A nurse is teaching a client about the manifestations of menopause. Which of the following findings should the nurse include?

A. Decreased bone density occurs during menopause due to lower estrogen levels, increasing the risk for osteoporosis. Estrogen helps maintain bone mass. B. Sexual desire typically decreases, not increases, during menopause due to hormonal decline and vaginal dryness. C. Vaginal secretions usually decrease, causing dryness, not increase. Menopause causes vaginal atrophy and thinning of tissues. D. Sweating and hot flashes usually increase during menopause, not decrease. This is caused by vasomotor instability.