NAMs Menopause Certification Exam Test.
1. Climacteric phase The period of endrocrinologic, somatic, and transitory psychologic
changes that
occur around the time of menopause.
2. Early menopause LMP before age 45
3. Late menopause LMP after age 54
4. Primary levels during menopause
ovarian
insufficiency 9. Chinese and Japanese women
5. Early
menopause
transition
(stage
-2)
6. Late
menopause
transition
(stage
-1)
7. Luteal out
of phase
event
(LOOP)
8. Obese
women and
estradiol
1/
36
, NAMs Menopause Certification Exam Test.
Menopause that occurs before Explains why some perimenopausal women have elevated estrogen
age 40 level some- times...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
Persistent ditterence of 7 days luteal phase of the ongoing ovulatory cycle.
or more in the length of
consecutive cycles.
Obese women are more likely to have anovulatory cycles with high
estradiol levels. They are also more likely to have lower
premenopause yet higher post- menopause estradiol levels compared
with women of normal weight. (why they are at higher risk of
60 or more consecutive days of
amenorrhea endometrial cancer)
These ethnic groups have lower estradiol levels then white, black and
hispanic women.
10. stage +2 late menopause stage: 5-8 years after FMP. Somatic aging predominates.
In-
creased genitourinary symptoms.
2/
36
, NAMs Menopause Certification Exam Test.
11. Stages +1a, early post menopause: 2 years after FMP. FSH rises, estradiol
+1b,
decreases. VMS predominate.
+1c
12. Elevated FSH, LH Endocrine labs after menopause
13. AMH, inhibin B These hormones work during reproductive years to not deplete follicle po
too
quickly.
14. Phases during Menstrual cycle shortenes, follicular phase compresses, women spend
menopause more time in luteal phase.. meaning more premenstrual symptoms and
tran- sition more frequent menstrual periods.
and PMS
symptoms
many pitfalls, variable depending on the day of the cycle you draw the la
15. How to respond normal
if
a patient requests or low FSH is not helpful.
FSH lab?
16. The 18. Location of estro- gen receptors
potentially
superior 19. Effects of estro- gen on tissue
marker of
menopause, a
lab.
17. DHEA
(dehy-
droepiandro
s- terone)
3/
36
, NAMs Menopause Certification Exam Test.
AMH active androgens or estrogens in peripheral tissues.
Vagina, vulva, urethra, trigone of the bladder
Adrenal androgens: precursor
hromones produced by the
adrenal gland that are maintain blood flow, the collagen, and HA within the epithelial surfaces.
enzymatically converted to Supports microbiome and protects tissue from pathogens.
4/
36
1. Climacteric phase The period of endrocrinologic, somatic, and transitory psychologic
changes that
occur around the time of menopause.
2. Early menopause LMP before age 45
3. Late menopause LMP after age 54
4. Primary levels during menopause
ovarian
insufficiency 9. Chinese and Japanese women
5. Early
menopause
transition
(stage
-2)
6. Late
menopause
transition
(stage
-1)
7. Luteal out
of phase
event
(LOOP)
8. Obese
women and
estradiol
1/
36
, NAMs Menopause Certification Exam Test.
Menopause that occurs before Explains why some perimenopausal women have elevated estrogen
age 40 level some- times...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
Persistent ditterence of 7 days luteal phase of the ongoing ovulatory cycle.
or more in the length of
consecutive cycles.
Obese women are more likely to have anovulatory cycles with high
estradiol levels. They are also more likely to have lower
premenopause yet higher post- menopause estradiol levels compared
with women of normal weight. (why they are at higher risk of
60 or more consecutive days of
amenorrhea endometrial cancer)
These ethnic groups have lower estradiol levels then white, black and
hispanic women.
10. stage +2 late menopause stage: 5-8 years after FMP. Somatic aging predominates.
In-
creased genitourinary symptoms.
2/
36
, NAMs Menopause Certification Exam Test.
11. Stages +1a, early post menopause: 2 years after FMP. FSH rises, estradiol
+1b,
decreases. VMS predominate.
+1c
12. Elevated FSH, LH Endocrine labs after menopause
13. AMH, inhibin B These hormones work during reproductive years to not deplete follicle po
too
quickly.
14. Phases during Menstrual cycle shortenes, follicular phase compresses, women spend
menopause more time in luteal phase.. meaning more premenstrual symptoms and
tran- sition more frequent menstrual periods.
and PMS
symptoms
many pitfalls, variable depending on the day of the cycle you draw the la
15. How to respond normal
if
a patient requests or low FSH is not helpful.
FSH lab?
16. The 18. Location of estro- gen receptors
potentially
superior 19. Effects of estro- gen on tissue
marker of
menopause, a
lab.
17. DHEA
(dehy-
droepiandro
s- terone)
3/
36
, NAMs Menopause Certification Exam Test.
AMH active androgens or estrogens in peripheral tissues.
Vagina, vulva, urethra, trigone of the bladder
Adrenal androgens: precursor
hromones produced by the
adrenal gland that are maintain blood flow, the collagen, and HA within the epithelial surfaces.
enzymatically converted to Supports microbiome and protects tissue from pathogens.
4/
36
