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A 45-year-old female patient comes to the office with increasing menstrual irregularity and
decreased flow with hot flushes, mood changes, and decreased vaginal lubrication with sexual activity
lasting 1 year. Based on her gynecologic history, what could be the cause of her disruptive symptoms
A. all of the above
B. Menopausal symptom
C. perimenopause
D. dehydration

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C. Perimenopause

Perimenopause is the first stage of menopause and can start several years before menopause. Menopause is when a woman no longer has periods for at least a year.
L19
Perimenopause because woman begin getting mood swings at any age that also refers to irregular periods

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