NAMs Menopause Certification (2026) EXAM QUESTIONS AND ALL CORREC
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1. The period of endrocrinologic, somatic, and transitory Climacteric phase
psychologic changes that occur around the time of
menopause.
2. LMP before age 45 Early menopause
3. LMP after age 54 Late menopause
4. Menopause that occurs before age 40 Primary ovarian insuffi-
ciency
5. Persistent difference of 7 days or more in the length Early menopause transi-
of consecutive cycles. tion (stage -2)
6. 60 or more consecutive days of amenorrhea Late menopause transi-
tion (stage -1)
7. Explains why some perimenopausal women have Luteal out of phase event
elevated estrogen level sometimes...In the early (LOOP)
menopause transition, elevated FSH levels are ade-
quate to recruit a second follicle which results in a fol-
licular phase-like rise in estradiol secretion superim-
posed on the mid-to-late luteal phase of the ongoing
ovulatory cycle.
8. Obese women are more likely to have anovulatory Obese women and
cycles with high estradiol levels. They are also more estradiol levels during
likely to have lower premenopause yet higher post- menopause
menopause estradiol levels compared with women of
normal weight. (why they are at higher risk of en-
dometrial cancer)
9.
, NAMs Menopause Certification (2026) EXAM QUESTIONS AND ALL CORREC
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These ethnic groups have lower estradiol levels then Chinese and Japanese
white, black and hispanic women. women
10. late menopause stage: 5-8 years after FMP. Somatic stage +2
aging predominates. Increased genitourinary symp-
toms.
11. early post menopause: 2 years after FMP. FSH rises, Stages +1a, +1b, +1c
estradiol decreases. VMS predominate.
12. Endocrine labs after menopause Elevated FSH, LH
13. These hormones work during reproductive years to AMH, inhibin B
not deplete follicle pool too quickly.
14. Menstrual cycle variable, persistent >7 day difference Phases during
between difference in length of consecutive cycles. menopause transition and
PMS symptoms
15. many pitfalls, variable depending on the day of the cy- How to respond if a pa-
cle you draw the lab, normal or low FSH is not helpful. tient requests FSH lab?
16. AMH The potentially superior
marker of menopause, a
lab.
17. Adrenal androgens: precursor hromones produced by DHEA (dehy-
the adrenal gland that are enzymatically converted to droepiandrosterone)
active androgens or estrogens in peripheral tissues.
18. Vagina, vulva, urethra, trigone of the bladder Location of estrogen re-
ceptors
, NAMs Menopause Certification (2026) EXAM QUESTIONS AND ALL CORREC
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19. maintain blood flow, the collagen, and HA within Effects of estrogen on tis-
the epithelial surfaces. Supports microbiome which sue
supports acidity of vagina and protects tissue from
pathogens.
20. Thinning, loss of elasticity, loss or absence or rugae. Vaginal changes with
menopause
21. vagina narrows, urethra moves closer to the introitus. Vagina and urethra in
menopause
22. Vaginal estrogen and urinary incontinence: what type Stress urinary inconti-
does it help with? nence
23. Minoxidil, spironolactone, finasteride, estrogen thera- Treatment for FPHL
py
24. -3b: menstrual cycles normal, FSH normal, AMH low, Late reporoductive years
AFC low, inhibin low. -3b and -3a. What hap-
pens with menstrual cy-
-3a: subtle menstrual changes, variable FSH, AMH low, cles, FSH, AMH, AFC, in-
AFC low, inhibin low. hibin?
25. Cycle day #3. Elevated estradiol can suppress FSH giv- When it is appropriate to
ing a falsely normal FSH level. check an FSH during the
cycle if you check it? and
why?
26. produced by granulosa cells AMH
produced by...
used to test damage to ovarian follicle reserve. If AMH used to test...
is low, the woman has a low ovarian reserve. Is it a screening tool for
, NAMs Menopause Certification (2026) EXAM QUESTIONS AND ALL CORREC
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not recommended as a screening tool to predict fer- fertility?
tility. When does it peak?
Peaks at around 25 years old. So before age 25, this
test is not helpful.
It is influenced by exogenous hormones. Lower in hor-
monal contraception users, but increases after d/cing.
27. Antral follicle count AFC
Number of follicles that are detectable with ultra-
sound.
They are sensitive to FSH and considered to represent
the availability pool of follicles.
28. 25 or higher Late menopause transi-
tion (-1) FSH level on ran-
dom draw
29. Higher Black women have higher
or lower FSH levels?
30. lower Chinese and Japanese
women have higher or
lower estradiol levels com-
pared to white, black and
hispanic women?
31. SHBG decreases Menopause transi-
Testosterone/SHBG ratio increases by 80%. tion-changes in SHBG and
testosterone? ratio?
32. The free androgen index
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1. The period of endrocrinologic, somatic, and transitory Climacteric phase
psychologic changes that occur around the time of
menopause.
2. LMP before age 45 Early menopause
3. LMP after age 54 Late menopause
4. Menopause that occurs before age 40 Primary ovarian insuffi-
ciency
5. Persistent difference of 7 days or more in the length Early menopause transi-
of consecutive cycles. tion (stage -2)
6. 60 or more consecutive days of amenorrhea Late menopause transi-
tion (stage -1)
7. Explains why some perimenopausal women have Luteal out of phase event
elevated estrogen level sometimes...In the early (LOOP)
menopause transition, elevated FSH levels are ade-
quate to recruit a second follicle which results in a fol-
licular phase-like rise in estradiol secretion superim-
posed on the mid-to-late luteal phase of the ongoing
ovulatory cycle.
8. Obese women are more likely to have anovulatory Obese women and
cycles with high estradiol levels. They are also more estradiol levels during
likely to have lower premenopause yet higher post- menopause
menopause estradiol levels compared with women of
normal weight. (why they are at higher risk of en-
dometrial cancer)
9.
, NAMs Menopause Certification (2026) EXAM QUESTIONS AND ALL CORREC
ANSWERS 100% SOLVED AND GUARANTEED SUCCESS!!
Study online at https://quizlet.com/_js0h1y
These ethnic groups have lower estradiol levels then Chinese and Japanese
white, black and hispanic women. women
10. late menopause stage: 5-8 years after FMP. Somatic stage +2
aging predominates. Increased genitourinary symp-
toms.
11. early post menopause: 2 years after FMP. FSH rises, Stages +1a, +1b, +1c
estradiol decreases. VMS predominate.
12. Endocrine labs after menopause Elevated FSH, LH
13. These hormones work during reproductive years to AMH, inhibin B
not deplete follicle pool too quickly.
14. Menstrual cycle variable, persistent >7 day difference Phases during
between difference in length of consecutive cycles. menopause transition and
PMS symptoms
15. many pitfalls, variable depending on the day of the cy- How to respond if a pa-
cle you draw the lab, normal or low FSH is not helpful. tient requests FSH lab?
16. AMH The potentially superior
marker of menopause, a
lab.
17. Adrenal androgens: precursor hromones produced by DHEA (dehy-
the adrenal gland that are enzymatically converted to droepiandrosterone)
active androgens or estrogens in peripheral tissues.
18. Vagina, vulva, urethra, trigone of the bladder Location of estrogen re-
ceptors
, NAMs Menopause Certification (2026) EXAM QUESTIONS AND ALL CORREC
ANSWERS 100% SOLVED AND GUARANTEED SUCCESS!!
Study online at https://quizlet.com/_js0h1y
19. maintain blood flow, the collagen, and HA within Effects of estrogen on tis-
the epithelial surfaces. Supports microbiome which sue
supports acidity of vagina and protects tissue from
pathogens.
20. Thinning, loss of elasticity, loss or absence or rugae. Vaginal changes with
menopause
21. vagina narrows, urethra moves closer to the introitus. Vagina and urethra in
menopause
22. Vaginal estrogen and urinary incontinence: what type Stress urinary inconti-
does it help with? nence
23. Minoxidil, spironolactone, finasteride, estrogen thera- Treatment for FPHL
py
24. -3b: menstrual cycles normal, FSH normal, AMH low, Late reporoductive years
AFC low, inhibin low. -3b and -3a. What hap-
pens with menstrual cy-
-3a: subtle menstrual changes, variable FSH, AMH low, cles, FSH, AMH, AFC, in-
AFC low, inhibin low. hibin?
25. Cycle day #3. Elevated estradiol can suppress FSH giv- When it is appropriate to
ing a falsely normal FSH level. check an FSH during the
cycle if you check it? and
why?
26. produced by granulosa cells AMH
produced by...
used to test damage to ovarian follicle reserve. If AMH used to test...
is low, the woman has a low ovarian reserve. Is it a screening tool for
, NAMs Menopause Certification (2026) EXAM QUESTIONS AND ALL CORREC
ANSWERS 100% SOLVED AND GUARANTEED SUCCESS!!
Study online at https://quizlet.com/_js0h1y
not recommended as a screening tool to predict fer- fertility?
tility. When does it peak?
Peaks at around 25 years old. So before age 25, this
test is not helpful.
It is influenced by exogenous hormones. Lower in hor-
monal contraception users, but increases after d/cing.
27. Antral follicle count AFC
Number of follicles that are detectable with ultra-
sound.
They are sensitive to FSH and considered to represent
the availability pool of follicles.
28. 25 or higher Late menopause transi-
tion (-1) FSH level on ran-
dom draw
29. Higher Black women have higher
or lower FSH levels?
30. lower Chinese and Japanese
women have higher or
lower estradiol levels com-
pared to white, black and
hispanic women?
31. SHBG decreases Menopause transi-
Testosterone/SHBG ratio increases by 80%. tion-changes in SHBG and
testosterone? ratio?
32. The free androgen index
