NAMs MENOPAUSE CERTIFICATION STUDY GUIDE EXAM
2024-2025 NEWEST WITH QUESTIONS AND VERIFIED
CORRECT ANSWERS GRADED A+
Climacteric phase
The period of endocrinologic, somatic, and transitory
psychologic changes that occur around the time of
menopause.
Perimenopause Menopause Transition, Early
List the STRAW Stage
What defines the phase?
STRAW Stage: (Stage -2)
Persistent difference of 7 days or more in the length of
consecutive cycles.
,Perimenopause Menopause Transition, Late
List the STRAW Stage
What defines the phase?
STRAW Stage: (Stage -1)
60 or more consecutive days of amenorrhea
Luteal out of phase event (LOOP)
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.
Describe the E2 level during the life of a patient with
obesity.
They are also more likely to have lower
premenopause/perimenopausal estradiol levels compared
,to patients with average BMIs. However, the level is the
highest in postmenopausal patients with obesity.
In comparison to other ethnicities, Chinese and
Japanese women have ___ E2 levels?
These ethnic groups have lower estradiol levels than
white, black and hispanic women.
STRAW Stage +2, describe the timeline as well as the
predominant symptoms.
Postmenopause, Late. (Remaining Lifespan) 5-8 years
after FMP. Somatic aging predominates. Increased
genitourinary symptoms.
Stages +1a, +1b, +1c, describe the timeline as well as
the supportive criteria and the symptoms.
Postmenopause, Early. 2 years after FMP.
+1a/b (2yrs) FSH variable where as the AMH and InhB are
low. The AFC are very low. VMS predominate.
, 1c (3-6yrs) FSH levels stabilize. The other measures
continue as previous.
Elevated FSH, LH
Endocrine labs after menopause
AMH, Inhibin B
These hormones work during reproductive years to not
deplete follicle pool too quickly.
Describe the phases during the early menopause
transition and what happens with PMS symptoms
Menstrual cycle shortens. Due to unrestrained FSH,
follicular phase compresses. More premenstrual
symptoms due to the longer luteal phase. Cycle
irregularity and skipped cycles because of ovulatory failure
and increased atresia.
How to respond if a patient requests FSH lab?
2024-2025 NEWEST WITH QUESTIONS AND VERIFIED
CORRECT ANSWERS GRADED A+
Climacteric phase
The period of endocrinologic, somatic, and transitory
psychologic changes that occur around the time of
menopause.
Perimenopause Menopause Transition, Early
List the STRAW Stage
What defines the phase?
STRAW Stage: (Stage -2)
Persistent difference of 7 days or more in the length of
consecutive cycles.
,Perimenopause Menopause Transition, Late
List the STRAW Stage
What defines the phase?
STRAW Stage: (Stage -1)
60 or more consecutive days of amenorrhea
Luteal out of phase event (LOOP)
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.
Describe the E2 level during the life of a patient with
obesity.
They are also more likely to have lower
premenopause/perimenopausal estradiol levels compared
,to patients with average BMIs. However, the level is the
highest in postmenopausal patients with obesity.
In comparison to other ethnicities, Chinese and
Japanese women have ___ E2 levels?
These ethnic groups have lower estradiol levels than
white, black and hispanic women.
STRAW Stage +2, describe the timeline as well as the
predominant symptoms.
Postmenopause, Late. (Remaining Lifespan) 5-8 years
after FMP. Somatic aging predominates. Increased
genitourinary symptoms.
Stages +1a, +1b, +1c, describe the timeline as well as
the supportive criteria and the symptoms.
Postmenopause, Early. 2 years after FMP.
+1a/b (2yrs) FSH variable where as the AMH and InhB are
low. The AFC are very low. VMS predominate.
, 1c (3-6yrs) FSH levels stabilize. The other measures
continue as previous.
Elevated FSH, LH
Endocrine labs after menopause
AMH, Inhibin B
These hormones work during reproductive years to not
deplete follicle pool too quickly.
Describe the phases during the early menopause
transition and what happens with PMS symptoms
Menstrual cycle shortens. Due to unrestrained FSH,
follicular phase compresses. More premenstrual
symptoms due to the longer luteal phase. Cycle
irregularity and skipped cycles because of ovulatory failure
and increased atresia.
How to respond if a patient requests FSH lab?
