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NAMs Menopause Certification Exam QUESTIONS WITH CORRECT ANSWERS

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Exam (elaborations)

NAMs Menopause Certification Exam QUESTIONS WITH CORRECT ANSWERS

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37 pages

2025/2026

Institution NAMS Menopause Certification .

Course NAMS Menopause Certification .

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NAMs Menopause Certification Exam QUESTIONS WITH CORRECT ANSWERS

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NAMs Menopause Certification Exam
QUESTIONS WITH CORRECT
ANSWERS (2025/2026)
ClimactericHphaseH-HCORRECTHANSWERSH-
TheHperiodHofHendrocrinologic,Hsomatic,HandHtransitoryHpsychologicHchangesHthatHoccurHaroundHt
heHtimeHofHmenopause.

EarlyHmenopauseH-HCORRECTHANSWERSH-LMPHbeforeHageH45

LateHmenopauseH-HCORRECTHANSWERSH-LMPHafterHageH54

PrimaryHovarianHinsufficiencyH-HCORRECTHANSWERSH-MenopauseHthatHoccursHbeforeHageH40

EarlyHmenopauseHtransitionH(stageH-2)H-HCORRECTHANSWERSH-
PersistentHdifferenceHofH7HdaysHorHmoreHinHtheHlengthHofHconsecutiveHcycles.

LateHmenopauseHtransitionH(stageH-1)H-HCORRECTHANSWERSH-
60HorHmoreHconsecutiveHdaysHofHamenorrhea

LutealHoutHofHphaseHeventH(LOOP)H-HCORRECTHANSWERSH-
ExplainsHwhyHsomeHperimenopausalHwomenHhaveHelevatedHestrogenHlevelHsometimes...InHtheHea
rlyHmenopauseHtransition,HelevatedHFSHHlevelsHareHadequateHtoHrecruitHaHsecondHfollicleHwhichHre
sultsHinHaHfollicularHphase-likeHriseHinHestradiolHsecretionHsuperimposedHonHtheHmid-to-
lateHlutealHphaseHofHtheHongoingHovulatoryHcycle.

ObeseHwomenHandHestradiolHlevelsHduringHmenopauseH-HCORRECTHANSWERSH-
ObeseHwomenHareHmoreHlikelyHtoHhaveHanovulatoryHcyclesHwithHhighHestradiolHlevels.HTheyHareHal

,soHmoreHlikelyHtoHhaveHlowerHpremenopauseHyetHhigherHpostmenopauseHestradiolHlevelsHcompar
edHwithHwomenHofHnormalHweight.H(whyHtheyHareHatHhigherHriskHofHendometrialHcancer)

ChineseHandHJapaneseHwomenH-HCORRECTHANSWERSH-
TheseHethnicHgroupsHhaveHlowerHestradiolHlevelsHthenHwhite,HblackHandHhispanicHwomen.

stageH+2H-HCORRECTHANSWERSH-lateHmenopauseHstage:H5-
8HyearsHafterHFMP.HSomaticHagingHpredominates.HIncreasedHgenitourinaryHsymptoms.

StagesH+1a,H+1b,H+1cH-HCORRECTHANSWERSH-
earlyHpostHmenopause:H2HyearsHafterHFMP.HFSHHrises,HestradiolHdecreases.HVMSHpredominate.

ElevatedHFSH,HLHH-HCORRECTHANSWERSH-EndocrineHlabsHafterHmenopause

AMH,HinhibinHBH-HCORRECTHANSWERSH-
TheseHhormonesHworkHduringHreproductiveHyearsHtoHnotHdepleteHfollicleHpoolHtooHquickly.

PhasesHduringHmenopauseHtransitionHandHPMSHsymptomsH-HCORRECTHANSWERSH-
MenstrualHcycleHvariable,HpersistentH>7HdayHdifferenceHbetweenHdifferenceHinHlengthHofHconsecut
iveHcycles.

HowHtoHrespondHifHaHpatientHrequestsHFSHHlab?H-HCORRECTHANSWERSH-
manyHpitfalls,HvariableHdependingHonHtheHdayHofHtheHcycleHyouHdrawHtheHlab,HnormalHorHlowHFSHHi
sHnotHhelpful.

TheHpotentiallyHsuperiorHmarkerHofHmenopause,HaHlab.H-HCORRECTHANSWERSH-AMH

,DHEAH(dehydroepiandrosterone)H-HCORRECTHANSWERSH-
AdrenalHandrogens:HprecursorHhromonesHproducedHbyHtheHadrenalHglandHthatHareHenzymaticallyH
convertedHtoHactiveHandrogensHorHestrogensHinHperipheralHtissues.

LocationHofHestrogenHreceptorsH-HCORRECTHANSWERSH-
Vagina,Hvulva,Hurethra,HtrigoneHofHtheHbladder

EffectsHofHestrogenHonHtissueH-HCORRECTHANSWERSH-
maintainHbloodHflow,HtheHcollagen,HandHHAHwithinHtheHepithelialHsurfaces.HSupportsHmicrobiomeH
whichHsupportsHacidityHofHvaginaHandHprotectsHtissueHfromHpathogens.

VaginalHchangesHwithHmenopauseH-HCORRECTHANSWERSH-
Thinning,HlossHofHelasticity,HlossHorHabsenceHorHrugae.

VaginaHandHurethraHinHmenopauseH-HCORRECTHANSWERSH-
vaginaHnarrows,HurethraHmovesHcloserHtoHtheHintroitus.

StressHurinaryHincontinenceH-HCORRECTHANSWERSH-
VaginalHestrogenHandHurinaryHincontinence:HwhatHtypeHdoesHitHhelpHwith?

TreatmentHforHFPHLH-HCORRECTHANSWERSH-
Minoxidil,Hspironolactone,Hfinasteride,HestrogenHtherapy

LateHreporoductiveHyearsH-3bHandH-
3a.HWhatHhappensHwithHmenstrualHcycles,HFSH,HAMH,HAFC,Hinhibin?H-HCORRECTHANSWERSH--
3b:HmenstrualHcyclesHnormal,HFSHHnormal,HAMHHlow,HAFCHlow,HinhibinHlow.H

-3a:HsubtleHmenstrualHchanges,HvariableHFSH,HAMHHlow,HAFCHlow,HinhibinHlow.

, WhenHitHisHappropriateHtoHcheckHanHFSHHduringHtheHcycleHifHyouHcheckHit?HandHwhy?H-
HCORRECTHANSWERSH-

CycleHdayH#3.HElevatedHestradiolHcanHsuppressHFSHHgivingHaHfalselyHnormalHFSHHlevel.

AMH

producedHby...

usedHtoHtest...

IsHitHaHscreeningHtoolHforHfertility?

WhenHdoesHitHpeak?H-HCORRECTHANSWERSH-producedHbyHgranulosaHcells

usedHtoHtestHdamageHtoHovarianHfollicleHreserve.HIfHAMHHisHlow,HtheHwomanHhasHaHlowHovarianHres
erve.H

notHrecommendedHasHaHscreeningHtoolHtoHpredictHfertility.H

PeaksHatHaroundH25HyearsHold.HSoHbeforeHageH25,HthisHtestHisHnotHhelpful.H

ItHisHinfluencedHbyHexogenousHhormones.HLowerHinHhormonalHcontraceptionHusers,HbutHincreasesH
afterHd/cing.

AFCH-HCORRECTHANSWERSH-AntralHfollicleHcount

NumberHofHfolliclesHthatHareHdetectableHwithHultrasound.H

TheyHareHsensitiveHtoHFSHHandHconsideredHtoHrepresentHtheHavailabilityHpoolHofHfollicles.

LateHmenopauseHtransitionH(-1)HFSHHlevelHonHrandomHdrawH-HCORRECTHANSWERSH-25HorHhigher

BlackHwomenHhaveHhigherHorHlowerHFSHHlevels?H-HCORRECTHANSWERSH-Higher

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Uploaded on: October 27, 2025
Number of pages: 37
Written in: 2025/2026
Type: Exam (elaborations)
Contains: Questions & answers

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