NAMS Certification Exam 1 Questions with
100% Correct Answers
Nonhormonal treatment of VVA
Lubricants
Moisturizers
Pelvic floor PT
Dilators
Vibrators
Low dose vaginal ET benefits
restores vaginal bood flow
improves thickness
decrease vaginal pH
How long before improvement of symptoms of VVA with use of topical ET
full efficacy 2-3 months
VMS + VVA, what do you use?
Vaginal ring
Formulation for VVA that is less messy?
tablets
in women for whom systemic HT is CI what can you use for VVA?
vaginal tablet or low dose vaginal ring
fixed dosing
lack of systemic absorption
, Can women with hx of CVD or estrogen responsive cancers be candidates for vaginal
ET if nonhormonal options are ineffective?
yes. special consideration for women on AI. talk to oncologist
Do you need progestogen for local vaginal ET?
no
What is use of vaginal DHEA?
SE of using DHEA?
moderate to severe dyspareunia
may experience increased vaginal discharge
For women who prefer an oral agent to treat GSM, this drug is approved for moderate
to severe dyspareunia 2/2 VVA
ospemifene - SERM
SE of ospemifene?
Increase VMS + VTE
Osepemifene has antiestrogenic effects on breast. Can you use for pts with hx of breast
Ca?
no, not approved
Define vulvodynia
vulvar pain for at least 3 months w/o clear cause
Vulvovaginitis causes
BV, candida, trich
100% Correct Answers
Nonhormonal treatment of VVA
Lubricants
Moisturizers
Pelvic floor PT
Dilators
Vibrators
Low dose vaginal ET benefits
restores vaginal bood flow
improves thickness
decrease vaginal pH
How long before improvement of symptoms of VVA with use of topical ET
full efficacy 2-3 months
VMS + VVA, what do you use?
Vaginal ring
Formulation for VVA that is less messy?
tablets
in women for whom systemic HT is CI what can you use for VVA?
vaginal tablet or low dose vaginal ring
fixed dosing
lack of systemic absorption
, Can women with hx of CVD or estrogen responsive cancers be candidates for vaginal
ET if nonhormonal options are ineffective?
yes. special consideration for women on AI. talk to oncologist
Do you need progestogen for local vaginal ET?
no
What is use of vaginal DHEA?
SE of using DHEA?
moderate to severe dyspareunia
may experience increased vaginal discharge
For women who prefer an oral agent to treat GSM, this drug is approved for moderate
to severe dyspareunia 2/2 VVA
ospemifene - SERM
SE of ospemifene?
Increase VMS + VTE
Osepemifene has antiestrogenic effects on breast. Can you use for pts with hx of breast
Ca?
no, not approved
Define vulvodynia
vulvar pain for at least 3 months w/o clear cause
Vulvovaginitis causes
BV, candida, trich
