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NAMs Menopause Certification Exam 2025,
NAMs Menopause Certification Exam
Climacteric phase
The period of endocrinologic, somatic, and transitory psychologic changes that
occur around the time of menopause.
Early menopause
LMP before age 45.
Late menopause
LMP after age 54.
Primary ovarian insufficiency
pg. 1
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,https://www.stuvia.com/user/passnursingnow https://www.stuvia.com/user/passnursingnow https://www.stuvia.com/user/passnursingnow
Menopause that occurs before age 40.
Early menopause transition (stage -2)
Persistent difference of 7 days or more in the length of consecutive cycles.
Late menopause transition (stage -1)
60 or more consecutive days of amenorrhea.
Luteal out of phase event (LOOP)
Explains why some perimenopausal women have elevated estrogen levels
sometimes.
Obese women and estradiol levels during menopause
Obese women are more likely to have anovulatory cycles with high estradiol
levels.
pg. 2
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,https://www.stuvia.com/user/passnursingnow https://www.stuvia.com/user/passnursingnow https://www.stuvia.com/user/passnursingnow
Chinese and Japanese women
These ethnic groups have lower estradiol levels than white, black, and Hispanic
women.
Stage +2
Late menopause stage: 5-8 years after FMP. Somatic aging predominates.
Stages +1a, +1b, +1c
Early post menopause: 2 years after FMP. FSH rises, estradiol decreases.
Elevated FSH, LH
Endocrine labs after menopause.
AMH, inhibin B
These hormones work during reproductive years to not deplete follicle pool too
quickly.
pg. 3
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, https://www.stuvia.com/user/passnursingnow https://www.stuvia.com/user/passnursingnow https://www.stuvia.com/user/passnursingnow
Phases during menopause transition and PMS symptoms
Menstrual cycle variable, persistent >7 day difference between difference in
length of consecutive cycles.
How to respond if a patient requests FSH lab?
Many pitfalls, variable depending on the day of the cycle you draw the lab.
The potentially superior marker of menopause, a lab.
AMH.
DHEA (dehydroepiandrosterone)
Adrenal androgens: precursor hormones produced by the adrenal gland that are
enzymatically converted to active androgens or estrogens in peripheral tissues.
pg. 4
https://www.stuvia.com/user/passnursingnow https://www.stuvia.com/user/passnursingnow
NAMs Menopause Certification Exam 2025,
NAMs Menopause Certification Exam
Climacteric phase
The period of endocrinologic, somatic, and transitory psychologic changes that
occur around the time of menopause.
Early menopause
LMP before age 45.
Late menopause
LMP after age 54.
Primary ovarian insufficiency
pg. 1
https://www.stuvia.com/user/passnursingnow https://www.stuvia.com/user/passnursingnow
,https://www.stuvia.com/user/passnursingnow https://www.stuvia.com/user/passnursingnow https://www.stuvia.com/user/passnursingnow
Menopause that occurs before age 40.
Early menopause transition (stage -2)
Persistent difference of 7 days or more in the length of consecutive cycles.
Late menopause transition (stage -1)
60 or more consecutive days of amenorrhea.
Luteal out of phase event (LOOP)
Explains why some perimenopausal women have elevated estrogen levels
sometimes.
Obese women and estradiol levels during menopause
Obese women are more likely to have anovulatory cycles with high estradiol
levels.
pg. 2
https://www.stuvia.com/user/passnursingnow https://www.stuvia.com/user/passnursingnow
,https://www.stuvia.com/user/passnursingnow https://www.stuvia.com/user/passnursingnow https://www.stuvia.com/user/passnursingnow
Chinese and Japanese women
These ethnic groups have lower estradiol levels than white, black, and Hispanic
women.
Stage +2
Late menopause stage: 5-8 years after FMP. Somatic aging predominates.
Stages +1a, +1b, +1c
Early post menopause: 2 years after FMP. FSH rises, estradiol decreases.
Elevated FSH, LH
Endocrine labs after menopause.
AMH, inhibin B
These hormones work during reproductive years to not deplete follicle pool too
quickly.
pg. 3
https://www.stuvia.com/user/passnursingnow https://www.stuvia.com/user/passnursingnow
, https://www.stuvia.com/user/passnursingnow https://www.stuvia.com/user/passnursingnow https://www.stuvia.com/user/passnursingnow
Phases during menopause transition and PMS symptoms
Menstrual cycle variable, persistent >7 day difference between difference in
length of consecutive cycles.
How to respond if a patient requests FSH lab?
Many pitfalls, variable depending on the day of the cycle you draw the lab.
The potentially superior marker of menopause, a lab.
AMH.
DHEA (dehydroepiandrosterone)
Adrenal androgens: precursor hormones produced by the adrenal gland that are
enzymatically converted to active androgens or estrogens in peripheral tissues.
pg. 4
https://www.stuvia.com/user/passnursingnow https://www.stuvia.com/user/passnursingnow
