A 34-year-old woman comes to the clinic because of left ...

She says, "it seems like every woman over 40 has it today." The patient's menstrual period began at age 16 and she had a total abdominal hysterectomy and bilateral oophorectomy at age 43. She had one child at age 38. She eats a low fat diet with lots of fruits and vegetables and does not take hormone replacement therapy. ................
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