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1216 Gynaecology & Obstetrics

A 62-year-old woman presents for annual examination. Her last spontaneous menstrual period was 9 years ago, and she has been reluctant to use postmenopausal hormone replacement because of a strong family history of breast cancer. She now complains of diminished interest in sexual activity. Which of the following is the most likely cause of her complaint?

ADecreased vaginal length
BDecreased ovarian function
CAlienation from her partner
DUntreatable sexual dysfunction
Gynaecology & Obstetrics
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