, 8/31/24, 12:50 AM NAMS MENOPAUSE CERTIFICATION EXAM 2024 ACTUAL EXAM COMPREHENSIVE QUESTIONS WITH DETAILED VE…
Explains why some Luteal out of phase event (LOOP)
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 are more Obese women and estradiol levels during menopause
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)
These ethnic groups have Chinese and Japanese women
lower estradiol levels then
white, black and hispanic
women.
late menopause stage: 5-8 stage +2
years after FMP. Somatic
aging predominates.
Increased genitourinary
symptoms.
early post menopause: 2 Stages +1a, +1b, +1c
years after FMP. FSH rises,
estradiol decreases. VMS
predominate.
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