Patricia Kaufert's Study of Menopausal Women in Manitoba,raises the Question

Patricia Kaufert's study of menopausal women in Manitoba,raises the question of how much perceived suffering from menopause in North America is

A) cross-cultural and debatable.
B) shaped during the adolescent years rather than infancy.
C) iatrogenic,that is,an affliction caused by medical definition or intervention.
D) caused by biological factors such as hormones.
E) shaped by cultural factors.