NAMs Menopause Certification Exam
2026/2027 Updated 120Questions and
Answers Graded A+ The period of endrocrinologic, somatic, and
Climacteric phase - CORRECT ANSWERS
transitory psychologic changes that occur around the time of menopause.
Early menopause - CORRECT ANSWERS LMP before age 45
Late menopause - CORRECT ANSWERS LMP after age 54
Primary ovarian insufficiency - CORRECT ANSWERS Menopause that occurs before age 40
Early menopause transition (stage -2) - CORRECT ANSWERS Persistent difference of 7
days or more in the length of consecutive cycles.
Late menopause transition (stage -1) - CORRECT ANSWERS 60 or more consecutive days
of amenorrhea
Luteal out of phase event (LOOP) - CORRECT ANSWERS 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 - CORRECT ANSWERS 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 - CORRECT ANSWERS These ethnic groups have lower
estradiol levels then white, black and hispanic women.
stage +2 - CORRECT ANSWERS late menopause stage: 5-8 years after FMP. Somatic
aging predominates. Increased genitourinary symptoms.
, NAMs Menopause Certification Exam
2026/2027 Updated 120Questions and
Answers Graded A+
Stages +1a, +1b, +1c - CORRECT ANSWERS early post menopause: 2 years after FMP.
FSH rises, estradiol decreases. VMS predominate.
Elevated FSH, LH - CORRECT ANSWERS Endocrine labs after menopause
AMH, inhibin B - CORRECT ANSWERS These hormones work during reproductive years to
not deplete follicle pool too quickly.
Phases during menopause transition and PMS symptoms - CORRECT ANSWERS
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? - CORRECT ANSWERS 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. - CORRECT ANSWERS AMH
DHEA (dehydroepiandrosterone) - CORRECT ANSWERS 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 - CORRECT ANSWERS Vagina, vulva, urethra, trigone of the
bladder
Effects of estrogen on tissue - CORRECT ANSWERS maintain blood flow, the collagen, and
HA within the epithelial surfaces. Supports microbiome and protects tissue from pathogens.
Vaginal changes with menopause - CORRECT ANSWERS Thinning, loss of elasticity, loss
or absence or rugae.
Vagina and urethra in menopause - CORRECT ANSWERS vagina narrows, urethra moves
closer to the introitus.
2026/2027 Updated 120Questions and
Answers Graded A+ The period of endrocrinologic, somatic, and
Climacteric phase - CORRECT ANSWERS
transitory psychologic changes that occur around the time of menopause.
Early menopause - CORRECT ANSWERS LMP before age 45
Late menopause - CORRECT ANSWERS LMP after age 54
Primary ovarian insufficiency - CORRECT ANSWERS Menopause that occurs before age 40
Early menopause transition (stage -2) - CORRECT ANSWERS Persistent difference of 7
days or more in the length of consecutive cycles.
Late menopause transition (stage -1) - CORRECT ANSWERS 60 or more consecutive days
of amenorrhea
Luteal out of phase event (LOOP) - CORRECT ANSWERS 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 - CORRECT ANSWERS 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 - CORRECT ANSWERS These ethnic groups have lower
estradiol levels then white, black and hispanic women.
stage +2 - CORRECT ANSWERS late menopause stage: 5-8 years after FMP. Somatic
aging predominates. Increased genitourinary symptoms.
, NAMs Menopause Certification Exam
2026/2027 Updated 120Questions and
Answers Graded A+
Stages +1a, +1b, +1c - CORRECT ANSWERS early post menopause: 2 years after FMP.
FSH rises, estradiol decreases. VMS predominate.
Elevated FSH, LH - CORRECT ANSWERS Endocrine labs after menopause
AMH, inhibin B - CORRECT ANSWERS These hormones work during reproductive years to
not deplete follicle pool too quickly.
Phases during menopause transition and PMS symptoms - CORRECT ANSWERS
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? - CORRECT ANSWERS 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. - CORRECT ANSWERS AMH
DHEA (dehydroepiandrosterone) - CORRECT ANSWERS 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 - CORRECT ANSWERS Vagina, vulva, urethra, trigone of the
bladder
Effects of estrogen on tissue - CORRECT ANSWERS maintain blood flow, the collagen, and
HA within the epithelial surfaces. Supports microbiome and protects tissue from pathogens.
Vaginal changes with menopause - CORRECT ANSWERS Thinning, loss of elasticity, loss
or absence or rugae.
Vagina and urethra in menopause - CORRECT ANSWERS vagina narrows, urethra moves
closer to the introitus.
