFC low, inhibin low.
NAMS MENOPAUSE CERTIFICATION EXAM||
LATEST VERSION 2024-2025 FULLY COVERED
ALL QUESTIONS AND 100% CORRECT ANSWERS
ALREADY GRADED A+|| ASSURED PASS!!!
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
,2|Page
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
, 3|Page
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.
Vagina and urethra in menopause - ANSWER: vagina narrows, urethra moves
closer to the introitus.
Stress urinary incontinence - ANSWER: Vaginal estrogen and urinary
incontinence: what type does it help with?
Treatment for FPHL - ANSWER: Minoxidil, spironolactone, finasteride, estrogen
therapy
Late reporoductive years -3b and -3a. What happens with menstrual cycles, FSH,
AMH, AFC, inhibin? - ANSWER: -3b: menstrual cycles normal, FSH normal,
AMH low, AFC low, inhibin low.
-3a: subtle menstrual changes, variable FSH, AMH low, AFC low, inhibin low.
