5/30/26, 10:30 AM NAMS Menopause Certification Exam 2024 Flashcards | Quizlet
Science Medicine Gynecology
NAMS Menopause Certification Exam 2024
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NAMs Menopause Certification Exa... Menopause Society Exam 2025 2024 - NAMS Menopause Certificati... NAMS
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Terms in this set (212)
Climacteric phase The period of endrocrinologic, somatic, and transitory psychologic changes that
occur around the time of menopause.
Perimenopause Menopause Transition, Early STRAW Stage: (Stage -2)
List the STRAW Stage Persistent difference of 7 days or more in the length of consecutive cycles.
What defines the phase?
Perimenopause Menopause Transition, Late STRAW Stage: (Stage -1)
List the STRAW Stage 60 or more consecutive days of amenorrhea
What defines the phase?
Luteal out of phase event (LOOP) 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.
Describe the E2 level during the life of a patient with They are also more likely to have lower premenopause/perimenopausal estradiol
obesity. levels compared to patients with average BMIs. However, the level is the highest
in postmenopausal patients with obesity.
In comparison to other ethnicities, Chinese and Japanese These ethnic groups have lower estradiol levels than white, black and hispanic
women have ___ E2 levels? women.
STRAW Stage +2, describe the timeline as well as the Postmenopause, Late. (Remaining Lifespan) 5-8 years after FMP. Somatic aging
predominant symptoms. predominates. Increased genitourinary symptoms.
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, 5/30/26, 10:30 AM NAMS Menopause Certification Exam 2024 Flashcards | Quizlet
Stages +1a, +1b, +1c, describe the timeline as well as the Postmenopause, Early. 2 years after FMP.
supportive criteria and the symptoms. +1a/b (2yrs) FSH variable where as the AMH and InhB are low. The AFC are very
low. VMS predominate.
1c (3-6yrs) FSH levels stabilize. The other measures continue as previous.
Elevated FSH, LH Endocrine labs after menopause
AMH, Inhibin B These hormones work during reproductive years to not deplete follicle pool too
quickly.
Describe the phases during the early menopause Menstrual cycle shortens. Due to unrestrained FSH, follicular phase compresses.
transition and what happens with PMS symptoms More premenstrual symptoms due to the longer luteal phase. Cycle irregularity
and skipped cycles because of ovulatory failure and increased atresia.
How to respond if a patient requests FSH lab? many pitfalls, variable depending on the day of the cycle you draw the lab,
normal or low FSH is not helpful.
What lab is potentially the superior marker of time to AMH
menopause?
DHEA (dehydroepiandrosterone) Adrenal androgens: precursor hromones produced by the adrenal gland that are
enzymatically converted to active androgens or estrogens in peripheral tissues.
Location of GU estrogen receptors (4) Vagina, vulva, urethra, trigone of the bladder
List the effects of estrogen on tissue (4+2) 1 ) maintains blood flow to tissue, maintains the collagen within the epithelium, and
maintains the hyaluronic acid and mucopolysaccharides within the moistened
epithelial surface, maintains pH (4.5) 2) supports microbiome and protects tissue
from pathogens
List the vaginal changes with menopause you might note Thinning of the epithelial layer, loss of elasticity with narrowing of the canal and
on clinical/microscopic exam. poor distention, noted on pelvic exam with loss or absence or rugae. Due to the
decrease in glycogen content, the lactobacilli are decreased resulting in higher
pH.
List the vulvar and urethral changes in menopause. Thinning of the epithelial layers and vagina narrowing leads the urethra to move
closer to the introitus.
Stress urinary incontinence Vaginal estrogen and urinary incontinence: what type does it help with?
Treatment for FPHL Minoxidil, spironolactone, finasteride, estrogen therapy
Late reporoductive years -3b and -3a. What happens with -3b: menstrual cycles normal, FSH normal, AMH low, AFC low, inhibin low.
menstrual cycles, FSH, AMH, AFC, inhibin?
-3a: subtle menstrual changes, variable FSH, AMH low, AFC low, inhibin low.
When it is appropriate to check an FSH during the cycle if Cycle day #3. Elevated estradiol can suppress FSH giving a falsely normal FSH
you check it? and why? level.
https://quizlet.com/912024719/nams-menopause-certification-exam-2024-flash-cards/ 2/8
Science Medicine Gynecology
NAMS Menopause Certification Exam 2024
9 studiers in 3 days 4.6 (5 reviews)
Save Groups
Students also studied
Flashcard sets Study guides
NAMs Menopause Certification Exa... Menopause Society Exam 2025 2024 - NAMS Menopause Certificati... NAMS
120 terms 172 terms 200 terms Teacher
bailey_bechtold Preview Sfcordial Preview empoweredtobeheal... Preview pay
Terms in this set (212)
Climacteric phase The period of endrocrinologic, somatic, and transitory psychologic changes that
occur around the time of menopause.
Perimenopause Menopause Transition, Early STRAW Stage: (Stage -2)
List the STRAW Stage Persistent difference of 7 days or more in the length of consecutive cycles.
What defines the phase?
Perimenopause Menopause Transition, Late STRAW Stage: (Stage -1)
List the STRAW Stage 60 or more consecutive days of amenorrhea
What defines the phase?
Luteal out of phase event (LOOP) 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.
Describe the E2 level during the life of a patient with They are also more likely to have lower premenopause/perimenopausal estradiol
obesity. levels compared to patients with average BMIs. However, the level is the highest
in postmenopausal patients with obesity.
In comparison to other ethnicities, Chinese and Japanese These ethnic groups have lower estradiol levels than white, black and hispanic
women have ___ E2 levels? women.
STRAW Stage +2, describe the timeline as well as the Postmenopause, Late. (Remaining Lifespan) 5-8 years after FMP. Somatic aging
predominant symptoms. predominates. Increased genitourinary symptoms.
https://quizlet.com/912024719/nams-menopause-certification-exam-2024-flash-cards/ 1/8
, 5/30/26, 10:30 AM NAMS Menopause Certification Exam 2024 Flashcards | Quizlet
Stages +1a, +1b, +1c, describe the timeline as well as the Postmenopause, Early. 2 years after FMP.
supportive criteria and the symptoms. +1a/b (2yrs) FSH variable where as the AMH and InhB are low. The AFC are very
low. VMS predominate.
1c (3-6yrs) FSH levels stabilize. The other measures continue as previous.
Elevated FSH, LH Endocrine labs after menopause
AMH, Inhibin B These hormones work during reproductive years to not deplete follicle pool too
quickly.
Describe the phases during the early menopause Menstrual cycle shortens. Due to unrestrained FSH, follicular phase compresses.
transition and what happens with PMS symptoms More premenstrual symptoms due to the longer luteal phase. Cycle irregularity
and skipped cycles because of ovulatory failure and increased atresia.
How to respond if a patient requests FSH lab? many pitfalls, variable depending on the day of the cycle you draw the lab,
normal or low FSH is not helpful.
What lab is potentially the superior marker of time to AMH
menopause?
DHEA (dehydroepiandrosterone) Adrenal androgens: precursor hromones produced by the adrenal gland that are
enzymatically converted to active androgens or estrogens in peripheral tissues.
Location of GU estrogen receptors (4) Vagina, vulva, urethra, trigone of the bladder
List the effects of estrogen on tissue (4+2) 1 ) maintains blood flow to tissue, maintains the collagen within the epithelium, and
maintains the hyaluronic acid and mucopolysaccharides within the moistened
epithelial surface, maintains pH (4.5) 2) supports microbiome and protects tissue
from pathogens
List the vaginal changes with menopause you might note Thinning of the epithelial layer, loss of elasticity with narrowing of the canal and
on clinical/microscopic exam. poor distention, noted on pelvic exam with loss or absence or rugae. Due to the
decrease in glycogen content, the lactobacilli are decreased resulting in higher
pH.
List the vulvar and urethral changes in menopause. Thinning of the epithelial layers and vagina narrowing leads the urethra to move
closer to the introitus.
Stress urinary incontinence Vaginal estrogen and urinary incontinence: what type does it help with?
Treatment for FPHL Minoxidil, spironolactone, finasteride, estrogen therapy
Late reporoductive years -3b and -3a. What happens with -3b: menstrual cycles normal, FSH normal, AMH low, AFC low, inhibin low.
menstrual cycles, FSH, AMH, AFC, inhibin?
-3a: subtle menstrual changes, variable FSH, AMH low, AFC low, inhibin low.
When it is appropriate to check an FSH during the cycle if Cycle day #3. Elevated estradiol can suppress FSH giving a falsely normal FSH
you check it? and why? level.
https://quizlet.com/912024719/nams-menopause-certification-exam-2024-flash-cards/ 2/8
