WOMEN'S HEALTH EXAM III –
MENOPAUSE EXAM QUESTIONS &
ACTUAL CORRECT ANSWERS
1. Menopause is described as a ______________
2. This happens when a woman reaches what ages?
3. What is menopause marked by?
4. Menopause is a time of menstrual and endocrine changes beginning ___________ - correct
answer ✔✔1. a natural decline in reproductive hormones
2. 40s - 50s
3. marked by the end of menses.
4. (below)
- variation in cycle length
- and ending with the final menstrual period
- (FMP is when 12 months of amenorrhea have passed after last menstrual period)
1. what kind of diagnosis is menopause?
2. how do you know if someone has gone through menopause?
3. what is the average age of menopause? - correct answer ✔✔1. a retrospective diagnosis
2. 12 months without any uterine bleeding
3. 40 - 58 years old, average age 51 years
What is periomenopause? - correct answer ✔✔- *symptomatic years of menopausal transition*
- time of endocrine and menstrual changes that start occurring for women in the years before
the final menstrual period
,- encompassing the time from early menopausal transition to 12 months after final menstrual
period,
1. During perimenopause, what happens to estrogen levels?
2. How long does perimenopause last usually? - correct answer ✔✔1. During this time, estrogen
levels fluctuate, which can cause heavy, irregular periods and cramping.
2. 5 years
1. what happens to the number of follicles? - correct answer ✔✔- Number of follicles are
rapidly diminishing
- with less follicles, the ovary is producing less of all the sex steroids (E, P, A)
- and so they are not there to give negative feedback to the HPO axis.
1. The ovaries before more resistant to FSH stimulation ___________ - correct answer ✔✔1.
high peaking of FSH
- With less follicles, the ovary is producing less off all the sex steroids (E,P,A)
- and so they are not there to give negative feedback to the HPO axis
- In response the pituitary puts out more and FSH and LH
1. Can we use hormone levels to diagnose menopause?
2. what are the hours to hour changes like? - correct answer ✔✔1. Although the hormones LH
and FSH (especially FSH) are trending upward in menopause
2. the actual levels hour to hour can be very erratic and that is why hormone testing for
menopause is considered to be very unreliable.
1. Once someone has gone fully through menopause (a year with no menses) what happens to
FSH?
2. So do guidelines suggest that FSH levels are tested for menopause? - correct answer ✔✔1.
FSH tends to be very high and stay forever at that peak level.
, + In the years leading up to transition, hormone levels are erratic.
2. Professional guidelines do not recommend testing hormones level to diagnosis menopause
(estrogen, FSH).
1. Should someone use contraception during periomenopause?
2. What if the person has a bilateral tubal ligation? - correct answer ✔✔1. Yes, just because you
are not ovulating at a regular schedule does not m ean that you are not still ovulating.
2. Many patients have BTL, do not need BC.
1. It is difficult to determine if menopause if __________
2. a constant source of progestin does what to the body?
3. what do you do about concerns about masked postmenopausal bleeding?
4. __________ as an external source is protective against endometrial cancer. - correct answer
✔✔1. started on birth control
2. Constant source of progestin is protective against endometrial cancer.
3. For concerns surrounding masked postmenopausal bleeding while a patient is on BC,
remember that Mirena (constant progestin) will be protective against endometrial cancer.
What are the STRAW guidelines? - correct answer ✔✔- guidelines for predicting when the onset
of menopause may be.
-5 -4 - 3 = reproductive stage
-2 -1 0 =(menopausal transition also perimenopasual)
0 +1 +2 = (postmenopausal)
MENOPAUSE EXAM QUESTIONS &
ACTUAL CORRECT ANSWERS
1. Menopause is described as a ______________
2. This happens when a woman reaches what ages?
3. What is menopause marked by?
4. Menopause is a time of menstrual and endocrine changes beginning ___________ - correct
answer ✔✔1. a natural decline in reproductive hormones
2. 40s - 50s
3. marked by the end of menses.
4. (below)
- variation in cycle length
- and ending with the final menstrual period
- (FMP is when 12 months of amenorrhea have passed after last menstrual period)
1. what kind of diagnosis is menopause?
2. how do you know if someone has gone through menopause?
3. what is the average age of menopause? - correct answer ✔✔1. a retrospective diagnosis
2. 12 months without any uterine bleeding
3. 40 - 58 years old, average age 51 years
What is periomenopause? - correct answer ✔✔- *symptomatic years of menopausal transition*
- time of endocrine and menstrual changes that start occurring for women in the years before
the final menstrual period
,- encompassing the time from early menopausal transition to 12 months after final menstrual
period,
1. During perimenopause, what happens to estrogen levels?
2. How long does perimenopause last usually? - correct answer ✔✔1. During this time, estrogen
levels fluctuate, which can cause heavy, irregular periods and cramping.
2. 5 years
1. what happens to the number of follicles? - correct answer ✔✔- Number of follicles are
rapidly diminishing
- with less follicles, the ovary is producing less of all the sex steroids (E, P, A)
- and so they are not there to give negative feedback to the HPO axis.
1. The ovaries before more resistant to FSH stimulation ___________ - correct answer ✔✔1.
high peaking of FSH
- With less follicles, the ovary is producing less off all the sex steroids (E,P,A)
- and so they are not there to give negative feedback to the HPO axis
- In response the pituitary puts out more and FSH and LH
1. Can we use hormone levels to diagnose menopause?
2. what are the hours to hour changes like? - correct answer ✔✔1. Although the hormones LH
and FSH (especially FSH) are trending upward in menopause
2. the actual levels hour to hour can be very erratic and that is why hormone testing for
menopause is considered to be very unreliable.
1. Once someone has gone fully through menopause (a year with no menses) what happens to
FSH?
2. So do guidelines suggest that FSH levels are tested for menopause? - correct answer ✔✔1.
FSH tends to be very high and stay forever at that peak level.
, + In the years leading up to transition, hormone levels are erratic.
2. Professional guidelines do not recommend testing hormones level to diagnosis menopause
(estrogen, FSH).
1. Should someone use contraception during periomenopause?
2. What if the person has a bilateral tubal ligation? - correct answer ✔✔1. Yes, just because you
are not ovulating at a regular schedule does not m ean that you are not still ovulating.
2. Many patients have BTL, do not need BC.
1. It is difficult to determine if menopause if __________
2. a constant source of progestin does what to the body?
3. what do you do about concerns about masked postmenopausal bleeding?
4. __________ as an external source is protective against endometrial cancer. - correct answer
✔✔1. started on birth control
2. Constant source of progestin is protective against endometrial cancer.
3. For concerns surrounding masked postmenopausal bleeding while a patient is on BC,
remember that Mirena (constant progestin) will be protective against endometrial cancer.
What are the STRAW guidelines? - correct answer ✔✔- guidelines for predicting when the onset
of menopause may be.
-5 -4 - 3 = reproductive stage
-2 -1 0 =(menopausal transition also perimenopasual)
0 +1 +2 = (postmenopausal)
