NAMS MENOPAUSE CERTIFICATION ACTUAL
EXAM CURRENTLY LATEST VERSIONS 2025-
2026 WITH QUESTIONS EACH AND A STUDY
GUIDE | ACCURATE EXPERT VERIFIED FOR
GUARANTEED PASS
Effects of estrogen on tissue Correct Answer maintain blood flow,
the collagen, and HA within the epithelial surfaces. Supports
microbiome and protects tissue from pathogens.
Vaginal changes with menopause Correct Answer Thinning, loss
of elasticity, loss or absence or rugae.
Vagina and urethra in menopause Correct Answer vagina
narrows, urethra moves closer to the introitus.
Stress urinary incontinence Correct Answer Vaginal estrogen and
urinary incontinence: what type does it help with?
Treatment for FPHL Correct Answer Minoxidil, 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.
When it is appropriate to check an FSH during the cycle if you
check it? and why? Correct Answer Cycle day #3. Elevated
estradiol can suppress FSH giving a falsely normal FSH level.
AMH
produced by...
used to test...
Is it a screening tool for fertility?
When does it peak? Correct Answer produced by granulosa cells
used to test damage to ovarian follicle reserve. If AMH is low, the
woman has a low ovarian reserve.
not recommended as a screening tool to predict fertility.
,Peaks at around 25 years old. So before age 25, this test is not
helpful.
It is influenced by exogenous hormones. Lower in hormonal
contraception users, but increases after d/cing.
AFC Correct Answer Antral follicle count
Number of follicles that are detectable with ultrasound.
They are sensitive to FSH and considered to represent the
availability poo of follicles.
Late menopause transition (-1) FSH level on random draw
Correct Answer 25 or higher
Black women have higher or lower FSH levels? Correct Answer
Higher
Chinese and Japanese women have higher or lower estradiol
levels compared to white, black and hispanic women? Correct
Answer lower
Menopause transition-changes in SHBG and testosterone? ratio?
Correct Answer SHBG decreases
Testosterone/SHBG ratio increases by 80%.
, Testosterone/SHGB ratio is called what? Correct Answer The free
androgen index
What stage are VMS more likely? Correct Answer +1b (generally
last 2 years)
What hormone is generally higher in obese women? Correct
Answer Estrone-via aromatization.
The postmenopausal ovary continues to produce what two
hormones? Correct Answer testosterone and androstenedione
Surgical menopause causes women to have lower levels of what
hormone? Correct Answer testosterone. 40-50% lower than in
women w/ intact ovaries.
Driving piece of menopause is ovarian follicles depleting. What
does this do to the inhibin B and AMH? Correct Answer inhibin
and AMH decrease
therefore, follicle growth is not restrained, this allows for the
growth of the remaining, diminished follicle pool.
EXAM CURRENTLY LATEST VERSIONS 2025-
2026 WITH QUESTIONS EACH AND A STUDY
GUIDE | ACCURATE EXPERT VERIFIED FOR
GUARANTEED PASS
Effects of estrogen on tissue Correct Answer maintain blood flow,
the collagen, and HA within the epithelial surfaces. Supports
microbiome and protects tissue from pathogens.
Vaginal changes with menopause Correct Answer Thinning, loss
of elasticity, loss or absence or rugae.
Vagina and urethra in menopause Correct Answer vagina
narrows, urethra moves closer to the introitus.
Stress urinary incontinence Correct Answer Vaginal estrogen and
urinary incontinence: what type does it help with?
Treatment for FPHL Correct Answer Minoxidil, 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.
When it is appropriate to check an FSH during the cycle if you
check it? and why? Correct Answer Cycle day #3. Elevated
estradiol can suppress FSH giving a falsely normal FSH level.
AMH
produced by...
used to test...
Is it a screening tool for fertility?
When does it peak? Correct Answer produced by granulosa cells
used to test damage to ovarian follicle reserve. If AMH is low, the
woman has a low ovarian reserve.
not recommended as a screening tool to predict fertility.
,Peaks at around 25 years old. So before age 25, this test is not
helpful.
It is influenced by exogenous hormones. Lower in hormonal
contraception users, but increases after d/cing.
AFC Correct Answer Antral follicle count
Number of follicles that are detectable with ultrasound.
They are sensitive to FSH and considered to represent the
availability poo of follicles.
Late menopause transition (-1) FSH level on random draw
Correct Answer 25 or higher
Black women have higher or lower FSH levels? Correct Answer
Higher
Chinese and Japanese women have higher or lower estradiol
levels compared to white, black and hispanic women? Correct
Answer lower
Menopause transition-changes in SHBG and testosterone? ratio?
Correct Answer SHBG decreases
Testosterone/SHBG ratio increases by 80%.
, Testosterone/SHGB ratio is called what? Correct Answer The free
androgen index
What stage are VMS more likely? Correct Answer +1b (generally
last 2 years)
What hormone is generally higher in obese women? Correct
Answer Estrone-via aromatization.
The postmenopausal ovary continues to produce what two
hormones? Correct Answer testosterone and androstenedione
Surgical menopause causes women to have lower levels of what
hormone? Correct Answer testosterone. 40-50% lower than in
women w/ intact ovaries.
Driving piece of menopause is ovarian follicles depleting. What
does this do to the inhibin B and AMH? Correct Answer inhibin
and AMH decrease
therefore, follicle growth is not restrained, this allows for the
growth of the remaining, diminished follicle pool.
