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Exam (elaborations)
NAMS Menopause Certification Exam: Comprehensive Review & Study Guide
NAMS Menopause Certification Exam: Comprehensive Review & Study Guide
Exam (elaborations)
NAMS MENOPAUSE FINAL PAPER EXAM 2025/2026 QUESTIONS WITH ANSWERS GRADED A+
NAMS MENOPAUSE FINAL PAPER EXAM 2025/2026 
QUESTIONS WITH ANSWERS GRADED A+
Exam (elaborations)
NAMS MENOPAUSE EXAM STUDY GUIDE 2025/2026 QUESTIONS WITH ANSWERS GRADED A+
NAMS MENOPAUSE EXAM STUDY GUIDE 2025/2026 
QUESTIONS WITH ANSWERS GRADED A+
Exam (elaborations)
NAMS MENOPAUSE EXAM SCRIPT 2025/2026 QUESTIONS WITH ANSWERS GRADED A+
NAMS MENOPAUSE EXAM SCRIPT 2025/2026 QUESTIONS 
WITH ANSWERS GRADED A+
Exam (elaborations)
NAMS MENOPAUSE COMPREHENSIVE EXAM 2025/2026 QUESTIONS WITH ANSWERS GRADED A+
NAMS MENOPAUSE COMPREHENSIVE EXAM 2025/2026 
QUESTIONS WITH ANSWERS GRADED A+
Exam (elaborations)
NAMS MENOPAUSE CERTIFICATION ACTUAL TEST PAPER 2025/2026 QUESTIONS WITH ANSWERS GRADED A+
NAMS MENOPAUSE CERTIFICATION ACTUAL TEST PAPER 
2025/2026 QUESTIONS WITH ANSWERS GRADED A+
Exam (elaborations)
NAMS MENOPAUSE CERTIFICATION REVISION EXAM TEST 2025/2026 QUESTIONS WITH ANSWERS GRADED A+
increases risk of gallstones with oral HRT, lower risk with transdermal. - how 
does HRT impact gallbladder disease? 
1992, so women who have received blood products or organ transplants prior to 
1992 may have acquired heptatitis c - when did they start screening blood for hep c? 
most infections become chronic and most are asymptomatic until liver damage is 
detected years later. Our treatments are improving so if we catch this earlier in people, 
outcomes will be better - why do we screen for...
Exam (elaborations)
NAMS MENOPAUSE CERTIFICATION PRACTICE EXAM 2025/2026 QUESTIONS WITH ANSWERS GRADED A+
Surgical menopause causes women to have lower levels of what hormone? - 
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? - inhibin and AMH decrease 
therefore, follicle growth is not restrained, this allows for the growth of the remaining, 
diminished follicle pool. 
In the menopause transition, women spend more time in what phase? - Lutealmore PMS symptoms, more frequent menstrua...
Exam (elaborations)
NAMS MENOPAUSE CERTIFICATION FINAL PAPER 2025/2026 QUESTIONS WITH ANSWERS GRADED A+
Meta analysis of RCTs have shown small benefit of what diet/exercise for global 
cognition and memory? - Mediterranean diet with olive oil and tai chi exercise helps 
with global cognition 
Mediterranean diet with olive oil and isoflavone supplements helps with memory. 
effect of HRT on cognition - small or no overall effect on cognition 
What HRT can increase your risk for dementia based on the WHIMS study in 65+ 
year old healthy women? - EPT replacement was shown to double the risk of 
develo...
Exam (elaborations)
NAMS MENOPAUSE CERTIFICATION EXAM 2025/2026 QUESTIONS WITH ANSWERS GRADED A+
Late reporoductive years -3b and -3a. What happens with menstrual cycles, FSH, 
AMH, AFC, inhibin? - -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? - 
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?...
Exam (elaborations)
NAMS MENOPAUSE CERTIFICATION END OF COURSE 2025/2026 QUESTIONS WITH ANSWERS GRADED A+
What are the 3 main differences in estrogen of transdermal estrogens? - Lower 
VTE risk (veinous thromboembolism) 
No impact on triglycerides 
Potential lower stroke risk. so lower blood clot risk 
What are the 2 main differences in estrogen of oral estrogens - Increases 
triglycerides 
Potential for decreased libido 
What is the Women's Health Initiative (WHI)? - Clinical study started in 1991. 
Studied the use of conjugated equine estrogens (CEE) and medroxyprogesterone 
acetate (MPA) in wo...
Exam (elaborations)
NAMS MENOPAUSE CERTIFICATION ACTUAL EXAM SCRIPT 2025/2026 QUESTIONS WITH ANSWERS GRADED A+
lower - Chinese and Japanese women have higher or lower estradiol levels 
compared to white, black and hispanic women? 
SHBG decreases 
Testosterone/SHBG ratio increases by 80%. - Menopause transition-changes in 
SHBG and testosterone? ratio? 
The free androgen index - Testosterone/SHGB ratio is called what? 
+1b (generally last 2 years) - What stage are VMS more likely? 
Estrone-via aromatization. - What hormone is generally higher in obese women? 
testosterone and androstenedione - The postmen...
Exam (elaborations)
Menopause Society Certification Study Guide 2025/2026 | Complete Exam Prep & Practice Questions
Prepare for the Menopause Society Certification Exam with this comprehensive study guide for 2025/2026! Covering key topics such as hormonal and non-hormonal therapies, osteoporosis management, cardiovascular health, sexual wellness, and patient counseling, this guide provides detailed explanations, evidence-based guidelines, and high-yield practice questions to reinforce your understanding. Designed for healthcare professionals, including physicians, nurses, and specialists in women's health...
Package deal
MENOPAUSE CERTIFICATION PACKAGE DEAL | QUESTIONS AND CORRECT ANSWERS | LATEST UPDATE 2024/2025
MENOPAUSE CERTIFICATION PACKAGE DEAL | QUESTIONS AND CORRECT ANSWERS | LATEST UPDATE 2024/2025
Exam (elaborations)
NAMS MENOPAUSE CERTIFICATION EXAM LATEST 2025 WITH ACTUAL QUESTIONS AND CORRECT VERIFIED ANSWERS ALREADY GRADED A+ 100% GUARANTEED PASS!
"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 reporoduc...
Exam (elaborations)
NAMs Menopause Certification Exam | Q&A Latest 2024/2025 | 100% PASS
NAMs Menopause Certification 
Exam | Q&A Latest 2024/2025 | 
100% 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 consecuti...
Exam (elaborations)
Perimenopause & Menopause | Q&A Latest 2024/2025 | 100% PASS
Perimenopause & Menopause | 
Q&A Latest 2024/2025 | 100% PASS 
Perimenopause: when does it start and what are the manifestations - 
Answer -- occurs after primary reproductive years but before 
menopause (~45) 
- begins about 4 yrs before final menstrual period 
- manifestations: irreg periods, hormonal fluctuations (don't measure 
hormones this time), hot flashes, sleep disturbances, vaginal dryness 
* if taking OCP, may not notices some of these changes 
Menopause: definition - Answer -- ab...
Exam (elaborations)
menopause and estrogen replacement therapy | Q&A Latest 2024/2025 | 100% PASS
menopause and estrogen 
replacement therapy | Q&A Latest 
2024/2025 | 100% PASS 
what is the average age in which menopause occurs in women - Answer 
-51.4 years of age 
what leads to pain during sexual intercourse in patients with 
menopause (dyspareunia) - Answer -loss of lubrication 
what is the most common reason patients with menopause seek 
treatment - Answer -vasomotor a.k.a. hot flashes 
occurs in 75 to 95% of women within 12 - 24 months after the last 
menstrual period 
what hormone reg...
Exam (elaborations)
Menopause Exam | Q&A Latest 2024/2025 | 100% PASS
Menopause Exam | Q&A Latest 
2024/2025 | 100% PASS 
Define menopause - Answer -Permanent cessation of menses 
Average age of onset of menopause - Answer -50 -51 years of age 
Define Climactera (peri-menopause) - Answer --The transition from the 
late reproductive into the post-menopausal stage of life 
-Period of waning ovarian function 
Typical duration of Climactera (peri-menopause) - Answer --Typically 1-2 
year period before and after menopause 
-Symptoms last up to a decade! 
Epidemiology o...
Exam (elaborations)
Menopause | Q&A Latest 2024/2025 | 100% PASS
Menopause | Q&A Latest 2024/2025 
| 100% PASS 
A 50-year-old client confides to the nurse that she is experiencing 
dyspareunia during sexual intercourse. The nurse recommends which of 
the following for the client? 
a. Consume alcohol to reduce inhibitions. 
b. Tell the partner that sex is no longer desired. 
c. Use a vaginal lubricant. 
d. Reduce sexual contact to once a month. - Answer -c. lubricant 
Older women and those experiencing menopause may have decreased 
vaginal secretions, causing ...