NAMS MENOPAUSE
CERTIFICATION EXAM
QUESTION WITH
ACCURATEBVERIFIED
ANSWERS(ACCURATE
SOLUTIONS)2025 A+ EXAM.
,The period of endrocrinologic, somatic, and transitory psychologic changes that occur around
the time of menopause. - correct answers-Climacteric phase
LMP before age 45 - correct answers-Early menopause
LMP after age 54 - correct answers-Late menopause
Menopause that occurs before age 40 - correct answers-Primary ovarian insufficiency
Persistent difference of 7 days or more in the length of consecutive cycles. - correct answers-
Early menopause transition (stage -2)
60 or more consecutive days of amenorrhea - correct answers-Late menopause transition (stage
-1)
Explains 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. - correct answers-Luteal out of phase event (LOOP)
Obese 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) -
correct answers-Obese women and estradiol levels during menopause
These ethnic groups have lower estradiol levels then white, black and hispanic women. - correct
answers-Chinese and Japanese women
,late menopause stage: 5-8 years after FMP. Somatic aging predominates. Increased
genitourinary symptoms. - correct answers-stage +2
early post menopause: 2 years after FMP. FSH rises, estradiol decreases. VMS predominate. -
correct answers-Stages +1a, +1b, +1c
Endocrine labs after menopause - correct answers-Elevated FSH, LH
These hormones work during reproductive years to not deplete follicle pool too quickly. -
correct answers-AMH, inhibin B
Menstrual cycle variable, persistent >7 day difference between difference in length of
consecutive cycles. - correct answers-Phases during menopause transition and PMS symptoms
many pitfalls, variable depending on the day of the cycle you draw the lab, normal or low FSH is
not helpful. - correct answers-How to respond if a patient requests FSH lab?
AMH - correct answers-The potentially superior marker of menopause, a lab.
Adrenal androgens: precursor hromones produced by the adrenal gland that are enzymatically
converted to active androgens or estrogens in peripheral tissues. - correct answers-DHEA
(dehydroepiandrosterone)
Vagina, vulva, urethra, trigone of the bladder - correct answers-Location of estrogen receptors
maintain blood flow, the collagen, and HA within the epithelial surfaces. Supports microbiome
which supports acidity of vagina and protects tissue from pathogens. - correct answers-Effects
of estrogen on tissue
, Thinning, loss of elasticity, loss or absence or rugae. - correct answers-Vaginal changes with
menopause
vagina narrows, urethra moves closer to the introitus. - correct answers-Vagina and urethra in
menopause
Vaginal estrogen and urinary incontinence: what type does it help with? - correct answers-Stress
urinary incontinence
Minoxidil, spironolactone, finasteride, estrogen therapy - correct answers-Treatment for FPHL
-3b: menstrual cycles normal, FSH normal, AMH low, AFC low, inhibin low.
-3a: subtle menstrual changes, variable FSH, AMH low, AFC low, inhibin low. - correct answers-
Late reporoductive years -3b and -3a. What happens with menstrual cycles, FSH, AMH, AFC,
inhibin?
Cycle day #3. Elevated estradiol can suppress FSH giving a falsely normal FSH level. - correct
answers-When it is appropriate to check an FSH during the cycle if you check it? and why?
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.
CERTIFICATION EXAM
QUESTION WITH
ACCURATEBVERIFIED
ANSWERS(ACCURATE
SOLUTIONS)2025 A+ EXAM.
,The period of endrocrinologic, somatic, and transitory psychologic changes that occur around
the time of menopause. - correct answers-Climacteric phase
LMP before age 45 - correct answers-Early menopause
LMP after age 54 - correct answers-Late menopause
Menopause that occurs before age 40 - correct answers-Primary ovarian insufficiency
Persistent difference of 7 days or more in the length of consecutive cycles. - correct answers-
Early menopause transition (stage -2)
60 or more consecutive days of amenorrhea - correct answers-Late menopause transition (stage
-1)
Explains 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. - correct answers-Luteal out of phase event (LOOP)
Obese 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) -
correct answers-Obese women and estradiol levels during menopause
These ethnic groups have lower estradiol levels then white, black and hispanic women. - correct
answers-Chinese and Japanese women
,late menopause stage: 5-8 years after FMP. Somatic aging predominates. Increased
genitourinary symptoms. - correct answers-stage +2
early post menopause: 2 years after FMP. FSH rises, estradiol decreases. VMS predominate. -
correct answers-Stages +1a, +1b, +1c
Endocrine labs after menopause - correct answers-Elevated FSH, LH
These hormones work during reproductive years to not deplete follicle pool too quickly. -
correct answers-AMH, inhibin B
Menstrual cycle variable, persistent >7 day difference between difference in length of
consecutive cycles. - correct answers-Phases during menopause transition and PMS symptoms
many pitfalls, variable depending on the day of the cycle you draw the lab, normal or low FSH is
not helpful. - correct answers-How to respond if a patient requests FSH lab?
AMH - correct answers-The potentially superior marker of menopause, a lab.
Adrenal androgens: precursor hromones produced by the adrenal gland that are enzymatically
converted to active androgens or estrogens in peripheral tissues. - correct answers-DHEA
(dehydroepiandrosterone)
Vagina, vulva, urethra, trigone of the bladder - correct answers-Location of estrogen receptors
maintain blood flow, the collagen, and HA within the epithelial surfaces. Supports microbiome
which supports acidity of vagina and protects tissue from pathogens. - correct answers-Effects
of estrogen on tissue
, Thinning, loss of elasticity, loss or absence or rugae. - correct answers-Vaginal changes with
menopause
vagina narrows, urethra moves closer to the introitus. - correct answers-Vagina and urethra in
menopause
Vaginal estrogen and urinary incontinence: what type does it help with? - correct answers-Stress
urinary incontinence
Minoxidil, spironolactone, finasteride, estrogen therapy - correct answers-Treatment for FPHL
-3b: menstrual cycles normal, FSH normal, AMH low, AFC low, inhibin low.
-3a: subtle menstrual changes, variable FSH, AMH low, AFC low, inhibin low. - correct answers-
Late reporoductive years -3b and -3a. What happens with menstrual cycles, FSH, AMH, AFC,
inhibin?
Cycle day #3. Elevated estradiol can suppress FSH giving a falsely normal FSH level. - correct
answers-When it is appropriate to check an FSH during the cycle if you check it? and why?
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.
