2026 - NAMS MENOPAUSE
CERTIFICATION EXAM STUDY SET
QUESTIONS AND ANSWERS WITH
COMPLETE SOLUTIONS GUARANTEED
SUCCESS!!!
Which three common types of medications are frequently linked to secondary
osteoporosis?
✔✔ Answer: Glucocorticoids (steroids), proton pump inhibitors (PPIs), and
selective estrogen receptor modulators like tamoxifen.
What is the average age at which women in the United States typically
experience menopause?
✔✔ Answer: Approximately 51.3 years of age (historically cited in some datasets
as ranging up to 52.5 years).
How is Primary Ovarian Insufficiency (POI) clinically characterized?
✔✔ Answer: A condition in individuals under the age of 40 marked by
fluctuating, irregular ovarian activity combined with inadequate estrogen
production.
Which STRAW staging category corresponds to menarche and the early
reproductive phase?
✔✔ Answer: Stage -5.
Which STRAW staging category corresponds to the peak reproductive phase?
✔✔ Answer: Stage -4.
which STRAW stage?
late reproductive
,-3
which STRAW stage?
perimenopause
-2 to -1 & +1a
which STRAW stage?
FMP &
12 months after final menstrual period
FMP = 0
12 months after = +1a
which STRAW stage?
VMS most likely
+1a (most likely)
-1 (likely)
aka perimenopause/menopause transition
,which STRAW stage?
early post menopause
+1a to +1c
which STRAW stage?
late postmenopause
+2
which STRAW stage?
amenorrhea >60 days
-1
aka late menopause transition
which STRAW stage?
variable cycle lengths of >7 days differences
-2
, aka early menopause transition
difference between menopause transition vs perimenopause per STRAW criteria?
menopause transition: -2 and -1, prior to FMP
perimenopause: -2 to +1a, includes 12 mo of amenorrhea following FMP
which STRAW stage?
initial drop in AMH/AFC/inhibin, cycles still regular, FSH normal
-3b
aka late reproductive
which STRAW stage?
cycles shorter, first increase in FSH
-3a
aka late reproductive
CERTIFICATION EXAM STUDY SET
QUESTIONS AND ANSWERS WITH
COMPLETE SOLUTIONS GUARANTEED
SUCCESS!!!
Which three common types of medications are frequently linked to secondary
osteoporosis?
✔✔ Answer: Glucocorticoids (steroids), proton pump inhibitors (PPIs), and
selective estrogen receptor modulators like tamoxifen.
What is the average age at which women in the United States typically
experience menopause?
✔✔ Answer: Approximately 51.3 years of age (historically cited in some datasets
as ranging up to 52.5 years).
How is Primary Ovarian Insufficiency (POI) clinically characterized?
✔✔ Answer: A condition in individuals under the age of 40 marked by
fluctuating, irregular ovarian activity combined with inadequate estrogen
production.
Which STRAW staging category corresponds to menarche and the early
reproductive phase?
✔✔ Answer: Stage -5.
Which STRAW staging category corresponds to the peak reproductive phase?
✔✔ Answer: Stage -4.
which STRAW stage?
late reproductive
,-3
which STRAW stage?
perimenopause
-2 to -1 & +1a
which STRAW stage?
FMP &
12 months after final menstrual period
FMP = 0
12 months after = +1a
which STRAW stage?
VMS most likely
+1a (most likely)
-1 (likely)
aka perimenopause/menopause transition
,which STRAW stage?
early post menopause
+1a to +1c
which STRAW stage?
late postmenopause
+2
which STRAW stage?
amenorrhea >60 days
-1
aka late menopause transition
which STRAW stage?
variable cycle lengths of >7 days differences
-2
, aka early menopause transition
difference between menopause transition vs perimenopause per STRAW criteria?
menopause transition: -2 and -1, prior to FMP
perimenopause: -2 to +1a, includes 12 mo of amenorrhea following FMP
which STRAW stage?
initial drop in AMH/AFC/inhibin, cycles still regular, FSH normal
-3b
aka late reproductive
which STRAW stage?
cycles shorter, first increase in FSH
-3a
aka late reproductive
