A 51-Year-Old Patient Comes in for a Gynecological Examination and Complains

A 51-year-old patient comes in for a gynecological examination and complains of dry skin, mood changes, irritability, and weight gain. She reports no menstruation in the past 12 months. To obtain further information, which question best encourages the patient to express herself?

A) "Have you had trouble sleeping?"
B) "Have you noticed your hair getting thinner?"
C) "Have you tried a nonpetroleum-based lubricant to help with vaginal dryness?"
D) "How has menopause affected your quality of life?"