NAMS MENOPAUSE CERTIFICATION EXAM STUDY SET

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NAMS MENOPAUSE
CERTIFICATION EXAM STUDY SET



secondary causes of Hyperthyroidism, hyperparathyroidism,
osteoporosis hypercalciuria, certain drugs (eg: tamoxifen,
steroids, PPIs), calcium/vitamin D deficiency,
which 3 common drugs? RA, celiac disease, malabsorptive diseases
such as Crohn disease, and ulcerative
colitis
Median age of 52.54 y
menopause in US
women
Intermittent ovarian function & insufficient
POI
estrogen levels occurring at age <40 y
which STRAW stage? -5


menarche / early
reproductive
which STRAW stage? -4


peak reproductive
which STRAW stage? -3


late reproductive
which STRAW stage? -2 to -1 & +1a


perimenopause
which STRAW stage? FMP = 0
12 months after = +1a
FMP &
12 months after final
menstrual period
+1a (most likely)
which STRAW stage?
-1 (likely)

VMS most likely
aka perimenopause/menopause transition

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which STRAW stage? +1a to +1c


early post menopause
which STRAW stage? +2


late postmenopause
which STRAW stage? -1


amenorrhea >60 days aka late menopause transition
which STRAW stage? -2


variable cycle lengths of aka early menopause transition
>7 days differences
menopause transition: -2 and -1, prior to FMP
difference between
menopause transition
perimenopause: -2 to +1a, includes 12 mo of
vs perimenopause per
amenorrhea following FMP
STRAW criteria?
which STRAW stage? -3b


initial drop in aka late reproductive
AMH/AFC/inhibin,
cycles still regular, FSH
normal
which STRAW stage? -3a


cycles shorter, first aka late reproductive
increase in FSH
levels spike with inhibin B
ovulation, marker of
ovarian reserve
Produced by AMH
granulosa cells of
activated follicles,
most reflective of
true ovarian reserve;
provides the best single
prediction of time to
menopause