A nurse is conducting a presentation for a group of middle-aged women about menopause and the changes that occur to the female genitourinary system. Which of the following would the nurse include in the discussion? Select all that apply
A) Lengthening of the vaginal wall
B) Slowed rate of lubrication during sexual arousal
C) Decreased risk of yeast infection from pH changes
D) Weakening of the pelvic floor muscles
E) Thinning of the vaginal walls
Ans: B, D, E
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Genitourinary changes associated with aging include thinning of the vaginal walls with shortening and loss of elasticity; decreased lubrication with a slowing of the rate during sexual arousal; increased risk of yeast infections due to changes in the pH of the environment; and weakening of the pelvic floor muscles, which can lead to stress incontinence.
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