NAMs MENOPAUSE CERTIFICATION STUDY GUIDE EXAM
2024-2025 V2 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.
Early menopause
LMP before age 45
Late menopause
LMP after age 54
Primary ovarian insufficiency
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 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.
Obese women and estradiol levels during menopause
Obese women are more likely to have anovulatory cycles
with high estradiol levels. They are also more likely to
have lower premenopause yet higher postmenopause
, estradiol levels compared with women of normal weight.
(why they are at higher risk of endometrial cancer)
Chinese and Japanese women
These ethnic groups have lower estradiol levels then
white, black and hispanic women.
stage +2
late menopause stage: 5-8 years after FMP. Somatic
aging predominates. Increased genitourinary symptoms.
Stages +1a, +1b, +1c
early post menopause: 2 years after FMP. FSH rises,
estradiol decreases. VMS predominate.
Elevated FSH, LH
Endocrine labs after menopause
AMH, inhibin B
These hormones work during reproductive years to not
deplete follicle pool too quickly.
2024-2025 V2 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.
Early menopause
LMP before age 45
Late menopause
LMP after age 54
Primary ovarian insufficiency
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 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.
Obese women and estradiol levels during menopause
Obese women are more likely to have anovulatory cycles
with high estradiol levels. They are also more likely to
have lower premenopause yet higher postmenopause
, estradiol levels compared with women of normal weight.
(why they are at higher risk of endometrial cancer)
Chinese and Japanese women
These ethnic groups have lower estradiol levels then
white, black and hispanic women.
stage +2
late menopause stage: 5-8 years after FMP. Somatic
aging predominates. Increased genitourinary symptoms.
Stages +1a, +1b, +1c
early post menopause: 2 years after FMP. FSH rises,
estradiol decreases. VMS predominate.
Elevated FSH, LH
Endocrine labs after menopause
AMH, inhibin B
These hormones work during reproductive years to not
deplete follicle pool too quickly.
