NAMS Menopause Certification Exams (Latest 2026/
2027 Updates STUDY BUNDLE WITH COMPLETE
SOLUTIONS) Qs & As| 100% Correct| Grade A (Verified
Answers)
What is menopause? - ANSWERclinical absence of menses for 12 months. THe result
of normal aging an the result of loss of ovarian follicular function
-it is the end of the female reproductive age
What is the average age of menopause? - ANSWER48-55 years
average age is 51(notes) 52 (book)
T or F
Women overall see menopause as a positive change - ANSWERTrue
What are classic an other s/s of menopause? - ANSWERClassic symptoms:
• Change in menstrual cycle pattern (during perimenopause)
• Vasomotor symptoms (hot flashes & night sweats)
• Vulvovaginal symptoms, dyspareunia
• Sleep disturbances
Other symptoms sometimes associated with menopause:
• Cognitive concerns (memory, concentration)
• Psychological symptoms (depression, anxiety, moodiness)
What classifies premature menopause? - ANSWERPremature menopause occurs
before age 40
occurs spontaneously
What is induced menopause? - ANSWERcessation of menstruation
that follows bilateral oophorectomy (with or without
hysterectomy), chemotherapy, or pelvic radiation
therapy
What is POI - ANSWERPrimary ovarian insufficiency• A continuum of impaired
ovarian function (intermittent
to permanent) usually with extended periods of
amenorrhea in women younger than age 40
(previous known as POF-premature ovarian failure-is not permanent)
What is the length of perimenopause? - ANSWER-usually last 2-8 years prior to last
period
-begins with variation in cycle length (>7 days) associated with rise in FSH
-variable s/s
-ends 1 year after final menstrual period
, Women report more symptoms during perimenopause or menopause? -
ANSWERperi-menopause
How long is the postmenopausal period ? - ANSWER1/3 to 1/2 of lifespan of north
american women
What controls menses - ANSWERThe normal menstrual cycle is controlled via a
complex
interplay of the hypothalamic-pituitary-ovarian axis
What is the end result in the hypothalmic pituitary ovarian access that represents
menopause - ANSWEREstrogen and progesterone remain low, an FSH an LH remain
high
What happen to serum hormone levels at menopause? - ANSWER-decrease
Circulating estrogens
-decrease Ratio of estrogen to androgen
-decrease Sex hormone-binding globulin secretion
-increased Peripheral aromatization of DHEA to estrone
-Reversal of estradiol (E2) to estrone (E1) ratio
-No significant change in testosterone levels
How does aging affect weight gain - ANSWER-women gain 5lbs due to aging an
lifestyle.
-decrease in activity
-decrease in muscle mass
-in midlife adipose tissues is redistributed to the middle
OBesity epidemic stats - ANSWER• 70% of women ages 55-75 and 65% of women
ages
45-55 are overweight
• Approximately 40% are obese
What is the link between osteoporosis and dental decay in menopause - ANSWER•
Tooth loss after menopause has been associated with
osteoporosis, although periodontal disease and tooth
decay are the leading causes
• For each 1% per year decrease in whole-body bone
mineral density (BMD), the risk for tooth loss more
than quadruples
How does menopause affect hearing? - ANSWER• The menopause transition acts as
a trigger of a
relatively rapid age-related hearing decline in
healthy women
2027 Updates STUDY BUNDLE WITH COMPLETE
SOLUTIONS) Qs & As| 100% Correct| Grade A (Verified
Answers)
What is menopause? - ANSWERclinical absence of menses for 12 months. THe result
of normal aging an the result of loss of ovarian follicular function
-it is the end of the female reproductive age
What is the average age of menopause? - ANSWER48-55 years
average age is 51(notes) 52 (book)
T or F
Women overall see menopause as a positive change - ANSWERTrue
What are classic an other s/s of menopause? - ANSWERClassic symptoms:
• Change in menstrual cycle pattern (during perimenopause)
• Vasomotor symptoms (hot flashes & night sweats)
• Vulvovaginal symptoms, dyspareunia
• Sleep disturbances
Other symptoms sometimes associated with menopause:
• Cognitive concerns (memory, concentration)
• Psychological symptoms (depression, anxiety, moodiness)
What classifies premature menopause? - ANSWERPremature menopause occurs
before age 40
occurs spontaneously
What is induced menopause? - ANSWERcessation of menstruation
that follows bilateral oophorectomy (with or without
hysterectomy), chemotherapy, or pelvic radiation
therapy
What is POI - ANSWERPrimary ovarian insufficiency• A continuum of impaired
ovarian function (intermittent
to permanent) usually with extended periods of
amenorrhea in women younger than age 40
(previous known as POF-premature ovarian failure-is not permanent)
What is the length of perimenopause? - ANSWER-usually last 2-8 years prior to last
period
-begins with variation in cycle length (>7 days) associated with rise in FSH
-variable s/s
-ends 1 year after final menstrual period
, Women report more symptoms during perimenopause or menopause? -
ANSWERperi-menopause
How long is the postmenopausal period ? - ANSWER1/3 to 1/2 of lifespan of north
american women
What controls menses - ANSWERThe normal menstrual cycle is controlled via a
complex
interplay of the hypothalamic-pituitary-ovarian axis
What is the end result in the hypothalmic pituitary ovarian access that represents
menopause - ANSWEREstrogen and progesterone remain low, an FSH an LH remain
high
What happen to serum hormone levels at menopause? - ANSWER-decrease
Circulating estrogens
-decrease Ratio of estrogen to androgen
-decrease Sex hormone-binding globulin secretion
-increased Peripheral aromatization of DHEA to estrone
-Reversal of estradiol (E2) to estrone (E1) ratio
-No significant change in testosterone levels
How does aging affect weight gain - ANSWER-women gain 5lbs due to aging an
lifestyle.
-decrease in activity
-decrease in muscle mass
-in midlife adipose tissues is redistributed to the middle
OBesity epidemic stats - ANSWER• 70% of women ages 55-75 and 65% of women
ages
45-55 are overweight
• Approximately 40% are obese
What is the link between osteoporosis and dental decay in menopause - ANSWER•
Tooth loss after menopause has been associated with
osteoporosis, although periodontal disease and tooth
decay are the leading causes
• For each 1% per year decrease in whole-body bone
mineral density (BMD), the risk for tooth loss more
than quadruples
How does menopause affect hearing? - ANSWER• The menopause transition acts as
a trigger of a
relatively rapid age-related hearing decline in
healthy women
