NAMS Certification Exam Prep Guide.
1.
2. Early Menopause FMP before age 45
3. Late Menopause FMP after age 54
4. Bilateral - All cause mortality
oophorectomy - Coronary heart disease
prior to age 45 - CVD
increases risks - Menopause symptoms
for: - Worsening mood symptoms
- Higher incidence of Parkinson Disease
- Associated with cognitive impairment
5. Early Menopause 7 or more days persistent ditterence in cycle length from previous normal cycle
Transition (-2) - Results of increased follicular aging and depletion
, NAMS Certification Exam Prep Guide.
- Inhibin B decreases - FSH increases (Variable)
6. LOOP Cycles Explains elevation of Estradiol in perimenopause
- Rising FSH levels recruit 2nd follicle during luteal phase which leads to overpro-
duction of Estradiol
- This causes menstrual changes in future cycles
7. Decreased AMH More frequent anovulatory cycles
in Early
Menopause Tran-
sition
8. Decreased Inhib- - Skipped menstrual cycles
in B in Early - Mastalgia
Menopause Tran- - Migraine
sition - Menorrhagia (with LOOP cycles)
- Endometrial Hyperplasia
, NAMS Certification Exam Prep Guide.
9. Late Menopause 60 or more days of amenorrhea for women aged 45 years or older
Transition (-1) - Women 40-44 years with recurrent episodes of amenorrhea of 60 day for longer
within a year improves prediction of entry into late menopause transition
10. Late Menopause 1-3 years
Transition (-1)
Duration
11. Late Menopause VMS likely
Transition (-1)
Symptoms
12. STRAW Stage Late Menopause Transition (-1)
where FSH > 25
13. Elevated FSH - VMS
symptoms in - Sleep disturbance
Late Menopause - Changes in weight distribution
Transition - Increased variability in cycle length
14. Decreased Inhib- - Mood changes
in B in Late - Cognitive complaints
Menopause Tran- - Changes in sexual functioning
sition - Increased prevalence of anovulation
15. Decreased AMH - GSM
in Late - Bone loss
Menopause Tran- - CVD issues
sition - Interval of amenorrhea > 60 days
16. POI Menopause before age 40
17. POI diagnosis - Oligomenorrhea or amenorrhea x 4 months
1.
2. Early Menopause FMP before age 45
3. Late Menopause FMP after age 54
4. Bilateral - All cause mortality
oophorectomy - Coronary heart disease
prior to age 45 - CVD
increases risks - Menopause symptoms
for: - Worsening mood symptoms
- Higher incidence of Parkinson Disease
- Associated with cognitive impairment
5. Early Menopause 7 or more days persistent ditterence in cycle length from previous normal cycle
Transition (-2) - Results of increased follicular aging and depletion
, NAMS Certification Exam Prep Guide.
- Inhibin B decreases - FSH increases (Variable)
6. LOOP Cycles Explains elevation of Estradiol in perimenopause
- Rising FSH levels recruit 2nd follicle during luteal phase which leads to overpro-
duction of Estradiol
- This causes menstrual changes in future cycles
7. Decreased AMH More frequent anovulatory cycles
in Early
Menopause Tran-
sition
8. Decreased Inhib- - Skipped menstrual cycles
in B in Early - Mastalgia
Menopause Tran- - Migraine
sition - Menorrhagia (with LOOP cycles)
- Endometrial Hyperplasia
, NAMS Certification Exam Prep Guide.
9. Late Menopause 60 or more days of amenorrhea for women aged 45 years or older
Transition (-1) - Women 40-44 years with recurrent episodes of amenorrhea of 60 day for longer
within a year improves prediction of entry into late menopause transition
10. Late Menopause 1-3 years
Transition (-1)
Duration
11. Late Menopause VMS likely
Transition (-1)
Symptoms
12. STRAW Stage Late Menopause Transition (-1)
where FSH > 25
13. Elevated FSH - VMS
symptoms in - Sleep disturbance
Late Menopause - Changes in weight distribution
Transition - Increased variability in cycle length
14. Decreased Inhib- - Mood changes
in B in Late - Cognitive complaints
Menopause Tran- - Changes in sexual functioning
sition - Increased prevalence of anovulation
15. Decreased AMH - GSM
in Late - Bone loss
Menopause Tran- - CVD issues
sition - Interval of amenorrhea > 60 days
16. POI Menopause before age 40
17. POI diagnosis - Oligomenorrhea or amenorrhea x 4 months
