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Early Menopause - Correct Answers ✅FMP before age 45
Late Menopause - Correct Answers ✅FMP after age 54
Bilateral oophorectomy prior to age 45 increases risks for: -
Correct Answers ✅- All cause mortality
- Coronary heart disease
- CVD
- Menopause symptoms
- Worsening mood symptoms
- Higher incidence of Parkinson Disease
- Associated with cognitive impairment
Early Menopause Transition (-2) - Correct Answers ✅7 or
more days persistent difference in cycle length from previous
normal cycle
- Results of increased follicular aging and depletion
- Inhibin B decreases
- FSH increases (Variable)
LOOP Cycles - Correct Answers ✅Explains elevation of
Estradiol in perimenopause
,NAMS Certification Exam QUESTIONS
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- Rising FSH levels recruit 2nd follicle during luteal phase
which leads to overproduction of Estradiol
- This causes menstrual changes in future cycles
Decreased AMH in Early Menopause Transition - Correct
Answers ✅More frequent anovulatory cycles
Decreased Inhibin B in Early Menopause Transition - Correct
Answers ✅- Skipped menstrual cycles
- Mastalgia
- Migraine
- Menorrhagia (with LOOP cycles)
- Endometrial Hyperplasia
Late Menopause Transition (-1) - Correct Answers ✅60 or
more days of amenorrhea for women aged 45 years or older
- Women 40-44 years with recurrent episodes of amenorrhea
of 60 day for longer within a year improves prediction of
entry into late menopause transition
Late Menopause Transition (-1) Duration - Correct Answers
✅1-3 years
, NAMS Certification Exam QUESTIONS
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Late Menopause Transition (-1) Symptoms - Correct
Answers ✅VMS likely
STRAW Stage where FSH > 25 - Correct Answers ✅Late
Menopause Transition (-1)
Elevated FSH symptoms in Late Menopause Transition -
Correct Answers ✅- VMS
- Sleep disturbance
- Changes in weight distribution
- Increased variability in cycle length
Decreased Inhibin B in Late Menopause Transition - Correct
Answers ✅- Mood changes
- Cognitive complaints
- Changes in sexual functioning
- Increased prevalence of anovulation
Decreased AMH in Late Menopause Transition - Correct
Answers ✅- GSM
- Bone loss
- CVD issues
- Interval of amenorrhea > 60 days