7/14/26, 1:10 PM NAMs Menopause Certification EXAM Questions and Answers (latest version verified for accuracy) | 2026\2027 Latest!! (Verified A…
NAMs Menopause Certification EXAM Questions
and Answers (latest version verified for accuracy)
| 2026\2027 Latest!! (Verified Answers) Study
Guide
Save Add to calendar
Terms in this set (341)
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 levels sometimes.
Obese women and estradiol levels Obese women are more likely to have anovulatory
during menopause cycles with high estradiol levels.
https://quizlet.com/1194656098/nams-menopause-certification-exam-questions-and-answers-latest-version-verified-for-accuracy-20262027-latest-veri… 1/34
,7/14/26, 1:10 PM NAMs Menopause Certification EXAM Questions and Answers (latest version verified for accuracy) | 2026\2027 Latest!! (Verified A…
Chinese and Japanese women These ethnic groups have lower estradiol levels
than white, black, and Hispanic women.
Stage +2 Late menopause stage: 5-8 years after FMP.
Somatic aging predominates.
Stages +1a, +1b, +1c Early post menopause: 2 years after FMP. FSH rises,
estradiol decreases.
Elevated FSH, LH Endocrine labs after menopause.
AMH, inhibin B These hormones work during reproductive years to
not deplete follicle pool too quickly.
Phases during menopause transition Menstrual cycle variable, persistent >7 day
and PMS symptoms difference between difference in length of
consecutive cycles.
How to respond if a patient requests Many pitfalls, variable depending on the day of the
FSH lab? cycle you draw the lab.
The potentially superior marker of AMH.
menopause, a lab.
DHEA (dehydroepiandrosterone) Adrenal androgens: precursor hormones produced
by the adrenal gland that are enzymatically
converted to active androgens or estrogens in
peripheral tissues.
Location of estrogen receptors Vagina, vulva, urethra, trigone of the bladder.
Effects of estrogen on tissue Maintain blood flow, the collagen, and HA within
the epithelial surfaces.
https://quizlet.com/1194656098/nams-menopause-certification-exam-questions-and-answers-latest-version-verified-for-accuracy-20262027-latest-veri… 2/34
,7/14/26, 1:10 PM NAMs Menopause Certification EXAM Questions and Answers (latest version verified for accuracy) | 2026\2027 Latest!! (Verified A…
Vaginal changes with menopause Thinning, loss of elasticity, loss or absence of
rugae.
Vagina and urethra in menopause Vagina narrows, urethra moves closer to the
introitus.
Stress urinary incontinence Vaginal estrogen and urinary incontinence: what
type does it help with?
Treatment for FPHL Minoxidil, spironolactone, finasteride, estrogen
therapy.
Late reproductive years -3b and -3a -3b: menstrual cycles normal, FSH normal, AMH
low, AFC low, inhibin low. -3a: subtle menstrual
changes, variable FSH, AMH low, AFC low, inhibin
low.
When it is appropriate to check an Cycle day #3. Elevated estradiol can suppress FSH
FSH during the cycle if you check it? giving a falsely normal FSH level.
AFC Antral follicle count. Number of follicles that are
detectable with ultrasound.
Late menopause transition (-1) FSH 25 or higher.
level on random draw
Black women have higher or lower Higher.
FSH levels?
Chinese and Japanese women have Lower.
higher or lower estradiol levels
compared to white, black and
Hispanic women?
https://quizlet.com/1194656098/nams-menopause-certification-exam-questions-and-answers-latest-version-verified-for-accuracy-20262027-latest-veri… 3/34
, 7/14/26, 1:10 PM NAMs Menopause Certification EXAM Questions and Answers (latest version verified for accuracy) | 2026\2027 Latest!! (Verified A…
Menopause transition-changes in SHBG decreases. Testosterone/SHBG ratio
SHBG and testosterone? increases by 80%.
Testosterone/SHBG ratio is called The free androgen index.
what?
What stage are VMS more likely? +1b (generally last 2 years).
What hormone is generally higher in Estrone-via aromatization.
obese women?
The postmenopausal ovary Testosterone and androstenedione.
continues to produce what two
hormones?
Surgical menopause causes women Testosterone. 40-50% lower than in women w/
to have lower levels of what intact ovaries.
hormone?
Driving piece of menopause is Inhibin and AMH decrease.
ovarian follicles depleting. What
does this do to the inhibin B and
AMH?
In the menopause transition, women Luteal-more PMS symptoms, more frequent
spend more time in what phase? menstrual periods.
HPO axis theory and the menopause It is felt that the HPO axis may become less
transition sensitive to estrogen.
In the first year after the FMP, there is Progesterone.
no production of what hormone?
https://quizlet.com/1194656098/nams-menopause-certification-exam-questions-and-answers-latest-version-verified-for-accuracy-20262027-latest-veri… 4/34
NAMs Menopause Certification EXAM Questions
and Answers (latest version verified for accuracy)
| 2026\2027 Latest!! (Verified Answers) Study
Guide
Save Add to calendar
Terms in this set (341)
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 levels sometimes.
Obese women and estradiol levels Obese women are more likely to have anovulatory
during menopause cycles with high estradiol levels.
https://quizlet.com/1194656098/nams-menopause-certification-exam-questions-and-answers-latest-version-verified-for-accuracy-20262027-latest-veri… 1/34
,7/14/26, 1:10 PM NAMs Menopause Certification EXAM Questions and Answers (latest version verified for accuracy) | 2026\2027 Latest!! (Verified A…
Chinese and Japanese women These ethnic groups have lower estradiol levels
than white, black, and Hispanic women.
Stage +2 Late menopause stage: 5-8 years after FMP.
Somatic aging predominates.
Stages +1a, +1b, +1c Early post menopause: 2 years after FMP. FSH rises,
estradiol decreases.
Elevated FSH, LH Endocrine labs after menopause.
AMH, inhibin B These hormones work during reproductive years to
not deplete follicle pool too quickly.
Phases during menopause transition Menstrual cycle variable, persistent >7 day
and PMS symptoms difference between difference in length of
consecutive cycles.
How to respond if a patient requests Many pitfalls, variable depending on the day of the
FSH lab? cycle you draw the lab.
The potentially superior marker of AMH.
menopause, a lab.
DHEA (dehydroepiandrosterone) Adrenal androgens: precursor hormones produced
by the adrenal gland that are enzymatically
converted to active androgens or estrogens in
peripheral tissues.
Location of estrogen receptors Vagina, vulva, urethra, trigone of the bladder.
Effects of estrogen on tissue Maintain blood flow, the collagen, and HA within
the epithelial surfaces.
https://quizlet.com/1194656098/nams-menopause-certification-exam-questions-and-answers-latest-version-verified-for-accuracy-20262027-latest-veri… 2/34
,7/14/26, 1:10 PM NAMs Menopause Certification EXAM Questions and Answers (latest version verified for accuracy) | 2026\2027 Latest!! (Verified A…
Vaginal changes with menopause Thinning, loss of elasticity, loss or absence of
rugae.
Vagina and urethra in menopause Vagina narrows, urethra moves closer to the
introitus.
Stress urinary incontinence Vaginal estrogen and urinary incontinence: what
type does it help with?
Treatment for FPHL Minoxidil, spironolactone, finasteride, estrogen
therapy.
Late reproductive years -3b and -3a -3b: menstrual cycles normal, FSH normal, AMH
low, AFC low, inhibin low. -3a: subtle menstrual
changes, variable FSH, AMH low, AFC low, inhibin
low.
When it is appropriate to check an Cycle day #3. Elevated estradiol can suppress FSH
FSH during the cycle if you check it? giving a falsely normal FSH level.
AFC Antral follicle count. Number of follicles that are
detectable with ultrasound.
Late menopause transition (-1) FSH 25 or higher.
level on random draw
Black women have higher or lower Higher.
FSH levels?
Chinese and Japanese women have Lower.
higher or lower estradiol levels
compared to white, black and
Hispanic women?
https://quizlet.com/1194656098/nams-menopause-certification-exam-questions-and-answers-latest-version-verified-for-accuracy-20262027-latest-veri… 3/34
, 7/14/26, 1:10 PM NAMs Menopause Certification EXAM Questions and Answers (latest version verified for accuracy) | 2026\2027 Latest!! (Verified A…
Menopause transition-changes in SHBG decreases. Testosterone/SHBG ratio
SHBG and testosterone? increases by 80%.
Testosterone/SHBG ratio is called The free androgen index.
what?
What stage are VMS more likely? +1b (generally last 2 years).
What hormone is generally higher in Estrone-via aromatization.
obese women?
The postmenopausal ovary Testosterone and androstenedione.
continues to produce what two
hormones?
Surgical menopause causes women Testosterone. 40-50% lower than in women w/
to have lower levels of what intact ovaries.
hormone?
Driving piece of menopause is Inhibin and AMH decrease.
ovarian follicles depleting. What
does this do to the inhibin B and
AMH?
In the menopause transition, women Luteal-more PMS symptoms, more frequent
spend more time in what phase? menstrual periods.
HPO axis theory and the menopause It is felt that the HPO axis may become less
transition sensitive to estrogen.
In the first year after the FMP, there is Progesterone.
no production of what hormone?
https://quizlet.com/1194656098/nams-menopause-certification-exam-questions-and-answers-latest-version-verified-for-accuracy-20262027-latest-veri… 4/34
