Menopause Practitioner Certification (NAMS) Study Guide
, Menopause Practitioner Certification (NAMS) Study Guide
1. Climacteric phase The period of endrocrinologic, somatic, and transitory psychologic changes that
occur around the time of menopause.
2. Early menopause LMP before age 45
3. Late menopause LMP after age 54
4. Primary ovarian Menopause that occurs before age 40
insufficiency
5. Early menopause Persistent ditterence of 7 days or more in the length of consecutive cycles.
transition (stage
-2)
6. Late menopause 60 or more consecutive days of amenorrhea
transition (stage
-1)
7. Luteal out of Explains why some perimenopausal women have elevated estrogen level some-
phase event times...In the early menopause transition, elevated FSH levels are adequate to
(LOOP) 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.
8. Obese women Obese women are more likely to have anovulatory cycles with high estradiol
and estradiol levels. They are also more likely to have lower premenopause yet higher post-
levels during menopause estradiol levels compared with women of normal weight. (why they
menopause are at higher risk of endometrial cancer)
9. Chinese and These ethnic groups have lower estradiol levels then white, black and hispanic
Japanese women women.
10. stage +2 late menopause stage: 5-8 years after FMP. Somatic aging predominates. In-
creased genitourinary symptoms.
, Menopause Practitioner Certification (NAMS) Study Guide
11. Stages +1a, +1b, early post menopause: 2 years after FMP. FSH rises, estradiol decreases. VMS
+1c predominate.
12. Elevated FSH, LH Endocrine labs after menopause
13. AMH, inhibin B These hormones work during reproductive years to not deplete follicle pool too
quickly.
14. Phases during Menstrual cycle shortenes, follicular phase compresses, women spend more
menopause tran- time in luteal phase.. meaning more premenstrual symptoms and more frequent
sition and PMS menstrual periods.
symptoms
15. How to respond if many pitfalls, variable depending on the day of the cycle you draw the lab, normal
a patient requests or low FSH is not helpful.
FSH lab?
16. The potentially AMH
superior marker
of menopause, a
lab.
17. DHEA Adrenal androgens: precursor hromones produced by the adrenal gland that are
(dehy- enzymatically converted to active androgens or estrogens in peripheral tissues.
droepiandros-
terone)
18. Location of estro- Vagina, vulva, urethra, trigone of the bladder
gen receptors
19. Effects of estro- maintain blood flow, the collagen, and HA within the epithelial surfaces. Supports
gen on tissue microbiome and protects tissue from pathogens.
, Menopause Practitioner Certification (NAMS) Study Guide
1. Climacteric phase The period of endrocrinologic, somatic, and transitory psychologic changes that
occur around the time of menopause.
2. Early menopause LMP before age 45
3. Late menopause LMP after age 54
4. Primary ovarian Menopause that occurs before age 40
insufficiency
5. Early menopause Persistent ditterence of 7 days or more in the length of consecutive cycles.
transition (stage
-2)
6. Late menopause 60 or more consecutive days of amenorrhea
transition (stage
-1)
7. Luteal out of Explains why some perimenopausal women have elevated estrogen level some-
phase event times...In the early menopause transition, elevated FSH levels are adequate to
(LOOP) 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.
8. Obese women Obese women are more likely to have anovulatory cycles with high estradiol
and estradiol levels. They are also more likely to have lower premenopause yet higher post-
levels during menopause estradiol levels compared with women of normal weight. (why they
menopause are at higher risk of endometrial cancer)
9. Chinese and These ethnic groups have lower estradiol levels then white, black and hispanic
Japanese women women.
10. stage +2 late menopause stage: 5-8 years after FMP. Somatic aging predominates. In-
creased genitourinary symptoms.
, Menopause Practitioner Certification (NAMS) Study Guide
11. Stages +1a, +1b, early post menopause: 2 years after FMP. FSH rises, estradiol decreases. VMS
+1c predominate.
12. Elevated FSH, LH Endocrine labs after menopause
13. AMH, inhibin B These hormones work during reproductive years to not deplete follicle pool too
quickly.
14. Phases during Menstrual cycle shortenes, follicular phase compresses, women spend more
menopause tran- time in luteal phase.. meaning more premenstrual symptoms and more frequent
sition and PMS menstrual periods.
symptoms
15. How to respond if many pitfalls, variable depending on the day of the cycle you draw the lab, normal
a patient requests or low FSH is not helpful.
FSH lab?
16. The potentially AMH
superior marker
of menopause, a
lab.
17. DHEA Adrenal androgens: precursor hromones produced by the adrenal gland that are
(dehy- enzymatically converted to active androgens or estrogens in peripheral tissues.
droepiandros-
terone)
18. Location of estro- Vagina, vulva, urethra, trigone of the bladder
gen receptors
19. Effects of estro- maintain blood flow, the collagen, and HA within the epithelial surfaces. Supports
gen on tissue microbiome and protects tissue from pathogens.
