Your Postmenopausal 60-Year-Old Female Patient Complains of Vaginal Irritation and Pruritus

Your postmenopausal 60-year-old female patient complains of vaginal irritation and pruritus of the external genitalia. She self-medicated with an over-the-counter anti-candida agent; however, the vaginal symptoms persist. The clinician should recognize that:

A) Over-the-counter medications do not treat all species of candida
B) Postmenopausal women are susceptible to trichomonas infection
C) Decreased estrogen makes vaginal mucosa susceptible to bacterial vaginosis
D) Irritation due to atrophic vaginal mucosa can mimic symptoms of candida