NAMS MENOPAUSE CERTIFICATION EXAM
QUESTIONS AND ANSWERS | MENOPAUSE
HEALTHCARE STUDY GUIDE
| GRADED A+ | GUARANTEED SUCCESS
Updated 2026 Questions and Answers
100% Verified Exam Prep
, 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 during menopause 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 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
AMH, inhibin B These hormones work during reproductive years to not deplete follicle pool too quickly.
Phases during menopause transition and PMS symptoms 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? 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. AMH
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
QUESTIONS AND ANSWERS | MENOPAUSE
HEALTHCARE STUDY GUIDE
| GRADED A+ | GUARANTEED SUCCESS
Updated 2026 Questions and Answers
100% Verified Exam Prep
, 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 during menopause 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 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
AMH, inhibin B These hormones work during reproductive years to not deplete follicle pool too quickly.
Phases during menopause transition and PMS symptoms 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? 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. AMH
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
