NAMS MENOPAUSE CERTIFICATION ACTUAL EXAM STUDY GUIDE. // VERIFIED ANSWERS. // LATEST 20024/2025 UPDATE. NEW EXAM!!!
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NAMS MENOPAUSE CERTIFICATION 2024
Institution
NAMS MENOPAUSE CERTIFICATION 2024
NAMS MENOPAUSE CERTIFICATION ACTUAL EXAM
STUDY GUIDE. // VERIFIED ANSWERS. // LATEST
20024/2025 UPDATE.
NEW EXAM!!!
Primary ovarian insufficiency - Ans-Menopause that occurs before age 40
Early menopause transition (stage -2) - Ans-Persistent difference of 7 days or
more in the length of ...
NAMS MENOPAUSE CERTIFICATION ACTUAL EXAM
STUDY GUIDE. // VERIFIED ANSWERS. // LATEST
20024/2025 UPDATE.
NEW EXAM!!!
Primary ovarian insufficiency - Ans✔✔-Menopause that occurs before age 40
Early menopause transition (stage -2) - Ans✔✔-Persistent difference of 7 days or
more in the length of consecutive cycles.
Late menopause transition (stage -1) - Ans✔✔-60 or more consecutive days of
amenorrhea
Luteal out of phase event (LOOP) - Ans✔✔-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 - Ans✔✔-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 - Ans✔✔-These ethnic groups have lower estradiol
levels then white, black and hispanic women.
stage +2 - Ans✔✔-late menopause stage: 5-8 years after FMP. Somatic aging
predominates. Increased genitourinary symptoms.
, Stages +1a, +1b, +1c - Ans✔✔-early post menopause: 2 years after FMP. FSH
rises, estradiol decreases. VMS predominate.
Elevated FSH, LH - Ans✔✔-Endocrine labs after menopause
Treatment for FPHL - Ans✔✔-Minoxidil, spironolactone, finasteride, estrogen
therapy
Late reporoductive years -3b and -3a. What happens with menstrual cycles,
FSH, AMH, AFC, inhibin? - Ans✔✔--3b: menstrual cycles normal, FSH normal,
AMH low, AFC low, inhibin low.
When it is appropriate to check an FSH during the cycle if you check it? and
why? - Ans✔✔-Cycle day #3. Elevated estradiol can suppress FSH giving a
falsely normal FSH level.
AMH
produced by...
used to test...
Is it a screening tool for fertility?
When does it peak? - Ans✔✔-produced by granulosa cells
used to test damage to ovarian follicle reserve. If AMH is low, the woman has a
low ovarian reserve.
not recommended as a screening tool to predict fertility.
Peaks at around 25 years old. So before age 25, this test is not helpful.
It is influenced by exogenous hormones. Lower in hormonal contraception users,
but increases after d/cing.
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