NAMS Study Guide Questions with Verified
Correct Answers
Early menopause
FMP before age 45
Late menopause
FMP after age 54
Early post menopause is defined as being within how many years from their FMP?
8
What STRAW stage is described as having a persistent difference of 7 or more days in
length of consecutive cycle lengths from prev normal ones?
Early menopause transition/-2
What STRAW stage describes 60 or more days of amenorrhea, observed at least one
time?
Late menopause transition/-1
Term describing onset on intermenstrual cycle irreg +/- 7 days or other menopausal sxs
and extends beyond FMP to include 12 mos after menopause?
Perimenopause
POI
Menopause before age 40
What percent of women in US experience POI?
1%
, How long after GYN surgery before checking FSH level?
3 months—may be transiently elevated prior to that s/t surgery
Late reproductive stage (-3)
Fecundability starts decreasing, notice menses changes
-3b early follicular phase, FSH WNL, ⬇️ AMH, AFC, inhibin b
-3a subtle menses changes/flow/length, shorter cycles, variable FSH
What cycle day should FSH be drawn?
3
What test is most commonly used to assess ovarian reserve?
Cycle day 3 FSH
STRAW stage characterized by menstrual irregularity s/t variable hormone secretion
and inconsistent ovulation.
Menopause transition (-2 & -1)
True or False: FSH is variable in menopause transition stage?
True
A FSH level of ___is defined in STRAW criteria for late menopause transition.
25
Late menopause transition (-1) lasts for how long?
1-3 years
Correct Answers
Early menopause
FMP before age 45
Late menopause
FMP after age 54
Early post menopause is defined as being within how many years from their FMP?
8
What STRAW stage is described as having a persistent difference of 7 or more days in
length of consecutive cycle lengths from prev normal ones?
Early menopause transition/-2
What STRAW stage describes 60 or more days of amenorrhea, observed at least one
time?
Late menopause transition/-1
Term describing onset on intermenstrual cycle irreg +/- 7 days or other menopausal sxs
and extends beyond FMP to include 12 mos after menopause?
Perimenopause
POI
Menopause before age 40
What percent of women in US experience POI?
1%
, How long after GYN surgery before checking FSH level?
3 months—may be transiently elevated prior to that s/t surgery
Late reproductive stage (-3)
Fecundability starts decreasing, notice menses changes
-3b early follicular phase, FSH WNL, ⬇️ AMH, AFC, inhibin b
-3a subtle menses changes/flow/length, shorter cycles, variable FSH
What cycle day should FSH be drawn?
3
What test is most commonly used to assess ovarian reserve?
Cycle day 3 FSH
STRAW stage characterized by menstrual irregularity s/t variable hormone secretion
and inconsistent ovulation.
Menopause transition (-2 & -1)
True or False: FSH is variable in menopause transition stage?
True
A FSH level of ___is defined in STRAW criteria for late menopause transition.
25
Late menopause transition (-1) lasts for how long?
1-3 years
