NAMS Certification Exam 20221.EarlyMenopauseFMP before age 452.Late MenopauseFMP after age 543.Bilateraloophorectomyprior to age 45increases risksfor:- All cause mortality- Coronary heart disease- CVD- Menopause symptoms- Worsening mood symptoms- Higher incidence of Parkinson Disease- Associated with cognitive impairment4.EarlyMenopauseTransition (-2)7 or more days persistent difference in cycle length fromprevious normal cycle- Results of increased follicular aging and depletion- Inhibin B decreases- FSH increases (Variable)5.LOOP CyclesExplains elevation of Estradiol in perimenopause- Rising FSH levels recruit 2nd follicle during luteal phasewhich leads to overproduction of Estradiol- This causes menstrual changes in future cycles6.Decreased AMHin EarlyMenopause Tran-sitionMore frequent anovulatory cycles7.Decreased Inhib-in B in EarlyMenopause Tran-sition- Skipped menstrual cycles- Mastalgia- Migraine- Menorrhagia (with LOOP cycles)- Endometrial Hyperplasia8.Late MenopauseTransition (-1)60 or more days of amenorrhea for women aged 45 yearsor older- Women 40-44 years with recurrent episodes of amenor-rhea of 60 day for longer within a year improves predictionof entry into late menopause transition1 / 13Preview Mode
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