2025/2026 - NAMS Menopause
Certification Exam Study Set
Secondary causes of osteoporosis
which 3 commonplace capsules?
Hyperthyroidism, hyperparathyroidism, hypercalciuria, positive capsules (eg: tamoxifen,
steroids, PPIs), calcium/nutrition D deficiency, RA, celiac disorder, malabsorptive diseases
inclusive of Crohn ailment, and ulcerative colitis
Median age of menopause in US women
fifty two.Fifty four y
POI
Intermittent ovarian characteristic & inadequate estrogen tiers taking place at age <40 y
which STRAW stage?
Menarche / early reproductive
-5
which STRAW stage?
Peak reproductive
-4
which STRAW stage?
Late reproductive
-3
which STRAW stage?
,Perimenopause
-2 to -1 & +1a
which STRAW stage?
FMP &
12 months after final menstrual period
FMP = 0
12 months after = +1a
which STRAW stage?
VMS most likely
+1a (most likely)
-1 (likely)
aka perimenopause/menopause transition
which STRAW stage?
Early post menopause
+1a to +1c
which STRAW stage?
Late postmenopause
+2
which STRAW stage?
Amenorrhea >60 days
-1
aka past due menopause transition
which STRAW level?
Variable cycle lengths of >7 days variations
, -2
aka early menopause transition
difference between menopause transition vs perimenopause in step with STRAW criteria?
Menopause transition: -2 and -1, prior to FMP
perimenopause: -2 to +1a, includes 12 mo of amenorrhea following FMP
which STRAW level?
Initial drop in AMH/AFC/inhibin, cycles nevertheless everyday, FSH normal
-3b
aka late reproductive
which STRAW level?
Cycles shorter, first growth in FSH
-3a
aka overdue reproductive
stages spike with ovulation, marker of ovarian reserve
inhibin B
Produced by means of granulosa cells of activated follicles, most reflective of genuine ovarian
reserve; affords the high-quality single prediction of time to menopause
AMH
what day of cycle to attract FSH to predict ovarian reaction/reserve?
Day three
regular day 3 FSH?
FSH price for menopause?
< 10
>25
Certification Exam Study Set
Secondary causes of osteoporosis
which 3 commonplace capsules?
Hyperthyroidism, hyperparathyroidism, hypercalciuria, positive capsules (eg: tamoxifen,
steroids, PPIs), calcium/nutrition D deficiency, RA, celiac disorder, malabsorptive diseases
inclusive of Crohn ailment, and ulcerative colitis
Median age of menopause in US women
fifty two.Fifty four y
POI
Intermittent ovarian characteristic & inadequate estrogen tiers taking place at age <40 y
which STRAW stage?
Menarche / early reproductive
-5
which STRAW stage?
Peak reproductive
-4
which STRAW stage?
Late reproductive
-3
which STRAW stage?
,Perimenopause
-2 to -1 & +1a
which STRAW stage?
FMP &
12 months after final menstrual period
FMP = 0
12 months after = +1a
which STRAW stage?
VMS most likely
+1a (most likely)
-1 (likely)
aka perimenopause/menopause transition
which STRAW stage?
Early post menopause
+1a to +1c
which STRAW stage?
Late postmenopause
+2
which STRAW stage?
Amenorrhea >60 days
-1
aka past due menopause transition
which STRAW level?
Variable cycle lengths of >7 days variations
, -2
aka early menopause transition
difference between menopause transition vs perimenopause in step with STRAW criteria?
Menopause transition: -2 and -1, prior to FMP
perimenopause: -2 to +1a, includes 12 mo of amenorrhea following FMP
which STRAW level?
Initial drop in AMH/AFC/inhibin, cycles nevertheless everyday, FSH normal
-3b
aka late reproductive
which STRAW level?
Cycles shorter, first growth in FSH
-3a
aka overdue reproductive
stages spike with ovulation, marker of ovarian reserve
inhibin B
Produced by means of granulosa cells of activated follicles, most reflective of genuine ovarian
reserve; affords the high-quality single prediction of time to menopause
AMH
what day of cycle to attract FSH to predict ovarian reaction/reserve?
Day three
regular day 3 FSH?
FSH price for menopause?
< 10
>25
