NAMS MENOPAUSE CERTIFICATION EXAM 2025 ACTUAL EXAM COMPLETE 100 QUESTIONS
WITH DETAILED QUESTION AND VERIFIED ANSWERS (100% CORRECT ANSWERS) / ALREADY
GRADED A+(BRAND NEW)
Climacteric phase -CORRECT ANSWERThe period of endrocrinologic, somatic, and
transitory psychologic changes that occur around the time of menopause.
Early menopause -CORRECT ANSWERLMP before age 45
Late menopause -CORRECT ANSWERLMP after age 54
Primary ovarian insufficiency -CORRECT ANSWERMenopause that occurs before age 40
Early menopause transition (stage -2) -CORRECT ANSWERPersistent difference of 7 days or
more in the length of consecutive cycles.
Late menopause transition (stage -1) -CORRECT ANSWER60 or more consecutive days of
amenorrhea
Luteal out of phase event (LOOP) -CORRECT ANSWERExplains 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 ANSWERObese 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 ANSWERThese ethnic groups have lower estradiol
levels then white, black and hispanic women.
stage +2 -CORRECT ANSWERlate menopause stage: 5-8 years after FMP. Somatic aging
predominates. Increased genitourinary symptoms.
Stages +1a, +1b, +1c -CORRECT ANSWERearly post menopause: 2 years after FMP. FSH
rises, estradiol decreases. VMS predominate.
Elevated FSH, LH -CORRECT ANSWEREndocrine labs after menopause
AMH, inhibin B -CORRECT ANSWERThese hormones work during reproductive years to not
deplete follicle pool too quickly.
Phases during menopause transition and PMS symptoms -CORRECT ANSWERMenstrual
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 ANSWERmany 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 ANSWERAMH
, DHEA (dehydroepiandrosterone) -CORRECT ANSWERAdrenal androgens: precursor
hromones produced by the adrenal gland that are enzymatically converted to active androgens
or estrogens in peripheral tissues.
Location of estrogen receptors -CORRECT ANSWERVagina, vulva, urethra, trigone of the
bladder
Effects of estrogen on tissue -CORRECT ANSWERmaintain blood flow, the collagen, and HA
within the epithelial surfaces. Supports microbiome and protects tissue from pathogens.
Vaginal changes with menopause -CORRECT ANSWERThinning, loss of elasticity, loss or
absence or rugae.
Vagina and urethra in menopause -CORRECT ANSWERvagina narrows, urethra moves
closer to the introitus.
Stress urinary incontinence -CORRECT ANSWERVaginal estrogen and urinary incontinence:
what type does it help with?
Treatment for FPHL -CORRECT ANSWERMinoxidil, spironolactone, finasteride, estrogen
therapy
Late reporoductive years -3b and -3a. What happens with menstrual cycles, FSH, AMH, AFC,
inhibin? -CORRECT ANSWER-3b: menstrual cycles normal, FSH normal, AMH low, AFC low,
inhibin low.
-3a: subtle menstrual changes, variable FSH, AMH low, AFC low, inhibin low.
WITH DETAILED QUESTION AND VERIFIED ANSWERS (100% CORRECT ANSWERS) / ALREADY
GRADED A+(BRAND NEW)
Climacteric phase -CORRECT ANSWERThe period of endrocrinologic, somatic, and
transitory psychologic changes that occur around the time of menopause.
Early menopause -CORRECT ANSWERLMP before age 45
Late menopause -CORRECT ANSWERLMP after age 54
Primary ovarian insufficiency -CORRECT ANSWERMenopause that occurs before age 40
Early menopause transition (stage -2) -CORRECT ANSWERPersistent difference of 7 days or
more in the length of consecutive cycles.
Late menopause transition (stage -1) -CORRECT ANSWER60 or more consecutive days of
amenorrhea
Luteal out of phase event (LOOP) -CORRECT ANSWERExplains 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 ANSWERObese 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 ANSWERThese ethnic groups have lower estradiol
levels then white, black and hispanic women.
stage +2 -CORRECT ANSWERlate menopause stage: 5-8 years after FMP. Somatic aging
predominates. Increased genitourinary symptoms.
Stages +1a, +1b, +1c -CORRECT ANSWERearly post menopause: 2 years after FMP. FSH
rises, estradiol decreases. VMS predominate.
Elevated FSH, LH -CORRECT ANSWEREndocrine labs after menopause
AMH, inhibin B -CORRECT ANSWERThese hormones work during reproductive years to not
deplete follicle pool too quickly.
Phases during menopause transition and PMS symptoms -CORRECT ANSWERMenstrual
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 ANSWERmany 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 ANSWERAMH
, DHEA (dehydroepiandrosterone) -CORRECT ANSWERAdrenal androgens: precursor
hromones produced by the adrenal gland that are enzymatically converted to active androgens
or estrogens in peripheral tissues.
Location of estrogen receptors -CORRECT ANSWERVagina, vulva, urethra, trigone of the
bladder
Effects of estrogen on tissue -CORRECT ANSWERmaintain blood flow, the collagen, and HA
within the epithelial surfaces. Supports microbiome and protects tissue from pathogens.
Vaginal changes with menopause -CORRECT ANSWERThinning, loss of elasticity, loss or
absence or rugae.
Vagina and urethra in menopause -CORRECT ANSWERvagina narrows, urethra moves
closer to the introitus.
Stress urinary incontinence -CORRECT ANSWERVaginal estrogen and urinary incontinence:
what type does it help with?
Treatment for FPHL -CORRECT ANSWERMinoxidil, spironolactone, finasteride, estrogen
therapy
Late reporoductive years -3b and -3a. What happens with menstrual cycles, FSH, AMH, AFC,
inhibin? -CORRECT ANSWER-3b: menstrual cycles normal, FSH normal, AMH low, AFC low,
inhibin low.
-3a: subtle menstrual changes, variable FSH, AMH low, AFC low, inhibin low.
