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NAMs Menopause Certification Exam Questions and Answers | Latest Update $12.49   Add to cart

Exam (elaborations)

NAMs Menopause Certification Exam Questions and Answers | Latest Update

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  • NAMs Menopause Certification
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  • NAMs Menopause Certification

Climacteric phase The period of endrocrinologic, 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 tra...

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  • September 27, 2024
  • 27
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • NAMs Menopause Certification
  • NAMs Menopause Certification
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NAMs Menopause Certification Exam
Questions and Answers | Latest Update
Climacteric phase


✓ The period of endrocrinologic, 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.




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,2024/ 2025 | © copyright | This work may not be copied for profit gain Excel!
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 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


✓ Obese women are more likely to have anovulatory cycles with high

estradiol levels. They are also more likely to have lowe r 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


✓ These ethnic groups have lower estradiol levels then white, black and

hispanic women.




stage +2

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, 2024/ 2025 | © copyright | This work may not be copied for profit gain Excel!
✓ late menopause stage: 5-8 years after FMP. Somatic aging predominates.

Increased genitourinary symptoms.




Stages +1a, +1b, +1c


✓ early post menopause: 2 years after FMP. FSH rises, estradiol decreases.

VMS predominate.




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 and PMS symptoms


✓ 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?

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