NAMS CERTIFICATION EXAM WITH COMPLETE
SOLUTION 2026/2027 LATEST UPDATE
1.Early fMenopause: fFMP fbefore fage f45
2.Late fMenopause: fFMP fafter fage f54
3.Bilateral foophorectomy fprior fto fage f45 fincreases frisks ffor:: f- fAll
fcause fmortality
- Coronary f heart f disease
- CVD
- Menopause fsymptoms
- Worsening fmood fsymptoms
- Higher fincidence fof fParkinson fDisease
- Associated fwith fcognitive fimpairment
4.Early fMenopause fTransition f(-2): f7 for fmore fdays fpersistent fdifference
fin fcycle flength ffrom fprevious fnormal fcycle
- Results fof fincreased ffollicular faging fand fdepletion
- Inhibin fB fdecreases
- FSH fincreases f(Variable)
5.LOOP fCycles: fExplains felevation fof fEstradiol fin fperimenopause
- Rising fFSH flevels frecruit f2nd ffollicle fduring fluteal fphase fwhich fleads
fto foverpro- fduction fof fEstradiol
- This fcauses fmenstrual fchanges fin ffuture fcycles
6.Decreased fAMH fin fEarly fMenopause fTransition: fMore ffrequent
1 f/
f17
,fanovulatory fcycles
7.Decreased fInhibin fB fin fEarly fMenopause fTransition: f- fSkipped
fmenstrual fcycles
- Mastalgia
- Migraine
- Menorrhagia f(with fLOOP fcycles)
- Endometrial fHyperplasia
8.Late fMenopause fTransition f(-1): f60 for fmore fdays fof famenorrhea ffor
fwomen faged f45 fyears for folder
- Women f40-44 fyears fwith frecurrent fepisodes fof famenorrhea fof f60
fday ffor flonger fwithin fa fyear fimproves fprediction fof fentry finto flate
fmenopause ftransition
9.Late fMenopause fTransition f(-1) fDuration: f1-3 fyears
10.Late fMenopause fTransition f(-1) fSymptoms: fVMS flikely
11.STRAW fStage fwhere fFSH f> f25: fLate fMenopause fTransition f(-1)
12.Elevated fFSH fsymptoms fin fLate fMenopause fTransition: f- fVMS
- Sleep fdisturbance
- Changes fin fweight fdistribution
- Increased fvariability fin fcycle flength
2 f/
f17
, 13.Decreased fInhibin fB fin fLate fMenopause fTransition: f- fMood fchanges
- Cognitive fcomplaints
- Changes fin fsexual ffunctioning
- Increased fprevalence fof fanovulation
14.Decreased fAMH fin fLate fMenopause fTransition: f- fGSM
- Bone floss
- CVD fissues
- Interval fof famenorrhea f> f60 fdays
15.POI: fMenopause fbefore fage f40
16.POI fdiagnosis: f- fOligomenorrhea for famenorrhea fx f4 fmonths
- FSH f> f25 fon ftwo foccasions fat fleast f4 fweeks fapart
17.POI fSymptoms: f- fHot fflashes
- Mood fchanges f- fdepression
- Insomnia
- Vaginal fdryness, fdyspareunia
18.POI fManagement: fHT funtil faverage fof fmenopause
19.Early fMenopause fRisks f(natural for fsurgical): f- fCVD
- Low fbone fdensity
- Memory ffor fverbal finformation fcompromised
- Low flibido fdue fto fdecreased ftestosterone
- Depression fdue fto ffertility
20.Ovarian fReserve fLab: f- fAntral ffollicle fcount f& fAMH
21.Secondary fAmenorrhea fdifferential fwith flow fFSH: f- fPregnancy
- Hypothalamic famenorrhea f(e.g., fDiabetes, fceliac fdisease,
fexcessive fexer- fcise/caloric frestriction, fstress, flesions fof
fhypothalamus/pituitary)
- Hyperprolactinemia
- Thyroid fdisease
- PCOS
22.Adrenal fInsufficiency: f- fHypofunction fof fadrenal fgland fand fpituitary
fgland
- Diagnosed fby flow fcortisol fat fbaseline
- Treatment fincludes fglucocorticoid freplacement
23.Female fPattern fHair fLoss f(FPHL): f- fGradual fhair fthinning fon fcrown fof
fscalp
- Occurs fdue fto faltered festrogen-to-androgen fratio
- Sometimes fseen fwith fdiscontinuation fof fHT
24.Telogen fEffluvium f(TE): f- fSudden fhair fshedding
- Patchy fhair floss
3 f/
f17
SOLUTION 2026/2027 LATEST UPDATE
1.Early fMenopause: fFMP fbefore fage f45
2.Late fMenopause: fFMP fafter fage f54
3.Bilateral foophorectomy fprior fto fage f45 fincreases frisks ffor:: f- fAll
fcause fmortality
- Coronary f heart f disease
- CVD
- Menopause fsymptoms
- Worsening fmood fsymptoms
- Higher fincidence fof fParkinson fDisease
- Associated fwith fcognitive fimpairment
4.Early fMenopause fTransition f(-2): f7 for fmore fdays fpersistent fdifference
fin fcycle flength ffrom fprevious fnormal fcycle
- Results fof fincreased ffollicular faging fand fdepletion
- Inhibin fB fdecreases
- FSH fincreases f(Variable)
5.LOOP fCycles: fExplains felevation fof fEstradiol fin fperimenopause
- Rising fFSH flevels frecruit f2nd ffollicle fduring fluteal fphase fwhich fleads
fto foverpro- fduction fof fEstradiol
- This fcauses fmenstrual fchanges fin ffuture fcycles
6.Decreased fAMH fin fEarly fMenopause fTransition: fMore ffrequent
1 f/
f17
,fanovulatory fcycles
7.Decreased fInhibin fB fin fEarly fMenopause fTransition: f- fSkipped
fmenstrual fcycles
- Mastalgia
- Migraine
- Menorrhagia f(with fLOOP fcycles)
- Endometrial fHyperplasia
8.Late fMenopause fTransition f(-1): f60 for fmore fdays fof famenorrhea ffor
fwomen faged f45 fyears for folder
- Women f40-44 fyears fwith frecurrent fepisodes fof famenorrhea fof f60
fday ffor flonger fwithin fa fyear fimproves fprediction fof fentry finto flate
fmenopause ftransition
9.Late fMenopause fTransition f(-1) fDuration: f1-3 fyears
10.Late fMenopause fTransition f(-1) fSymptoms: fVMS flikely
11.STRAW fStage fwhere fFSH f> f25: fLate fMenopause fTransition f(-1)
12.Elevated fFSH fsymptoms fin fLate fMenopause fTransition: f- fVMS
- Sleep fdisturbance
- Changes fin fweight fdistribution
- Increased fvariability fin fcycle flength
2 f/
f17
, 13.Decreased fInhibin fB fin fLate fMenopause fTransition: f- fMood fchanges
- Cognitive fcomplaints
- Changes fin fsexual ffunctioning
- Increased fprevalence fof fanovulation
14.Decreased fAMH fin fLate fMenopause fTransition: f- fGSM
- Bone floss
- CVD fissues
- Interval fof famenorrhea f> f60 fdays
15.POI: fMenopause fbefore fage f40
16.POI fdiagnosis: f- fOligomenorrhea for famenorrhea fx f4 fmonths
- FSH f> f25 fon ftwo foccasions fat fleast f4 fweeks fapart
17.POI fSymptoms: f- fHot fflashes
- Mood fchanges f- fdepression
- Insomnia
- Vaginal fdryness, fdyspareunia
18.POI fManagement: fHT funtil faverage fof fmenopause
19.Early fMenopause fRisks f(natural for fsurgical): f- fCVD
- Low fbone fdensity
- Memory ffor fverbal finformation fcompromised
- Low flibido fdue fto fdecreased ftestosterone
- Depression fdue fto ffertility
20.Ovarian fReserve fLab: f- fAntral ffollicle fcount f& fAMH
21.Secondary fAmenorrhea fdifferential fwith flow fFSH: f- fPregnancy
- Hypothalamic famenorrhea f(e.g., fDiabetes, fceliac fdisease,
fexcessive fexer- fcise/caloric frestriction, fstress, flesions fof
fhypothalamus/pituitary)
- Hyperprolactinemia
- Thyroid fdisease
- PCOS
22.Adrenal fInsufficiency: f- fHypofunction fof fadrenal fgland fand fpituitary
fgland
- Diagnosed fby flow fcortisol fat fbaseline
- Treatment fincludes fglucocorticoid freplacement
23.Female fPattern fHair fLoss f(FPHL): f- fGradual fhair fthinning fon fcrown fof
fscalp
- Occurs fdue fto faltered festrogen-to-androgen fratio
- Sometimes fseen fwith fdiscontinuation fof fHT
24.Telogen fEffluvium f(TE): f- fSudden fhair fshedding
- Patchy fhair floss
3 f/
f17
