The following case study highlights key learning objectives associated with this module. Read the case study and answer the questions that follow.
A 57-year-old woman presents to clinic for a routine wellness exam. She reports bloating, gastrointestinal upset, and vaginal itching that has been going on for about 2 months, which she attributes to menopause and vaginal dryness. She has pain with intercourse, which has caused some strain with her husband. She is asking for vaginal lubricant. On exam you see as shown in the image.