NAMS MENOPAUSE CERTIFICATION EXAM LATEST UPDATE

NAMS MENOPAUSE CERTIFICATION EXAM LATEST UPDATEClimacteric phase - CORRECT ANSWER The period of endrocrinologic, somatic, and transitory psychologic changes that occur around the time of menopause. Early menopause - CORRECT ANSWER LMP before age 45 Late menopause - CORRECT ANSWER LMP after age 54 Primary ovarian insufficiency - CORRECT ANSWER Menopause that occurs before age 40 Early menopause transition (stage -2) - CORRECT ANSWER Persistent difference of 7 days or more in the length of consecutive cycles. Late menopause transition (stage -1) - CORRECT ANSWER 60 or more consecutive days of amenorrhea Luteal out of phase event (LOOP) - CORRECT ANSWER 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. Obese women and estradiol levels during menopause - CORRECT ANSWER 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) Chinese and Japanese women - CORRECT ANSWER These ethnic groups have lower estradiol levels then white, black and hispanic women. stage +2 - CORRECT ANSWER late menopause stage: 5-8 years after FMP. Somatic aging predominates. Increased genitourinary symptoms. Stages +1a, +1b, +1c - CORRECT ANSWER early post menopause: 2 years after FMP. FSH rises, estradiol decreases. VMS predominate. Elevated FSH, LH - CORRECT ANSWER Endocrine labs after menopause AMH, inhibin B - CORRECT ANSWER These hormones work during reproductive years to not deplete follicle pool too quickly. Phases during menopause transition and PMS symptoms - CORRECT ANSWER Menstrual cycle shortenes, follicular phase compresses, women spend more time in luteal phase.. meaning more premenstrual symptoms and more frequent menstrual periods. How to respond if a patient requests FSH lab? - CORRECT ANSWER many pitfalls, variable depending on the day of the cycle you draw the lab, normal or low FSH is not helpful. The potentially superior marker of menopause, a lab. - CORRECT ANSWER AMH DHEA (dehydroepiandrosterone) - CORRECT ANSWER Adrenal androgens: precursor hromones produced by the adrenal gland that are enzymatically converted to active androgens or estrogens in peripheral tissues.