1|Page
NAMS MENOPAUSE CERTIFICATION ACTUAL
EXAM NEWEST 2025 COMPLETE 200
QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) |ALREADY GRADED A+
Climacteric phase - .....ANSWER ...✔✔ The period of
endocrinologic, 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.
,2|Page
Late menopause transition (stage -1) - .....ANSWER
...✔✔ 60 or more consecutive days of amenorrhea.
Luteal out of phase event (LOOP) - .....ANSWER
...✔✔ Explains why some perimenopausal women
have elevated estrogen levels sometimes.
Obese women and estradiol levels during menopause -
.....ANSWER ...✔✔ Obese women are more likely to
have anovulatory cycles with high estradiol levels.
Chinese and Japanese women - .....ANSWER ...✔✔
These ethnic groups have lower estradiol levels than
white, black, and Hispanic women.
Stage +2 - .....ANSWER ...✔✔ Late menopause
stage: 5-8 years after FMP. Somatic aging
predominates.
Stages +1a, +1b, +1c - .....ANSWER ...✔✔ Early
post menopause: 2 years after FMP. FSH rises, estradiol
decreases.
,3|Page
Elevated FSH, LH - .....ANSWER ...✔✔ Endocrine labs
after menopause.
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 variable,
persistent >7 day difference between difference in
length of consecutive cycles.
How to respond if a patient requests FSH lab? -
.....ANSWER ...✔✔ Many pitfalls, variable depending
on the day of the cycle you draw the lab.
The potentially superior marker of menopause, a lab. -
.....ANSWER ...✔✔ AMH.
DHEA (dehydroepiandrosterone) - .....ANSWER ...✔✔
Adrenal androgens: precursor hormones produced by
the adrenal gland that are enzymatically converted to
active androgens or estrogens in peripheral tissues.
, 4|Page
Location of estrogen receptors - .....ANSWER ...✔✔
Vagina, vulva, urethra, trigone of the bladder.
Effects of estrogen on tissue - .....ANSWER ...✔✔
Maintain blood flow, the collagen, and HA within the
epithelial surfaces.
Vaginal changes with menopause - .....ANSWER
...✔✔ Thinning, loss of elasticity, loss or absence of
rugae.
Vagina and urethra in menopause - .....ANSWER
...✔✔ Vagina narrows, urethra moves closer to the
introitus.
Stress urinary incontinence - .....ANSWER ...✔✔
Vaginal estrogen and urinary incontinence: what type
does it help with?
Treatment for FPHL - .....ANSWER ...✔✔ Minoxidil,
spironolactone, finasteride, estrogen therapy.
Late reproductive years -3b and -3a - .....ANSWER
...✔✔ -3b: menstrual cycles normal, FSH normal, AMH
NAMS MENOPAUSE CERTIFICATION ACTUAL
EXAM NEWEST 2025 COMPLETE 200
QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) |ALREADY GRADED A+
Climacteric phase - .....ANSWER ...✔✔ The period of
endocrinologic, 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.
,2|Page
Late menopause transition (stage -1) - .....ANSWER
...✔✔ 60 or more consecutive days of amenorrhea.
Luteal out of phase event (LOOP) - .....ANSWER
...✔✔ Explains why some perimenopausal women
have elevated estrogen levels sometimes.
Obese women and estradiol levels during menopause -
.....ANSWER ...✔✔ Obese women are more likely to
have anovulatory cycles with high estradiol levels.
Chinese and Japanese women - .....ANSWER ...✔✔
These ethnic groups have lower estradiol levels than
white, black, and Hispanic women.
Stage +2 - .....ANSWER ...✔✔ Late menopause
stage: 5-8 years after FMP. Somatic aging
predominates.
Stages +1a, +1b, +1c - .....ANSWER ...✔✔ Early
post menopause: 2 years after FMP. FSH rises, estradiol
decreases.
,3|Page
Elevated FSH, LH - .....ANSWER ...✔✔ Endocrine labs
after menopause.
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 variable,
persistent >7 day difference between difference in
length of consecutive cycles.
How to respond if a patient requests FSH lab? -
.....ANSWER ...✔✔ Many pitfalls, variable depending
on the day of the cycle you draw the lab.
The potentially superior marker of menopause, a lab. -
.....ANSWER ...✔✔ AMH.
DHEA (dehydroepiandrosterone) - .....ANSWER ...✔✔
Adrenal androgens: precursor hormones produced by
the adrenal gland that are enzymatically converted to
active androgens or estrogens in peripheral tissues.
, 4|Page
Location of estrogen receptors - .....ANSWER ...✔✔
Vagina, vulva, urethra, trigone of the bladder.
Effects of estrogen on tissue - .....ANSWER ...✔✔
Maintain blood flow, the collagen, and HA within the
epithelial surfaces.
Vaginal changes with menopause - .....ANSWER
...✔✔ Thinning, loss of elasticity, loss or absence of
rugae.
Vagina and urethra in menopause - .....ANSWER
...✔✔ Vagina narrows, urethra moves closer to the
introitus.
Stress urinary incontinence - .....ANSWER ...✔✔
Vaginal estrogen and urinary incontinence: what type
does it help with?
Treatment for FPHL - .....ANSWER ...✔✔ Minoxidil,
spironolactone, finasteride, estrogen therapy.
Late reproductive years -3b and -3a - .....ANSWER
...✔✔ -3b: menstrual cycles normal, FSH normal, AMH
