NAMS Menopause Certification |
Questions and Answers | 2026 Update |
Exam Review Pack|| Graded A+
Climacteric phase -CORRECTANSWER The period of endrocrinologic, somatic, and
transitory psychologic changes that occur around the time of menopause.
Early menopause -CORRECTANSWER LMP before age 45
Late menopause -CORRECTANSWER LMP after age 54
Primary ovarian insufficiency -CORRECTANSWER Menopause that occurs before age
40
Early menopause transition (stage -2) -CORRECTANSWER Persistent difference of 7
days or more in the length of consecutive cycles.
Late menopause transition (stage -1) -CORRECTANSWER 60 or more consecutive
days of amenorrhea
Luteal out of phase event (LOOP) -CORRECTANSWER 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 -CORRECTANSWER 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 -CORRECTANSWER These ethnic groups have lower
estradiol levels then white, black and hispanic women.
stage +2 -CORRECTANSWER late menopause stage: 5-8 years after FMP. Somatic
aging predominates. Increased genitourinary symptoms.
Stages +1a, +1b, +1c -CORRECTANSWER early post menopause: 2 years after FMP.
FSH rises, estradiol decreases. VMS predominate.
Elevated FSH, LH -CORRECTANSWER Endocrine labs after menopause
AMH, inhibin B -CORRECTANSWER These hormones work during reproductive years
to not deplete follicle pool too quickly.
, Phases during menopause transition and PMS symptoms -CORRECTANSWER
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? -CORRECTANSWER 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. -CORRECTANSWER AMH
DHEA (dehydroepiandrosterone) -CORRECTANSWER 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 -CORRECTANSWER Vagina, vulva, urethra, trigone of
the bladder
Effects of estrogen on tissue -CORRECTANSWER maintain blood flow, the collagen,
and HA within the epithelial surfaces. Supports microbiome and protects tissue from
pathogens.
Questions and Answers | 2026 Update |
Exam Review Pack|| Graded A+
Climacteric phase -CORRECTANSWER The period of endrocrinologic, somatic, and
transitory psychologic changes that occur around the time of menopause.
Early menopause -CORRECTANSWER LMP before age 45
Late menopause -CORRECTANSWER LMP after age 54
Primary ovarian insufficiency -CORRECTANSWER Menopause that occurs before age
40
Early menopause transition (stage -2) -CORRECTANSWER Persistent difference of 7
days or more in the length of consecutive cycles.
Late menopause transition (stage -1) -CORRECTANSWER 60 or more consecutive
days of amenorrhea
Luteal out of phase event (LOOP) -CORRECTANSWER 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 -CORRECTANSWER 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 -CORRECTANSWER These ethnic groups have lower
estradiol levels then white, black and hispanic women.
stage +2 -CORRECTANSWER late menopause stage: 5-8 years after FMP. Somatic
aging predominates. Increased genitourinary symptoms.
Stages +1a, +1b, +1c -CORRECTANSWER early post menopause: 2 years after FMP.
FSH rises, estradiol decreases. VMS predominate.
Elevated FSH, LH -CORRECTANSWER Endocrine labs after menopause
AMH, inhibin B -CORRECTANSWER These hormones work during reproductive years
to not deplete follicle pool too quickly.
, Phases during menopause transition and PMS symptoms -CORRECTANSWER
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? -CORRECTANSWER 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. -CORRECTANSWER AMH
DHEA (dehydroepiandrosterone) -CORRECTANSWER 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 -CORRECTANSWER Vagina, vulva, urethra, trigone of
the bladder
Effects of estrogen on tissue -CORRECTANSWER maintain blood flow, the collagen,
and HA within the epithelial surfaces. Supports microbiome and protects tissue from
pathogens.
