NAMS Menopause Certification
ACTUAL EXAM 2026/2027-With 100%
Correct And Verified Answers
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.
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.
Stress urinary incontinence - CORRECT ANSWERS-Vaginal estrogen and urinary
incontinence: what type does it help with?
Treatment for FPHL - CORRECT ANSWERS-Minoxidil, spironolactone, finasteride,
estrogen therapy
Late reporoductive years -3b and -3a. What happens with menstrual cycles, FSH, AMH,
AFC, inhibin? - CORRECT ANSWERS--3b: menstrual cycles normal, FSH normal, AMH
low, AFC low, inhibin low.
-3a: subtle menstrual changes, variable FSH, AMH low, AFC low, inhibin low.
When it is appropriate to check an FSH during the cycle if you check it? and why? -
CORRECT ANSWERS-Cycle day #3. Elevated estradiol can suppress FSH giving a
falsely normal FSH level.
AMH
produced by...
used to test...
Is it a screening tool for fertility?
When does it peak? - CORRECT ANSWERS-produced by granulosa cells
used to test damage to ovarian follicle reserve. If AMH is low, the woman has a low
ovarian reserve.
not recommended as a screening tool to predict fertility.
ACTUAL EXAM 2026/2027-With 100%
Correct And Verified Answers
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.
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.
Stress urinary incontinence - CORRECT ANSWERS-Vaginal estrogen and urinary
incontinence: what type does it help with?
Treatment for FPHL - CORRECT ANSWERS-Minoxidil, spironolactone, finasteride,
estrogen therapy
Late reporoductive years -3b and -3a. What happens with menstrual cycles, FSH, AMH,
AFC, inhibin? - CORRECT ANSWERS--3b: menstrual cycles normal, FSH normal, AMH
low, AFC low, inhibin low.
-3a: subtle menstrual changes, variable FSH, AMH low, AFC low, inhibin low.
When it is appropriate to check an FSH during the cycle if you check it? and why? -
CORRECT ANSWERS-Cycle day #3. Elevated estradiol can suppress FSH giving a
falsely normal FSH level.
AMH
produced by...
used to test...
Is it a screening tool for fertility?
When does it peak? - CORRECT ANSWERS-produced by granulosa cells
used to test damage to ovarian follicle reserve. If AMH is low, the woman has a low
ovarian reserve.
not recommended as a screening tool to predict fertility.
