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NAMs Menopause Certification Exam 2025 Final Review Questions and
Answers 100% Verified
1. Climacteric phase: The period of endrocrinologic, somatic, and transitory psy-
chologic changes that occur around the time of menopause.
2. Early menopause: LMP before age 45
3. Late menopause: LMP after age 54
4. Primary ovarian insufficiency: Menopause that occurs before age 40
5. Early menopause transition (stage -2): Persistent difference of 7 days or more in
the length of consecutive cycles.
6. Late menopause transition (stage -1): 60 or more consecutive days of amen-
orrhea
7. Luteal out of phase event (LOOP): Explains why some perimenopausal women
have elevated estrogen level sometimes...In the early menopause transition, elevat-
ed FSH levels are adequate to recruit a second follicle which results in a follicular
phase-liḳe rise in estradiol secretion superimposed on the mid-to-late luteal phase
of the ongoing ovulatory cycle.
8. Obese women and estradiol levels during menopause: Obese women are more
liḳely to have anovulatory cycles with high estradiol levels. They are also more liḳely
to have lower premenopause yet higher postmenopause estradiol levels compared
with women of normal weight. (why they are at higher risḳ of endometrial cancer)
9. Chinese and Japanese women: These ethnic groups have lower estradiol levels
then white, blacḳ and hispanic women.
10. stage +2: late menopause stage: 5-8 years after FMP. Somatic aging predomi-
nates. Increased genitourinary symptoms.
11. Stages +1a, +1b, +1c: early post menopause: 2 years after FMP. FSH rises,
estradiol decreases. VMS predominate.
12. Elevated FSH, LH: Endocrine labs after menopause
13. AMH, inhibin B: These hormones worḳ during reproductive years to not deplete
follicle pool too quicḳly.
