NAMs Menopause Certification Exam
2024/2025 Exam Questions Marking
Scheme New Update | A+ Rated
Climacteric phase - 🧠ANSWER ✔✔The period of endrocrinologic, somatic,
and transitory psychologic changes that occur around the time of
menopause.
Early menopause - 🧠ANSWER ✔✔LMP before age 45
Late menopause - 🧠ANSWER ✔✔LMP after age 54
Primary ovarian insufficiency - 🧠ANSWER ✔✔Menopause that occurs
before age 40
Early menopause transition (stage -2) - 🧠ANSWER ✔✔Persistent
difference of 7 days or more in the length of consecutive cycles.
Late menopause transition (stage -1) - 🧠ANSWER ✔✔60 or more
consecutive days of amenorrhea
COPYRIGHT©PROFFKERRYMARTIN 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. 1
PRIVACY STATEMENT. ALL RIGHTS RESERVED
,Luteal out of phase event (LOOP) - 🧠ANSWER ✔✔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 - 🧠ANSWER
✔✔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 - 🧠ANSWER ✔✔These ethnic groups have
lower estradiol levels then white, black and hispanic women.
stage +2 - 🧠ANSWER ✔✔late menopause stage: 5-8 years after FMP.
Somatic aging predominates. Increased genitourinary symptoms.
Stages +1a, +1b, +1c - 🧠ANSWER ✔✔early post menopause: 2 years after
FMP. FSH rises, estradiol decreases. VMS predominate.
Elevated FSH, LH - 🧠ANSWER ✔✔Endocrine labs after menopause
COPYRIGHT©PROFFKERRYMARTIN 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. 2
PRIVACY STATEMENT. ALL RIGHTS RESERVED
, AMH, inhibin B - 🧠ANSWER ✔✔These hormones work during reproductive
years to not deplete follicle pool too quickly.
Phases during menopause transition and PMS symptoms - 🧠ANSWER
✔✔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? - 🧠ANSWER ✔✔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. - 🧠ANSWER
✔✔AMH
DHEA (dehydroepiandrosterone) - 🧠ANSWER ✔✔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 - 🧠ANSWER ✔✔Vagina, vulva, urethra,
trigone of the bladder
COPYRIGHT©PROFFKERRYMARTIN 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. 3
PRIVACY STATEMENT. ALL RIGHTS RESERVED
2024/2025 Exam Questions Marking
Scheme New Update | A+ Rated
Climacteric phase - 🧠ANSWER ✔✔The period of endrocrinologic, somatic,
and transitory psychologic changes that occur around the time of
menopause.
Early menopause - 🧠ANSWER ✔✔LMP before age 45
Late menopause - 🧠ANSWER ✔✔LMP after age 54
Primary ovarian insufficiency - 🧠ANSWER ✔✔Menopause that occurs
before age 40
Early menopause transition (stage -2) - 🧠ANSWER ✔✔Persistent
difference of 7 days or more in the length of consecutive cycles.
Late menopause transition (stage -1) - 🧠ANSWER ✔✔60 or more
consecutive days of amenorrhea
COPYRIGHT©PROFFKERRYMARTIN 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. 1
PRIVACY STATEMENT. ALL RIGHTS RESERVED
,Luteal out of phase event (LOOP) - 🧠ANSWER ✔✔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 - 🧠ANSWER
✔✔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 - 🧠ANSWER ✔✔These ethnic groups have
lower estradiol levels then white, black and hispanic women.
stage +2 - 🧠ANSWER ✔✔late menopause stage: 5-8 years after FMP.
Somatic aging predominates. Increased genitourinary symptoms.
Stages +1a, +1b, +1c - 🧠ANSWER ✔✔early post menopause: 2 years after
FMP. FSH rises, estradiol decreases. VMS predominate.
Elevated FSH, LH - 🧠ANSWER ✔✔Endocrine labs after menopause
COPYRIGHT©PROFFKERRYMARTIN 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. 2
PRIVACY STATEMENT. ALL RIGHTS RESERVED
, AMH, inhibin B - 🧠ANSWER ✔✔These hormones work during reproductive
years to not deplete follicle pool too quickly.
Phases during menopause transition and PMS symptoms - 🧠ANSWER
✔✔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? - 🧠ANSWER ✔✔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. - 🧠ANSWER
✔✔AMH
DHEA (dehydroepiandrosterone) - 🧠ANSWER ✔✔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 - 🧠ANSWER ✔✔Vagina, vulva, urethra,
trigone of the bladder
COPYRIGHT©PROFFKERRYMARTIN 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. 3
PRIVACY STATEMENT. ALL RIGHTS RESERVED
