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The response is best for the nurse to provide Estrogen deficiency causes the vaginal tissues to become dry and thinner.

Estrogen deprivation decreases the moisture-secreting capacity of the vaginal cells, so the vaginal tissues is tend to become a thinner, drier (A), and the rugae become so smoother which reduces the vaginal stretching and that contributes to dyspareunia. Dyspareunia is not a related to (B or C). While (D) can be contribute to the discomfort during intercourse, the primary cause is the hormone-related

Low estrogen may lead to the missed or irregular periods. Infertility or Low estrogen levels can also prevent ovulation and to make getting pregnant difficult, leading to the infertility. Weak bones: Estrogen and also helps keep the bones and healthful and strong. As estrogen levels is decrease, bone loss may also occur

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