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NAMS Menopause Certification 2025 – Practice Questions with Correct Answers The period of endrocrinologic, somatic, and transitory psychologic changes that occur around the time of menopause. Early menopause --*correct answer*-- LMP before age 45 Late menopause --*correct answer*-- LMP after age 54 Primary ovarian insufficiency --*correct answer*-- Menopause that occurs before age 40 Early menopause transition (stage -2) --*correct answer*-- Persistent difference of 7 days or more in the length of consecutive cycles. Late menopause transition (stage -1) --*correct answer*-- 60 or more consecutive days of amenorrhea Luteal out of phase event (LOOP) --*correct answer*-- 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 --*correct answer*-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 --*correct answer*-- These ethnic groups have lower estradiol levels then white, black and hispanic women ... Purchase document to see full attachment