6/13/26, 8:23 AM NAMS Menopause Certification EXAM, comprehensive questions and verified answers || QUESTIONS WITH ACCURATE ANSWE…
NAMS Menopause Certification EXAM,
comprehensive questions and verified answers ||
QUESTIONS WITH ACCURATE ANSWERS | GET IT
RIGHT |2026!
Save Add to calendar
Terms in this set (247)
Climacteric phase The period of endrocrinologic, somatic, and
transitory psychologic changes that occur around
the time of menopause.
Early menopause LMP before age 45
Late menopause LMP after age 54
Primary ovarian insufficiency Menopause that occurs before age 40
https://quizlet.com/1189112162/nams-menopause-certification-exam-comprehensive-questions-and-verified-answers-questions-with-accurate-answer… 1/35
,6/13/26, 8:23 AM NAMS Menopause Certification EXAM, comprehensive questions and verified answers || QUESTIONS WITH ACCURATE ANSWE…
Early menopause transition (stage -2) Persistent difference of 7 days or more in the
length of consecutive cycles.
Late menopause transition (stage -1) 60 or more consecutive days of amenorrhea
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.
Obese women and estradiol levels Obese women are more likely to have anovulatory
during menopause 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 These ethnic groups have lower estradiol levels
then white, black and hispanic women.
stage +2 late menopause stage: 5-8 years after FMP.
Somatic aging predominates. Increased
genitourinary symptoms.
Stages +1a, +1b, +1c early post menopause: 2 years after FMP. FSH rises,
estradiol decreases. VMS predominate.
Elevated FSH, LH Endocrine labs after menopause
https://quizlet.com/1189112162/nams-menopause-certification-exam-comprehensive-questions-and-verified-answers-questions-with-accurate-answer… 2/35
,6/13/26, 8:23 AM NAMS Menopause Certification EXAM, comprehensive questions and verified answers || QUESTIONS WITH ACCURATE ANSWE…
AMH, inhibin B These hormones work during reproductive years to
not deplete follicle pool too quickly.
Phases during menopause transition Menstrual cycle variable, persistent >7 day
and PMS symptoms difference between difference in length of
consecutive cycles.
How to respond if a patient requests many pitfalls, variable depending on the day of the
FSH lab? cycle you draw the lab, normal or low FSH is not
helpful.
The potentially superior marker of AMH
menopause, a lab.
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 estrogen receptors Vagina, vulva, urethra, trigone of the bladder
Effects of estrogen on tissue maintain blood flow, the collagen, and HA within
the epithelial surfaces. Supports microbiome which
supports acidity of vagina and protects tissue from
pathogens.
Vaginal changes with menopause Thinning, loss of elasticity, loss or absence or
rugae.
https://quizlet.com/1189112162/nams-menopause-certification-exam-comprehensive-questions-and-verified-answers-questions-with-accurate-answer… 3/35
, 6/13/26, 8:23 AM NAMS Menopause Certification EXAM, comprehensive questions and verified answers || QUESTIONS WITH ACCURATE ANSWE…
Vagina and urethra in menopause vagina narrows, urethra moves 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 -3b: menstrual cycles normal, FSH normal, AMH
-3a. What happens with menstrual low, AFC low, inhibin low.
cycles, FSH, AMH, AFC, inhibin?
-3a: subtle menstrual changes, variable FSH, AMH
low, AFC low, inhibin low.
When it is appropriate to check an Cycle day #3. Elevated estradiol can suppress FSH
FSH during the cycle if you check it? giving a falsely normal FSH level.
and why?
https://quizlet.com/1189112162/nams-menopause-certification-exam-comprehensive-questions-and-verified-answers-questions-with-accurate-answer… 4/35
NAMS Menopause Certification EXAM,
comprehensive questions and verified answers ||
QUESTIONS WITH ACCURATE ANSWERS | GET IT
RIGHT |2026!
Save Add to calendar
Terms in this set (247)
Climacteric phase The period of endrocrinologic, somatic, and
transitory psychologic changes that occur around
the time of menopause.
Early menopause LMP before age 45
Late menopause LMP after age 54
Primary ovarian insufficiency Menopause that occurs before age 40
https://quizlet.com/1189112162/nams-menopause-certification-exam-comprehensive-questions-and-verified-answers-questions-with-accurate-answer… 1/35
,6/13/26, 8:23 AM NAMS Menopause Certification EXAM, comprehensive questions and verified answers || QUESTIONS WITH ACCURATE ANSWE…
Early menopause transition (stage -2) Persistent difference of 7 days or more in the
length of consecutive cycles.
Late menopause transition (stage -1) 60 or more consecutive days of amenorrhea
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.
Obese women and estradiol levels Obese women are more likely to have anovulatory
during menopause 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 These ethnic groups have lower estradiol levels
then white, black and hispanic women.
stage +2 late menopause stage: 5-8 years after FMP.
Somatic aging predominates. Increased
genitourinary symptoms.
Stages +1a, +1b, +1c early post menopause: 2 years after FMP. FSH rises,
estradiol decreases. VMS predominate.
Elevated FSH, LH Endocrine labs after menopause
https://quizlet.com/1189112162/nams-menopause-certification-exam-comprehensive-questions-and-verified-answers-questions-with-accurate-answer… 2/35
,6/13/26, 8:23 AM NAMS Menopause Certification EXAM, comprehensive questions and verified answers || QUESTIONS WITH ACCURATE ANSWE…
AMH, inhibin B These hormones work during reproductive years to
not deplete follicle pool too quickly.
Phases during menopause transition Menstrual cycle variable, persistent >7 day
and PMS symptoms difference between difference in length of
consecutive cycles.
How to respond if a patient requests many pitfalls, variable depending on the day of the
FSH lab? cycle you draw the lab, normal or low FSH is not
helpful.
The potentially superior marker of AMH
menopause, a lab.
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 estrogen receptors Vagina, vulva, urethra, trigone of the bladder
Effects of estrogen on tissue maintain blood flow, the collagen, and HA within
the epithelial surfaces. Supports microbiome which
supports acidity of vagina and protects tissue from
pathogens.
Vaginal changes with menopause Thinning, loss of elasticity, loss or absence or
rugae.
https://quizlet.com/1189112162/nams-menopause-certification-exam-comprehensive-questions-and-verified-answers-questions-with-accurate-answer… 3/35
, 6/13/26, 8:23 AM NAMS Menopause Certification EXAM, comprehensive questions and verified answers || QUESTIONS WITH ACCURATE ANSWE…
Vagina and urethra in menopause vagina narrows, urethra moves 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 -3b: menstrual cycles normal, FSH normal, AMH
-3a. What happens with menstrual low, AFC low, inhibin low.
cycles, FSH, AMH, AFC, inhibin?
-3a: subtle menstrual changes, variable FSH, AMH
low, AFC low, inhibin low.
When it is appropriate to check an Cycle day #3. Elevated estradiol can suppress FSH
FSH during the cycle if you check it? giving a falsely normal FSH level.
and why?
https://quizlet.com/1189112162/nams-menopause-certification-exam-comprehensive-questions-and-verified-answers-questions-with-accurate-answer… 4/35
