1|Page
NAMS CERTIFICATION EXAM 2025 ACTUAL
EXAM QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) ALL
ANSWERED {110 Q & A} ALREADY GRADED A+ |
GUARANTEED PASS
Early Menopause
FMP before age 45
Late Menopause
FMP after age 54
Bilateral oophorectomy prior to age 45 increases risks for:
- All cause mortality
- Coronary heart disease
- CVD
- Menopause symptoms
- Worsening mood symptoms
- Higher incidence of Parkinson Disease
,2|Page
- Associated with cognitive impairment
Early Menopause Transition (-2)
7 or more days persistent difference in cycle length from
previous normal cycle
- Results of increased follicular aging and depletion
- Inhibin B decreases
- FSH increases (Variable)
LOOP Cycles
Explains elevation of Estradiol in perimenopause
- Rising FSH levels recruit 2nd follicle during luteal phase which
leads to overproduction of Estradiol
- This causes menstrual changes in future cycles
Decreased AMH in Early Menopause Transition
More frequent anovulatory cycles
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Decreased Inhibin B in Early Menopause Transition
- Skipped menstrual cycles
- Mastalgia
- Migraine
- Menorrhagia (with LOOP cycles)
- Endometrial Hyperplasia
Late Menopause Transition (-1)
60 or more days of amenorrhea for women aged 45 years or
older
- Women 40-44 years with recurrent episodes of amenorrhea of
60 day for longer within a year improves prediction of entry into
late menopause transition
Late Menopause Transition (-1) Duration
1-3 years
Late Menopause Transition (-1) Symptoms
VMS likely
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STRAW Stage where FSH > 25
Late Menopause Transition (-1)
Elevated FSH symptoms in Late Menopause Transition
- VMS
- Sleep disturbance
- Changes in weight distribution
- Increased variability in cycle length
Decreased Inhibin B in Late Menopause Transition
- Mood changes
- Cognitive complaints
- Changes in sexual functioning
- Increased prevalence of anovulation
Decreased AMH in Late Menopause Transition
NAMS CERTIFICATION EXAM 2025 ACTUAL
EXAM QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) ALL
ANSWERED {110 Q & A} ALREADY GRADED A+ |
GUARANTEED PASS
Early Menopause
FMP before age 45
Late Menopause
FMP after age 54
Bilateral oophorectomy prior to age 45 increases risks for:
- All cause mortality
- Coronary heart disease
- CVD
- Menopause symptoms
- Worsening mood symptoms
- Higher incidence of Parkinson Disease
,2|Page
- Associated with cognitive impairment
Early Menopause Transition (-2)
7 or more days persistent difference in cycle length from
previous normal cycle
- Results of increased follicular aging and depletion
- Inhibin B decreases
- FSH increases (Variable)
LOOP Cycles
Explains elevation of Estradiol in perimenopause
- Rising FSH levels recruit 2nd follicle during luteal phase which
leads to overproduction of Estradiol
- This causes menstrual changes in future cycles
Decreased AMH in Early Menopause Transition
More frequent anovulatory cycles
,3|Page
Decreased Inhibin B in Early Menopause Transition
- Skipped menstrual cycles
- Mastalgia
- Migraine
- Menorrhagia (with LOOP cycles)
- Endometrial Hyperplasia
Late Menopause Transition (-1)
60 or more days of amenorrhea for women aged 45 years or
older
- Women 40-44 years with recurrent episodes of amenorrhea of
60 day for longer within a year improves prediction of entry into
late menopause transition
Late Menopause Transition (-1) Duration
1-3 years
Late Menopause Transition (-1) Symptoms
VMS likely
, 4|Page
STRAW Stage where FSH > 25
Late Menopause Transition (-1)
Elevated FSH symptoms in Late Menopause Transition
- VMS
- Sleep disturbance
- Changes in weight distribution
- Increased variability in cycle length
Decreased Inhibin B in Late Menopause Transition
- Mood changes
- Cognitive complaints
- Changes in sexual functioning
- Increased prevalence of anovulation
Decreased AMH in Late Menopause Transition
