NAMs Menopause Certification Exam GUARANTEED PASS!!
Climacteric phase - (ANSWER)The period of endrocrinologic, 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.
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 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 - (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 - (ANSWER)These ethnic groups have lower estradiol levels then
white, black and hispanic women.
stage +2 - (ANSWER)late menopause stage: 5-8 years after FMP. Somatic aging predominates.
Increased genitourinary symptoms.
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, Stages +1a, +1b, +1c - (ANSWER)early post menopause: 2 years after FMP. FSH rises, estradiol
decreases. VMS predominate.
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
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? - (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. - (ANSWER)AMH
DHEA (dehydroepiandrosterone) - (ANSWER)Adrenal androgens: precursor hromones
produced by the adrenal gland that are enzymatically converted to active androgens or estrogens
in peripheral tissues.
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. Supports microbiome and protects tissue from pathogens.
Vaginal changes with menopause - (ANSWER)Thinning, loss of elasticity, loss or absence or
rugae.
Vagina and urethra in menopause - (ANSWER)vagina narrows, urethra moves closer to the
introitus.
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Climacteric phase - (ANSWER)The period of endrocrinologic, 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.
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 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 - (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 - (ANSWER)These ethnic groups have lower estradiol levels then
white, black and hispanic women.
stage +2 - (ANSWER)late menopause stage: 5-8 years after FMP. Somatic aging predominates.
Increased genitourinary symptoms.
Page 1 of 14
, Stages +1a, +1b, +1c - (ANSWER)early post menopause: 2 years after FMP. FSH rises, estradiol
decreases. VMS predominate.
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
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? - (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. - (ANSWER)AMH
DHEA (dehydroepiandrosterone) - (ANSWER)Adrenal androgens: precursor hromones
produced by the adrenal gland that are enzymatically converted to active androgens or estrogens
in peripheral tissues.
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. Supports microbiome and protects tissue from pathogens.
Vaginal changes with menopause - (ANSWER)Thinning, loss of elasticity, loss or absence or
rugae.
Vagina and urethra in menopause - (ANSWER)vagina narrows, urethra moves closer to the
introitus.
Page 2 of 14
