NAMS MENOPAUSE CERTIFICATION Exam LATEST
2025 UPDATE WITH COMPLETE QUESTIONS AND
CORRECTLY WELL DEFINED ANSWERS
100%GUARANTEED PASS!!!
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) CORRECT ANSWER ✅ Obese
women and estradiol levels during menopause
These ethnic groups have lower estradiol levels then white, black and hispanic
women. CORRECT ANSWER ✅ Chinese and Japanese women
late menopause stage: 5-8 years after FMP. Somatic aging predominates. Increased
genitourinary symptoms. CORRECT ANSWER ✅ stage +2
early post menopause: 2 years after FMP. FSH rises, estradiol decreases. VMS
predominate. CORRECT ANSWER ✅ Stages +1a, +1b, +1c
pg. 1
,Endocrine labs after menopause CORRECT ANSWER ✅ Elevated FSH, LH
These hormones work during reproductive years to not deplete follicle pool too
quickly. CORRECT ANSWER ✅ AMH, inhibin B
Menstrual cycle variable, persistent >7 day difference between difference in length
of consecutive cycles. CORRECT ANSWER ✅ Phases during menopause
transition and PMS symptoms
many pitfalls, variable depending on the day of the cycle you draw the lab, normal
or low FSH is not helpful. CORRECT ANSWER ✅ How to respond if a
patient requests FSH lab?
AMH CORRECT ANSWER ✅ The potentially superior marker of
menopause, a lab.
Adrenal androgens: precursor hromones produced by the adrenal gland that are
enzymatically converted to active androgens or estrogens in peripheral tissues.
CORRECT ANSWER ✅ DHEA (dehydroepiandrosterone)
pg. 2
,Vagina, vulva, urethra, trigone of the bladder CORRECT ANSWER ✅
Location of estrogen receptors
maintain blood flow, the collagen, and HA within the epithelial surfaces. Supports
microbiome which supports acidity of vagina and protects tissue from pathogens.
CORRECT ANSWER ✅ Effects of estrogen on tissue
Thinning, loss of elasticity, loss or absence or rugae. CORRECT ANSWER ✅
Vaginal changes with menopause
The period of endrocrinologic, somatic, and transitory psychologic changes that
occur around the time of menopause. CORRECT ANSWER ✅ Climacteric
phase
LMP before age 45 CORRECT ANSWER ✅ Early menopause
LMP after age 54 CORRECT ANSWER ✅ Late menopause
pg. 3
, Menopause that occurs before age 40 CORRECT ANSWER ✅ Primary
ovarian insufficiency
Persistent difference of 7 days or more in the length of consecutive cycles.
CORRECT ANSWER ✅ Early menopause transition (stage -2)
60 or more consecutive days of amenorrhea CORRECT ANSWER ✅ Late
menopause transition (stage -1)
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. CORRECT ANSWER ✅ Luteal out of phase event (LOOP)
vagina narrows, urethra moves closer to the introitus. CORRECT ANSWER ✅
Vagina and urethra in menopause
pg. 4
2025 UPDATE WITH COMPLETE QUESTIONS AND
CORRECTLY WELL DEFINED ANSWERS
100%GUARANTEED PASS!!!
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) CORRECT ANSWER ✅ Obese
women and estradiol levels during menopause
These ethnic groups have lower estradiol levels then white, black and hispanic
women. CORRECT ANSWER ✅ Chinese and Japanese women
late menopause stage: 5-8 years after FMP. Somatic aging predominates. Increased
genitourinary symptoms. CORRECT ANSWER ✅ stage +2
early post menopause: 2 years after FMP. FSH rises, estradiol decreases. VMS
predominate. CORRECT ANSWER ✅ Stages +1a, +1b, +1c
pg. 1
,Endocrine labs after menopause CORRECT ANSWER ✅ Elevated FSH, LH
These hormones work during reproductive years to not deplete follicle pool too
quickly. CORRECT ANSWER ✅ AMH, inhibin B
Menstrual cycle variable, persistent >7 day difference between difference in length
of consecutive cycles. CORRECT ANSWER ✅ Phases during menopause
transition and PMS symptoms
many pitfalls, variable depending on the day of the cycle you draw the lab, normal
or low FSH is not helpful. CORRECT ANSWER ✅ How to respond if a
patient requests FSH lab?
AMH CORRECT ANSWER ✅ The potentially superior marker of
menopause, a lab.
Adrenal androgens: precursor hromones produced by the adrenal gland that are
enzymatically converted to active androgens or estrogens in peripheral tissues.
CORRECT ANSWER ✅ DHEA (dehydroepiandrosterone)
pg. 2
,Vagina, vulva, urethra, trigone of the bladder CORRECT ANSWER ✅
Location of estrogen receptors
maintain blood flow, the collagen, and HA within the epithelial surfaces. Supports
microbiome which supports acidity of vagina and protects tissue from pathogens.
CORRECT ANSWER ✅ Effects of estrogen on tissue
Thinning, loss of elasticity, loss or absence or rugae. CORRECT ANSWER ✅
Vaginal changes with menopause
The period of endrocrinologic, somatic, and transitory psychologic changes that
occur around the time of menopause. CORRECT ANSWER ✅ Climacteric
phase
LMP before age 45 CORRECT ANSWER ✅ Early menopause
LMP after age 54 CORRECT ANSWER ✅ Late menopause
pg. 3
, Menopause that occurs before age 40 CORRECT ANSWER ✅ Primary
ovarian insufficiency
Persistent difference of 7 days or more in the length of consecutive cycles.
CORRECT ANSWER ✅ Early menopause transition (stage -2)
60 or more consecutive days of amenorrhea CORRECT ANSWER ✅ Late
menopause transition (stage -1)
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. CORRECT ANSWER ✅ Luteal out of phase event (LOOP)
vagina narrows, urethra moves closer to the introitus. CORRECT ANSWER ✅
Vagina and urethra in menopause
pg. 4
