NAMS Menopause Certification Exam
2025 -2026
Walden University
NAMS Menopause Certification Exam 2025 – 2
Practice Exams with Verified Answers & Study
Guide | Hormone Therapy, Osteoporosis, &
Women's Health | Walden University
,NAMs Menopause Certification Exam
The period of endrocrinologic, somatic, and transitory psychologic changes that occur around the
time of menopause. - CORRECT ANSWER ✔✔ Climacteric phase
LMP before age 45 - CORRECT ANSWER ✔✔ Early menopause
LMP after age 54 - CORRECT ANSWER ✔✔ Late menopause
Menopause that occurs before age 40 - CORRECT ANSWER ✔✔ Primary ovarian
insufficiency
Persistent difference of 7 days or more in the length of consecutive cycles. - CORRECT
ANSWER ✔✔ Early menopause transition (stage -2)
60 or more consecutive days of amenorrhea - CORRECT ANSWER ✔✔ Late menopause
transition (stage -1)
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. - CORRECT ANSWER ✔✔ Luteal out of phase event (LOOP)
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) -
CORRECT ANSWER ✔✔ Obese women and estradiol levels during menopause
These ethnic groups have lower estradiol levels then white, black and hispanic women. -
CORRECT ANSWER ✔✔ Chinese and Japanese women
,late menopause stage: 5-8 years after FMP. Somatic aging predominates. Increased genitourinary
symptoms. - CORRECT ANSWER ✔✔ stage +2
early post menopause: 2 years after FMP. FSH rises, estradiol decreases. VMS predominate. -
CORRECT ANSWER ✔✔ Stages +1a, +1b, +1c
Endocrine labs after menopause - CORRECT ANSWER ✔✔ Elevated FSH, LH
These hormones work during reproductive years to not deplete follicle pool too quickly. -
CORRECT ANSWER ✔✔ AMH, inhibin B
Menstrual cycle variable, persistent >7 day difference between difference in length of
consecutive cycles. - CORRECT ANSWER ✔✔ Phases during menopause transition and PMS
symptoms
many pitfalls, variable depending on the day of the cycle you draw the lab, normal or low FSH is
not helpful. - CORRECT ANSWER ✔✔ How to respond if a patient requests FSH lab?
AMH - CORRECT ANSWER ✔✔ The potentially superior marker of menopause, a lab.
Adrenal androgens: precursor hromones produced by the adrenal gland that are enzymatically
converted to active androgens or estrogens in peripheral tissues. - CORRECT ANSWER ✔✔
DHEA (dehydroepiandrosterone)
Vagina, vulva, urethra, trigone of the bladder - CORRECT ANSWER ✔✔ Location of estrogen
receptors
, maintain blood flow, the collagen, and HA within the epithelial surfaces. Supports microbiome
which supports acidity of vagina and protects tissue from pathogens. - CORRECT ANSWER
✔✔ Effects of estrogen on tissue
Thinning, loss of elasticity, loss or absence or rugae. - CORRECT ANSWER ✔✔ Vaginal
changes with menopause
vagina narrows, urethra moves closer to the introitus. - CORRECT ANSWER ✔✔ Vagina and
urethra in menopause
Vaginal estrogen and urinary incontinence: what type does it help with? - CORRECT ANSWER
✔✔ Stress urinary incontinence
Minoxidil, spironolactone, finasteride, estrogen therapy - CORRECT ANSWER ✔✔ Treatment
for FPHL
-3b: menstrual cycles normal, FSH normal, AMH low, AFC low, inhibin low.
-3a: subtle menstrual changes, variable FSH, AMH low, AFC low, inhibin low. - CORRECT
ANSWER ✔✔ Late reporoductive years -3b and -3a. What happens with menstrual cycles,
FSH, AMH, AFC, inhibin?
Cycle day #3. Elevated estradiol can suppress FSH giving a falsely normal FSH level. -
CORRECT ANSWER ✔✔ When it is appropriate to check an FSH during the cycle if you
check it? and why?
produced by granulosa cells
used to test damage to ovarian follicle reserve. If AMH is low, the woman has a low ovarian
reserve.
2025 -2026
Walden University
NAMS Menopause Certification Exam 2025 – 2
Practice Exams with Verified Answers & Study
Guide | Hormone Therapy, Osteoporosis, &
Women's Health | Walden University
,NAMs Menopause Certification Exam
The period of endrocrinologic, somatic, and transitory psychologic changes that occur around the
time of menopause. - CORRECT ANSWER ✔✔ Climacteric phase
LMP before age 45 - CORRECT ANSWER ✔✔ Early menopause
LMP after age 54 - CORRECT ANSWER ✔✔ Late menopause
Menopause that occurs before age 40 - CORRECT ANSWER ✔✔ Primary ovarian
insufficiency
Persistent difference of 7 days or more in the length of consecutive cycles. - CORRECT
ANSWER ✔✔ Early menopause transition (stage -2)
60 or more consecutive days of amenorrhea - CORRECT ANSWER ✔✔ Late menopause
transition (stage -1)
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. - CORRECT ANSWER ✔✔ Luteal out of phase event (LOOP)
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) -
CORRECT ANSWER ✔✔ Obese women and estradiol levels during menopause
These ethnic groups have lower estradiol levels then white, black and hispanic women. -
CORRECT ANSWER ✔✔ Chinese and Japanese women
,late menopause stage: 5-8 years after FMP. Somatic aging predominates. Increased genitourinary
symptoms. - CORRECT ANSWER ✔✔ stage +2
early post menopause: 2 years after FMP. FSH rises, estradiol decreases. VMS predominate. -
CORRECT ANSWER ✔✔ Stages +1a, +1b, +1c
Endocrine labs after menopause - CORRECT ANSWER ✔✔ Elevated FSH, LH
These hormones work during reproductive years to not deplete follicle pool too quickly. -
CORRECT ANSWER ✔✔ AMH, inhibin B
Menstrual cycle variable, persistent >7 day difference between difference in length of
consecutive cycles. - CORRECT ANSWER ✔✔ Phases during menopause transition and PMS
symptoms
many pitfalls, variable depending on the day of the cycle you draw the lab, normal or low FSH is
not helpful. - CORRECT ANSWER ✔✔ How to respond if a patient requests FSH lab?
AMH - CORRECT ANSWER ✔✔ The potentially superior marker of menopause, a lab.
Adrenal androgens: precursor hromones produced by the adrenal gland that are enzymatically
converted to active androgens or estrogens in peripheral tissues. - CORRECT ANSWER ✔✔
DHEA (dehydroepiandrosterone)
Vagina, vulva, urethra, trigone of the bladder - CORRECT ANSWER ✔✔ Location of estrogen
receptors
, maintain blood flow, the collagen, and HA within the epithelial surfaces. Supports microbiome
which supports acidity of vagina and protects tissue from pathogens. - CORRECT ANSWER
✔✔ Effects of estrogen on tissue
Thinning, loss of elasticity, loss or absence or rugae. - CORRECT ANSWER ✔✔ Vaginal
changes with menopause
vagina narrows, urethra moves closer to the introitus. - CORRECT ANSWER ✔✔ Vagina and
urethra in menopause
Vaginal estrogen and urinary incontinence: what type does it help with? - CORRECT ANSWER
✔✔ Stress urinary incontinence
Minoxidil, spironolactone, finasteride, estrogen therapy - CORRECT ANSWER ✔✔ Treatment
for FPHL
-3b: menstrual cycles normal, FSH normal, AMH low, AFC low, inhibin low.
-3a: subtle menstrual changes, variable FSH, AMH low, AFC low, inhibin low. - CORRECT
ANSWER ✔✔ Late reporoductive years -3b and -3a. What happens with menstrual cycles,
FSH, AMH, AFC, inhibin?
Cycle day #3. Elevated estradiol can suppress FSH giving a falsely normal FSH level. -
CORRECT ANSWER ✔✔ When it is appropriate to check an FSH during the cycle if you
check it? and why?
produced by granulosa cells
used to test damage to ovarian follicle reserve. If AMH is low, the woman has a low ovarian
reserve.
