1|Page
NAMS MENOPAUSE CERTIFICATION
EXAM WITH 2025 ACTUAL EXAM TIPS
The period of Climacteric phase
endrocrinologic,
somatic, and transitory
psychologic changes that
occur around the time of
menopause.
LMP before age 45 Early menopause
LMP after age 54 Late menopause
Menopause that occurs Primary ovarian insufficiency
before age 40
Persistent difference of 7 Early menopause transition (stage -2)
days or more in the length
of consecutive cycles.
60 or more consecutive Late menopause transition (stage -1)
days of amenorrhea
Explains why some Luteal out of phase event (LOOP)
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
,2|Page
in estradiol secretion
superimposed on the
mid-to- late luteal phase
of the ongoing ovulatory
cycle.
, 3|Page
Obese women are more Obese women and estradiol levels during menopause
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)
These ethnic groups have Chinese and Japanese women
lower estradiol levels then
white, black and hispanic
women.
late menopause stage: 5-8 stage +2
years after FMP. Somatic
aging predominates.
Increased genitourinary
symptoms.
early post menopause: 2 Stages +1a, +1b, +1c
years after FMP. FSH rises,
estradiol decreases. VMS
predominate.
Endocrine labs after Elevated FSH, LH
menopause
These hormones work AMH, inhibin B
during reproductive
years to not deplete
follicle pool too quickly.
Menstrual cycle Phases during menopause transition and PMS symptoms
variable, persistent >7
day difference between
NAMS MENOPAUSE CERTIFICATION
EXAM WITH 2025 ACTUAL EXAM TIPS
The period of Climacteric phase
endrocrinologic,
somatic, and transitory
psychologic changes that
occur around the time of
menopause.
LMP before age 45 Early menopause
LMP after age 54 Late menopause
Menopause that occurs Primary ovarian insufficiency
before age 40
Persistent difference of 7 Early menopause transition (stage -2)
days or more in the length
of consecutive cycles.
60 or more consecutive Late menopause transition (stage -1)
days of amenorrhea
Explains why some Luteal out of phase event (LOOP)
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
,2|Page
in estradiol secretion
superimposed on the
mid-to- late luteal phase
of the ongoing ovulatory
cycle.
, 3|Page
Obese women are more Obese women and estradiol levels during menopause
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)
These ethnic groups have Chinese and Japanese women
lower estradiol levels then
white, black and hispanic
women.
late menopause stage: 5-8 stage +2
years after FMP. Somatic
aging predominates.
Increased genitourinary
symptoms.
early post menopause: 2 Stages +1a, +1b, +1c
years after FMP. FSH rises,
estradiol decreases. VMS
predominate.
Endocrine labs after Elevated FSH, LH
menopause
These hormones work AMH, inhibin B
during reproductive
years to not deplete
follicle pool too quickly.
Menstrual cycle Phases during menopause transition and PMS symptoms
variable, persistent >7
day difference between
