NAMs Menopause Certification Exam
2025 – Complete Study Guide REAL
EXAM!!!
Climacteric phase - ANSWER ✔---The period of endrocrinologic, somatic, and trANSWERitory
psychologic changes that occur around the time of menopause.
Early menopause - ANSWER ✔---LMP before age 45
Late menopause - ANSWER ✔---LMP after age 54
Primary ovarian insufficiency - ANSWER ✔---Menopause that occurs before age 40
Early menopause trANSWERition (stage -2) - ANSWER ✔---Persistent difference of 7 days or more in
the length of consecutive cycles.
, Late menopause trANSWERition (stage -1) - ANSWER ✔---60 or more consecutive days of
amenorrhea
Luteal out of phase event (LOOP) - ANSWER ✔---Explains why some perimenopausal women have
elevated estrogen level sometimes...In the early menopause trANSWERition, 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 - ANSWER ✔---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 - ANSWER ✔---These ethnic groups have lower estradiol levels then
white, black and hispanic women.
stage +2 - ANSWER ✔---late menopause stage: 5-8 years after FMP. Somatic aging predominates.
Increased genitourinary symptoms.
Stages +1a, +1b, +1c - ANSWER ✔---early post menopause: 2 years after FMP. FSH rises, estradiol
decreases. VMS predominate.
Elevated FSH, LH - ANSWER ✔---Endocrine labs after menopause
AMH, inhibin B - ANSWER ✔---These hormones work during reproductive years to not deplete
follicle pool too quickly.
Phases during menopause trANSWERition and PMS symptoms - ANSWER ✔---Menstrual cycle
shortenes, follicular phase compresses, women spend more time in luteal phase.. meaning more
premenstrual symptoms and more frequent menstrual periods.
How to respond if a patient requests FSH lab? - ANSWER ✔---many pitfalls, variable depending on
the day of the cycle you draw the lab, normal or low FSH is not helpful.
2025 – Complete Study Guide REAL
EXAM!!!
Climacteric phase - ANSWER ✔---The period of endrocrinologic, somatic, and trANSWERitory
psychologic changes that occur around the time of menopause.
Early menopause - ANSWER ✔---LMP before age 45
Late menopause - ANSWER ✔---LMP after age 54
Primary ovarian insufficiency - ANSWER ✔---Menopause that occurs before age 40
Early menopause trANSWERition (stage -2) - ANSWER ✔---Persistent difference of 7 days or more in
the length of consecutive cycles.
, Late menopause trANSWERition (stage -1) - ANSWER ✔---60 or more consecutive days of
amenorrhea
Luteal out of phase event (LOOP) - ANSWER ✔---Explains why some perimenopausal women have
elevated estrogen level sometimes...In the early menopause trANSWERition, 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 - ANSWER ✔---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 - ANSWER ✔---These ethnic groups have lower estradiol levels then
white, black and hispanic women.
stage +2 - ANSWER ✔---late menopause stage: 5-8 years after FMP. Somatic aging predominates.
Increased genitourinary symptoms.
Stages +1a, +1b, +1c - ANSWER ✔---early post menopause: 2 years after FMP. FSH rises, estradiol
decreases. VMS predominate.
Elevated FSH, LH - ANSWER ✔---Endocrine labs after menopause
AMH, inhibin B - ANSWER ✔---These hormones work during reproductive years to not deplete
follicle pool too quickly.
Phases during menopause trANSWERition and PMS symptoms - ANSWER ✔---Menstrual cycle
shortenes, follicular phase compresses, women spend more time in luteal phase.. meaning more
premenstrual symptoms and more frequent menstrual periods.
How to respond if a patient requests FSH lab? - ANSWER ✔---many pitfalls, variable depending on
the day of the cycle you draw the lab, normal or low FSH is not helpful.
